Procedures & surgery prices at Mountainview Medical Center
White Sulphur Spring, MT · every code in this section with a posted price and a Medicare benchmark.
304 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$138.74–$225.12 | $173.43–$281.40 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $294 | $367.50 | 1.8× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$179.66–$203.28 | $224.58–$254.10 | varies |
| Application finger splint static (29130) range across 5 matching MRF lines |
$102.84–$250.40 | $128.55–$313 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$168.84–$291.10 | $211.05–$363.87 | varies |
| Application Long Leg Cast Brace (29358) | $252 | $315 | 0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$201.90–$296.52 | $252.37–$370.65 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$193.55–$261.81 | $241.94–$327.26 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$243.57–$283.08 | $304.46–$353.85 | varies |
| Application of rigid total contact leg cast (29445) | $315.32 | $394.15 | 1.1× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$88.90–$254.68 | $111.13–$318.35 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$162.07–$261.81 | $202.59–$327.26 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$143.54–$196.56 | $179.43–$245.70 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$195.41–$208.32 | $244.26–$260.40 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $387.93 | $484.91 | 2.3× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$138.92–$205.80 | $173.65–$257.25 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$94.08–$201.19 | $117.60–$251.49 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$117.18–$284.76 | $146.48–$355.95 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$92.61–$950.69 | $115.76–$1,188.36 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $157.41 | $196.76 | 0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$80.63–$252 | $100.79–$315 | varies |
| Aspirate Pleura W/O Imaging (32554) | $816.48 | $1,020.60 | 1.3× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$130.98–$222.60 | $163.73–$278.25 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$220.24–$228.48 | $275.30–$285.60 | varies |
| Biopsy bone open superficial (20240) | $377.42 | $471.77 | 0.1× |
| Biopsy nail unit (11755) | $291.06 | $363.83 | 0.4× |
| Bladder Irrigation (51700) | $434.64 | $543.30 | 1.7× |
| Bladder Scan (51798) | $172 | $215 | 2.9× |
| Blepharotomy drainage abscess eyelid (67700) | $379.68 | $474.60 | 1.2× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$768.10–$841.26 | $960.13–$1,051.58 | varies |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$185.22–$346.92 | $231.53–$433.65 | varies |
| Chemical Cautery Tissue (17250) | $246.96 | $308.70 | 1.2× |
| Chemodenerv Musc Migraine (64615) | $388.46 | $485.58 | 1.2× |
| Chemodenerv musc neck dyston (64616) | $342.43 | $428.04 | 1.1× |
| Chest tube placement (32551) range across 4 matching MRF lines |
$375.07–$1,436.38 | $468.84–$1,795.48 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$138.92–$243.28 | $173.65–$304.10 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$699.21–$1,233.96 | $874.01–$1,542.45 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$501.95–$952.56 | $627.44–$1,190.70 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$758.48–$1,965.10 | $948.10–$2,456.37 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$361.18–$834.96 | $451.48–$1,043.70 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $282.24 | $352.80 | 1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$280.61–$764.40 | $350.76–$955.50 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $204.96 | $256.20 | 0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$386.18–$940.80 | $482.73–$1,176 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $319.20 | $399 | 1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$288.02–$655.20 | $360.02–$819 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$609.38–$1,269.24 | $761.72–$1,586.55 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $227.64 | $284.55 | 0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$697.35–$1,302 | $871.69–$1,627.50 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$531.58–$710.64 | $664.48–$888.30 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$280.61–$596.40 | $350.76–$745.50 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$325.06–$729.96 | $406.33–$912.45 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$225.97–$656.04 | $282.46–$820.05 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$295.37–$565.60 | $369.21–$707 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $859.42 | $1,074.28 | 0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $285.60 | $357 | 1.1× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 2 matching MRF lines |
$292.65–$323.40 | $365.81–$404.25 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$987.22–$1,171.80 | $1,234.03–$1,464.75 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$496.39–$974.91 | $620.49–$1,218.64 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$628.82–$1,421.10 | $786.03–$1,776.38 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $269.64 | $337.05 | 1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $466.20 | $582.75 | 1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$323.21–$786.24 | $404.01–$982.80 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $289.80 | $362.25 | 1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$385.26–$828.24 | $481.57–$1,035.30 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$794.60–$1,367.52 | $993.25–$1,709.40 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $298.20 | $372.75 | 1.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$225.97–$1,218.84 | $282.46–$1,523.55 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$328.77–$352.80 | $410.96–$441 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $204.96 | $256.20 | 0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $204.96 | $256.20 | 0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$486.94–$597.47 | $608.67–$746.84 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$424.16–$708.12 | $530.20–$885.15 | varies |
