Procedures & surgery prices at Muscogee (creek) Nation Medical Center

Okmulgee, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $984 $1,640 1.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $984 $1,640 1.1×
Acne surgery (10040) $155.32 $258.86 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $703.80–$2,195.28 $1,173–$3,658.80 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $637.20–$2,128.68 $1,062–$3,547.80 varies
Amputation foot transmetarsal (28805) $939 $1,565 0.3×
Amputation metatarsal with toe single (28810) $510 $850 0.2×
Amputation toe interphalangeal joint (28825) $414 $690 0.1×
Amputation toe metatarsophalangeal joint (28820) $210 $350 0.1×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,020 $1,700 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240) $690 $1,150 0.1×
Application cast elbow finger short arm (29075) $75 $125 0.3×
Application finger splint static (29130) $74.40 $124 0.6×
Application long arm splint shoulder hand (29105) $179.40 $299 1.1×
Application Long Leg Splint (29505) $211.80 $353 1.4×
Application of long leg cast (29345) $120 $200 0.4×
Application short arm splint forearm-hand static (29125) $45 $75 0.4×
Application short leg splint calf foot (29515) $60 $100 0.4×
Apply long arm cast (29065) $314.40 $524 1.2×
Apply Multlay Comprs Lwr Leg (29581) $123 $205 0.8×
Apply Short Leg Cast (29405) $75 $125 0.3×
Arterial puncture (36600)
range across 2 matching MRF lines		 $18.30–$139.20 $30.50–$232 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $349.80 $583 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $548.40 $914 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $349.80 $583 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $375 $625 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $349.80 $583 1.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $502.20 $837 0.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $780 $1,300 0.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $621 $1,035 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $1,110 $1,850 0.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $717 $1,195 0.2×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $46.95–$135 $78.25–$225 varies
Aspirate Pleura W/O Imaging (32554) $809.40 $1,349 1.3×
Aspirate/Inj Ganglion Cyst (20612) $234 $390 0.8×
Aspiration bladder insert suprapubic catheter (51102) $165 $275 0.1×
Aspiration Bladder Needle (51100) $45 $75 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $223.80 $373 1.2×
Biopsy soft tissue forearm&/wrist superficial (25065) $180 $300 0.1×
Biopsy soft tissue neck/thorax (21550) $180 $300 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $678 $1,130 0.8×
Bladder Irrigation (51700) $228 $380 0.9×
Blepharoplasty upper eyelid (15822) $490.20 $817 0.2×
Blepharotomy drainage abscess eyelid (67700) $407.36 $678.94 1.3×
Bx Cervix (57500) $555 $925 0.6×
Carpal Tunnel Surgery (64721) $540.60 $901 0.3×
Cataract surgery complex (66982)
range across 2 matching MRF lines		 $1,000.80–$2,541.60 $1,668–$4,236 varies
Change Cystostomy Tube Complicated (51710) $91.20 $152 0.1×
Change Cystostomy Tube Simple (51705) $228 $380 0.9×
Change of Windpipe Airway (31502) $236.40 $394 1.0×
Chemical Cautery Tissue (17250) $156 $260 0.8×
Chemodenerv Musc Migraine (64615) $312 $520 1.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $285 $475 1.0×
Chest tube placement (32551)
range across 2 matching MRF lines		 $204–$1,300.80 $340–$2,168 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $373.20–$2,244 $622–$3,740 varies
Cl Tx Scapular Fx; W Manip (23575) $1,786.20 $2,977 1.2×
Clear outer ear canal (69200) $139.20 $232 1.1×
Closed Treat Vert Body Fract (22310) $178.20 $297 0.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $354 $590 1.5×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $450–$1,786.20 $750–$2,977 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $495 $825 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $284.40 $474 1.2×
Closed Tx Knee Dislocation W/Anesthesia (27552) $354 $590 0.2×
Closed tx mandibular fracture w/manipulation (21451) $1,169.10 $1,948.50 0.8×
Closed tx metatarsal fracture w/o manipulation (28470) $284.40 $474 1.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,909.40 $4,849 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $396.60 $661 1.7×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $465–$2,170.20 $775–$3,617 varies
Closed tx radial head/neck fx w/o manipulation (24650) $222 $370 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $531 $885 0.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $354 $590 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $284.40 $474 1.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $156 $260 0.7×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,786.20 $2,977 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,903.20 $3,172 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $284.40 $474 1.2×