| Cltx Medial Ankle Fx (27760) | $432.60 | $540.75 | 1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $278.88 | $348.60 | 1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$482.50–$852.60 | $603.12–$1,065.75 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $289.80 | $362.25 | 1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$336.04–$662.60 | $420.05–$828.25 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$330.62–$767.76 | $413.27–$959.70 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,059.46–$1,178.52 | $1,324.32–$1,473.15 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$275.98–$533.80 | $344.98–$667.25 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
$735.33–$1,421.10 | $919.16–$1,776.38 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $355.32 | $444.15 | 1.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$1,419.71–$2,039.52 | $1,774.64–$2,549.40 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$366.74–$758.52 | $458.42–$948.15 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$399.15–$866.04 | $498.94–$1,082.55 | varies |
| Collection of venous blood by venipuncture (36415) | $30.54 | $38.18 | 3.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
$294.50–$604.10 | $368.13–$755.13 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$231.53–$381 | $289.41–$476.25 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $79.80 | $99.75 | 1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $256.20 | $320.25 | 1.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$129.66–$615.40 | $162.07–$769.25 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$562.72–$894.60 | $703.40–$1,118.25 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$78.59–$78.96 | $98.24–$98.70 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$97.02–$98.28 | $121.28–$122.85 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,746.36 | $2,182.95 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$299.80–$625.80 | $374.75–$782.25 | varies |
| Destroy cerv/thor facet jnt (64633) | $705.70 | $882.12 | 0.4× |
| Destroy lumb/sac facet jnt (64635) | $696.02 | $870.03 | 0.3× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$134.86–$230.16 | $168.58–$287.70 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$150.38–$269.64 | $187.98–$337.05 | varies |
| Destruction Lesions Vulva Simple (56501) | $1,441.44 | $1,801.80 | 0.7× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $290.64 | $363.30 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $374.64 | $468.30 | 1.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $151.20 | $189 | 0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $162.96 | $203.70 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $177.24 | $221.55 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $160.44 | $200.55 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $290.64 | $363.30 | 0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $130.54 | $163.17 | 0.1× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$129.28–$290.64 | $161.60–$363.30 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$88.90–$167.16 | $111.13–$208.95 | varies |
| Diagnostic sigmoidoscopy (45330) | $1,180.20 | $1,475.25 | 1.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $2,490.60 | $3,113.25 | 0.8× |
| Drainage of finger abscess simple (26010) | $352.80 | $441 | 1.7× |
| Drainage of gum lesion (41800) | $291.48 | $364.35 | 2.1× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$347.29–$1,634.64 | $434.11–$2,043.30 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$368.59–$494.08 | $460.74–$617.60 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$188.93–$302.56 | $236.16–$378.20 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $151.20 | $189 | 0.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$105.84–$808.45 | $132.30–$1,010.56 | varies |
| Endometrial Biopsy (58100) | $160.44 | $200.55 | 0.8× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$68.98–$134.46 | $86.22–$168.08 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $522.48 | $653.10 | 0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,268.40 | $1,585.50 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $687.12 | $858.90 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,022.28 | $1,277.85 | 1.4× |
| Exc Face Les Sbq 2 Cm/> (21012) | $2,530.92 | $3,163.65 | 1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $525 | $656.25 | 0.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $567 | $708.75 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$155.38–$852.60 | $194.22–$1,065.75 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,184.40 | $1,480.50 | 0.7× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,218 | $1,522.50 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,188.60 | $1,485.75 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $795.48 | $994.35 | 1.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,188.60 | $1,485.75 | 0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $963.48 | $1,204.35 | 1.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,286.88 | $1,608.60 | 0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $393.96 | $492.45 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,806 | $2,257.50 | 1.1× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,990.80 | $2,488.50 | 0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$501.60–$1,394.40 | $627–$1,743 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $418.32 | $522.90 | 1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$136.80–$651 | $171–$813.75 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,286.88 | $1,608.60 | 0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $798 | $997.50 | 1.1× |
| Excision Chalazion Single (67800) | $223.44 | $279.30 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $522.48 | $653.10 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $495.60 | $619.50 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $997.08 | $1,246.35 | 1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $683.76 | $854.70 | 0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,343.16 | $1,678.95 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $793.80 | $992.25 | 1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) | $3,213.84 | $4,017.30 | 1.1× |
| Excision of single external papilla or tag, anus (46220) | $2,079 | $2,598.75 | 1.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,636.32 | $2,045.40 | 1.0× |
| Exploration penetrating wound spx extremity (20103) | $1,056.72 | $1,320.90 | 0.6× |
| Fetal non-stress test (59025) | $318.36 | $397.95 | 1.5× |
| Fine needle aspiration without imaging guidance (10021) | $124.34 | $155.42 | 0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $753.85 | $942.31 | 0.3× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$151.62–$621.42 | $189.53–$776.77 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $3,379.32 | $4,224.15 | 1.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$1,141.88–$3,315.48 | $1,427.35–$4,144.35 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$215.65–$508.20 | $269.56–$635.25 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $2,109.24 | $2,636.55 | 0.7× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$277.83–$424.20 | $347.29–$530.25 | varies |
| Incise finger tendon sheath (26055) | $455.35 | $569.19 | 0.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$436.80–$437.57 | $546–$546.96 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$626.04–$1,849.68 | $782.55–$2,312.10 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$197.26–$437.03 | $246.57–$546.29 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$232.17–$625.78 | $290.21–$782.23 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$792.74–$1,181.88 | $990.93–$1,477.35 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$168.55–$224.12 | $210.69–$280.15 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $332.37 | $415.46 | 0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $585.59 | $731.99 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$131.94–$222.60 | $164.93–$278.25 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$136.28–$1,702.50 | $170.35–$2,128.12 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $308.41 | $385.51 | 0.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $317 | $396.25 | 1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) | $245.20 | $306.50 | 0.3× |
| Injection anesthetic agent suprascapular nerve (64418) | $180.62 | $225.77 | 0.3× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$129.66–$222.60 | $162.07–$278.25 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$42.03–$334.32 | $52.54–$417.90 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $299.88 | $374.85 | 1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$90.32–$795.89 | $112.90–$994.86 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $151.20 | $189 | 0.7× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$246.43–$382.79 | $308.04–$478.49 | varies |
| Insert Drug Implant Device (11981) | $86.03 | $107.54 | 0.6× |
| Insert pessary/other device (57160) | $174.64 | $218.30 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$92.61–$202.73 | $115.76–$253.41 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$108.66–$136.71 | $135.83–$170.89 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$686.24–$1,207.92 | $857.80–$1,509.90 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $302.40 | $378 | 0.7× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$338.96–$535.85 | $423.70–$669.81 | varies |
| N Block Inj Celiac Pelus (64530) | $295.86 | $369.82 | 0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $174.23 | $217.79 | 0.2× |
| N block inj intercost sng (64420) | $186.09 | $232.61 | 0.3× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$105.46–$168.12 | $131.82–$210.15 | varies |
| N Block Lumbar/Thoracic (64520) | $264.62 | $330.77 | 0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$76.08–$588 | $95.10–$735 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $59.41 | $74.26 | 2.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $77.14 | $96.42 | 2.6× |
| Njx anes stellate ganglion crv sympathetic (64510) | $242.05 | $302.56 | 0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$87.09–$615.92 | $108.86–$769.90 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $284.01 | $355.01 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $337.74 | $422.18 | 0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $310.86 | $388.57 | 0.4× |
| Occipital Nerve Block (64405) | $129.66 | $162.07 | 0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,378.04 | $2,972.55 | 0.7× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$1,654.94–$3,771.60 | $2,068.68–$4,714.50 | varies |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$143.54–$521.97 | $179.43–$652.46 | varies |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$268.58–$397.32 | $335.72–$496.65 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$101.92–$512.40 | $127.40–$640.50 | varies |
| Puncture Aspiration Cyst Breast (19000) | $574.56 | $718.20 | 0.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $174.64 | $218.30 | 0.1× |
| Removal Embedded Foreign Body Eyelid (67938) | $379.68 | $474.60 | 1.2× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$613.08–$892.92 | $766.35–$1,116.15 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$511.21–$1,339.80 | $639.01–$1,674.75 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$13.09–$90.72 | $16.36–$113.40 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$64.83–$127.34 | $81.04–$159.18 | varies |
| Removal implantable contraceptive capsules (11976) | $522.48 | $653.10 | 0.7× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$128.82–$978.61 | $161.02–$1,223.26 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$92.61–$183.12 | $115.76–$228.90 | varies |
| Remove drug implant device (11982) | $138.62 | $173.28 | 0.3× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$115.76–$248.57 | $144.70–$310.71 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$141.58–$493.42 | $176.97–$616.77 | varies |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$145.32–$399.99 | $181.65–$499.99 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$784.41–$1,048.32 | $980.51–$1,310.40 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$929.81–$1,351.99 | $1,162.26–$1,689.99 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$633.39–$959.28 | $791.74–$1,199.10 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$882.57–$1,172.64 | $1,103.21–$1,465.80 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$643.64–$875.28 | $804.55–$1,094.10 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$810.34–$1,279.50 | $1,012.92–$1,599.37 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$1,084.46–$1,770.40 | $1,355.58–$2,213 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $2,115.12 | $2,643.90 | 1.3× |