Clsr Lacrimal Punctum Plug Each (68761) $223.03 $371.71 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $444 $740 1.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $318 $530 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $369 $615 1.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $354 $590 0.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $284.40 $474 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $162 $270 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $284.40–$567 $474–$945 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $210–$284.40 $350–$474 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $147 $245 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $284.40 $474 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $396.60 $661 1.7×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $354–$367.20 $590–$612 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,786.20 $2,977 1.2×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $153 $255 0.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $284.40 $474 1.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $216 $360 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $354 $590 1.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $490.80–$1,786.20 $818–$2,977 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $354 $590 1.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $354 $590 0.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,786.20 $2,977 1.2×
Collection of venous blood by venipuncture (36415) $7.80 $13 0.8×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $309–$1,200 $515–$2,000 varies
Colonoscopy w/submucosal inj (45381) $1,239 $2,065 1.1×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $780 $1,300 0.1×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $804 $1,340 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $243 $405 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $372 $620 1.3×
Colposcopy cervix upper/adjacent vagina (57452) $150 $250 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $456 $760 1.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $180 $300 0.1×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $102–$357 $170–$595 varies
Colposcopy of vulva (56820) $252 $420 1.3×
Colposcopy Vulva W/Biopsy (56821) $384.60 $641 1.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $748.20 $1,247 0.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,239 $2,065 1.1×
Combined anteroposterior colporrhaphy; (57260) $876 $1,460 0.2×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $201–$3,076.20 $335–$5,127 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $291.60 $486 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $218.40 $364 1.7×
Control Nasal Hemorrhage Anterior Simple (30901) $218.40 $364 1.7×
Cornea Scraping Diagnostic Smear &/Culture (65430) $441 $735 1.0×
Correction hammertoe (28285) $438 $730 0.1×
Correction of trichiasis; epilation, by forceps only (67820) $75.77 $126.29 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $123–$218.40 $205–$364 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $156–$336 $260–$560 varies
Cysto Bladder W/Ureteral Catheterization (52005) $253.80 $423 0.1×
Cysto calibration dilat urtl strix/stenosis (52281) $180 $300 0.1×
Cysto w/destruction of lesions (52214) $334.80 $558 0.1×
Cysto w/insert ureteral stent (52332) $609.60 $1,016 0.2×
Cysto w/removal of lesions small (52224) $240 $400 0.1×
Cysto w/removal of tumors small (52234) $282 $470 0.1×
Cysto W/Simple Removal Stone & Stent (52310) $180 $300 0.1×
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $450 $750 0.1×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $420 $700 0.1×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $342 $570 0.1×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $480 $800 0.1×
Cystostomy Cystotomy W/Drainage (51040) $330 $550 0.2×
Cystourethroscopy (52000) $240.60 $401 0.4×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $330 $550 0.1×
Cystourethroscopy with biopsy (52204) $529.80 $883 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $453 $755 0.6×
Debride nail 1-5 (11720) $48 $80 0.8×
Debride nail 6 or more (11721) $60 $100 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,216.20 $2,027 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $299.40 $499 0.8×
Destruct B9 Lesion 1-14 (17110) $156 $260 0.8×
Destruction Benign Lesions 15/> (17111) $195 $325 1.0×
Destruction Lesions Vulva Simple (56501) $1,482 $2,470 0.7×
Destruction of lesion, conjunctiva (68135) $238.07 $396.79 0.1×
Destruction premalignant lesion 1st (17000) $156 $260 0.8×