| Repair Hand Tendon (26410) | $1,894.20 | $2,367.75 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$511.21–$750.40 | $639.01–$938 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$270.20–$778.68 | $337.75–$973.35 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$562.14–$915.97 | $702.68–$1,144.96 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$306.21–$736.80 | $382.76–$921 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $302.40 | $378 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $926.52 | $1,158.15 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$434.34–$626.54 | $542.92–$783.17 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$488.26–$736.68 | $610.32–$920.85 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$598.26–$916.44 | $747.83–$1,145.55 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,534.68 | $1,918.35 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$755.70–$1,022.43 | $944.62–$1,278.04 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$202.22–$749.77 | $252.78–$937.21 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$605.67–$777.04 | $757.09–$971.30 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$787.19–$1,074.36 | $983.99–$1,342.95 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$658.46–$968.80 | $823.07–$1,211 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,440.60 | $1,800.75 | 0.7× |
| Repair of nail bed (11760) | $441 | $551.25 | 0.6× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $1,500.24 | $1,875.30 | 0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$143.54–$401.37 | $179.43–$501.71 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$67.54–$396.29 | $84.43–$495.36 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$92.61–$276.07 | $115.76–$345.09 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,630.91 | $2,038.64 | 2.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 4 matching MRF lines |
$168.58–$917.91 | $210.73–$1,147.39 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $441 | $551.25 | 0.6× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) | $5,097.12 | $6,371.40 | 1.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$1,318.80–$1,366 | $1,648.50–$1,707.50 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$76.30–$290.64 | $95.38–$363.30 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
$92.61–$238.56 | $115.76–$298.20 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$132.19–$155.40 | $165.24–$194.25 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $168 | $210 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$155.23–$296.52 | $194.04–$370.65 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $151.20 | $189 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $290.64 | $363.30 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$151.20–$153.51 | $189–$191.89 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$139.71–$315 | $174.64–$393.75 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,223.88 | $1,529.85 | 1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$539.28–$594.56 | $674.10–$743.20 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$153.15–$395.26 | $191.44–$494.08 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$146.23–$419.70 | $182.79–$524.63 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $290.64 | $363.30 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$354.70–$499.20 | $443.37–$624 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $165.48 | $206.85 | 0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$87.06–$377.95 | $108.82–$472.44 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$469.54–$575.40 | $586.92–$719.25 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$354.48–$429.90 | $443.10–$537.37 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$115.76–$407.49 | $144.70–$509.36 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$417.67–$585.60 | $522.09–$732 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $443.52 | $554.40 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) | $750.12 | $937.65 | 1.0× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$67.91–$222.40 | $84.89–$278 | varies |
| Strapping knee (29530) | $163.86 | $204.82 | 1.2× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$94.08–$233.60 | $117.60–$292 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$151.35–$225.96 | $189.19–$282.45 | varies |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) likely a partial charge, not the full procedure |
$608.39 | $760.49 | 0.1× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$206.64–$217.33 | $258.30–$271.66 | varies |
| Treat Big Toe Fracture (28505) | $4,224.36 | $5,280.45 | 1.3× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$366.74–$897.96 | $458.42–$1,122.45 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$354.70–$824.88 | $443.37–$1,031.10 | varies |
| Treat Knuckle Dislocation (26700) | $386.40 | $483 | 1.5× |
| Treat Tail Bone Fracture (27200) | $204.96 | $256.20 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$485.28–$935.76 | $606.60–$1,169.70 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$56.04–$148.45 | $70.05–$185.56 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$138.74–$147 | $173.43–$183.75 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$129.04–$138.60 | $161.30–$173.25 | varies |
| Tx Gastro Intub W/Asp (43753) | $53.72 | $67.15 | 0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,340.24 | $2,925.30 | 0.7× |
| Tx superficial wound dehiscence w/packing (12021) | $445.20 | $556.50 | 1.1× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$224.12–$347.76 | $280.15–$434.70 | 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.