Destruction Vaginal Lesions Simple (57061) $2,266.80 $3,778 0.7×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $119.39–$1,178.88 $198.98–$1,964.80 varies
Dilation Cervical Canal (57800) $2,266.80 $3,778 0.7×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $152.63 $254.38 0.4×
Drain/inj small joint/bursa w/us (20604) $60 $100 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $150–$555 $250–$925 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $210–$284.40 $350–$474 varies
Drainage Mouth Roof Lesion (42000) $120 $200 0.5×
Drainage of finger abscess simple (26010) $268.20 $447 1.4×
Drainage of gum lesion (41800) $139.20 $232 1.1×
Drainage of hematoma/fluid (10140) $2,218.80 $3,698 1.4×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $138–$318 $230–$530 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $195–$1,783.80 $325–$2,973 varies
Drainage of scrotum (54700) $2,244 $3,740 1.1×
Draw Blood Off Venous Device (36591) $99 $165 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $758.40 $1,264 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $468.60 $781 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $258 $430 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $241.80 $403 1.3×
Dstrj lesion anus simple surg excision (46922) $150 $250 0.1×
Dstrj lesion penis simple surg excision (54060) $150 $250 0.1×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,500 $2,500 0.8×
Dx Bronchoscope/Wash (31622) $150 $250 0.1×
Egd Balloon Dil Esoph30 Mm/> (43233)
range across 2 matching MRF lines		 $261–$1,506 $435–$2,510 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $171–$1,800 $285–$3,000 varies
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $201–$1,200 $335–$2,000 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $195–$915 $325–$1,525 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $225–$1,530 $375–$2,550 varies
Endocervical curettage (57505) $555 $925 0.6×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $258 $430 0.1×
Endometrial Biopsy (58100) $150 $250 0.8×
Endoscopic injection/implant (51715) $240 $400 0.1×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220)
range across 2 matching MRF lines		 $135–$1,506 $225–$2,510 varies
Evacuation of subungual hematoma (11740) $139.20 $232 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $537.60 $896 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $210 $350 0.1×
Exc Back Tum Deep 5 Cm/> (21933) $840 $1,400 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $537.60 $896 0.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $570 $950 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $585 $975 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,216.20 $2,027 0.8×
Exc Forearm Les Sc 3 Cm/> (25071) $483 $805 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,216.20 $2,027 0.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $537.60 $896 0.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,216.20 $2,027 0.8×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $360 $600 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $570 $950 0.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $300 $500 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,230 $2,050 0.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $299.40 $499 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $537.60 $896 0.8×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,216.20 $2,027 0.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $300 $500 0.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $585 $975 0.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $600 $1,000 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $461.40 $769 0.2×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $465 $775 0.1×
Excision Chalazion Single (67800) $193.47 $322.45 0.6×
Excision Lesion Conjunctiva </1 Cm (68110) $342.34 $570.56 0.1×
Excision of bartholin's gland or cyst (56740) $360.66 $601.10 0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $369 $615 0.2×
Excision of hydrocele; unilateral (55040) $375 $625 0.1×
Excision of vaginal cyst or tumor (57135) $216 $360 0.1×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $678 $1,130 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $660 $1,100 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $540 $900 0.3×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $390 $650 0.1×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $360 $600 0.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $300 $500 0.2×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $480 $800 0.2×
Excision/Transposition Pterygium W/Grafg (65426) $2,360.04 $3,933.40 1.0×
Exploration penetrating wound spx extremity (20103) $1,146 $1,910 0.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $405 $675 0.1×
Fine needle aspiration without imaging guidance (10021) $411.60 $686 1.1×
Foreskin manipulation (54450) $125.22 $208.70 0.5×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $133.35 $222.25 0.0×
Frenulotomy of penis (54164) $1,650 $2,750 0.8×
Goniotomy (65820) $4,777.20 $7,962 1.2×
Hysteroscopy Biopsy (58558) $270 $450 0.1×
Hysteroscopy Dx Sep Proc (58555) $2,622 $4,370 0.8×
Hysteroscopy Endometrial Ablation (58563) $276 $460 0.1×
Hysteroscopy Removal Impacted Foreign Body (58562) $258 $430 0.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $410.37 $683.95 0.1×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $150–$182.85 $250–$304.75 varies
I&d abscess simple (10060) $214.20 $357 1.1×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $120–$939.60 $200–$1,566 varies
I&d pilonidal cyst complicated (10081) $210 $350 0.3×
I&d pilonidal cyst simple (10080) $758.40 $1,264 1.1×
Incise external hemorrhoid (46083) $170.40 $284 0.7×
Incision & drainage abscess complicated/multiple (10061) $411.60 $686 1.1×
Incision & removal foreign body subq tiss compl (10121) $2,218.80 $3,698 1.4×
Incision & removal foreign body subq tiss simple (10120) $299.40 $499 0.8×
Incision and drainage of bartholin's gland abscess (56420) $129 $215 0.7×
Incision and drainage of vulva or perineal abscess (56405) $547.20 $912 1.9×
Incision of eardrum (69421) $172.80 $288 0.1×
Incision of Foot Tendon (28234) $342.60 $571 0.2×
Incision of rectal abscess (46040) $1,239 $2,065 1.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $183–$1,296 $305–$2,160 varies
Incisional biopsy skin single lesion (11106) $453 $755 0.6×
Initial Tx 1st Degree Burn Local Tx (16000) $223.80 $373 1.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $228 $380 0.8×
Injection aa&/strd axillary nerve w/img gdn (64417) $710.76 $1,184.60 0.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $548.40 $914 0.8×
Injection single tendon origin/insertion (20551) $228 $380 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $228 $380 0.8×
Injection single/mlt trigger point 3/> muscles (20553) $349.80 $583 1.2×
Injection therapeutic carpal tunnel (20526) $228 $380 0.8×
Injection, anesthetic agent; brachial plexus, single (64415) $889.80 $1,483 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $719.40 $1,199 1.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $719.40 $1,199 1.1×
Injection, intralesional; up to and including 7 lesions (11900) $156 $260 0.8×
Insert Bladder Cath Complex (51703) $120 $200 1.0×
Insert Drug Implant Device (11981) $99 $165 0.8×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $120–$1,800 $200–$3,000 varies
Insert non-tunnel cv cath (36556) $1,300.80 $2,168 0.4×
Insert pessary/other device (57160) $150 $250 0.8×
Insert Temp Bladder Cath (51702) $139.20 $232 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $139.20 $232 1.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,300.80 $2,168 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,580 $4,300 0.8×
Instlj ther agent renal pelvis&/ureter via tub (50391) $231 $385 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $411.60 $686 1.1×
Intubation endotracheal emergency procedure (31500) $236.40 $394 1.0×
Iridoplasty photocoagulation 1/> sessions (66762) $933 $1,555 1.8×
Iridotomy/irridectomy laser surg per session (66761) $450.89 $751.49 0.9×
Irrigation of corpora cavernosa for priapism (54220) $354 $590 1.5×
Knee Arthroscopy/Surgery (29874) $684 $1,140 0.2×
Laparoscopic myomectomy (58545)
likely a partial charge, not the full procedure		 $1,038 $1,730 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $420 $700 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $552 $920 0.1×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure		 $1,395 $2,325 0.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,032 $1,720 0.1×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $762 $1,270 0.1×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $765 $1,275 0.1×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $1,119 $1,865 0.1×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $930 $1,550 0.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $660 $1,100 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $384 $640 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $780 $1,300 0.1×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $930 $1,550 0.1×
Laser Surgery,Sever Vitreous Strands (67031) $846 $1,410 1.6×
Late closure of wound (13160) $909 $1,515 0.3×
Ligation of hemorrhoids (46946) $450 $750 0.2×
Ligation or biopsy temporal artery (37609) $240 $400 0.2×
Litholapaxy smpl/sm <2.5 cm (52317) $390 $650 0.1×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure		 $840 $1,400 0.1×
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure		 $972 $1,620 0.1×
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure		 $1,050 $1,750 0.1×
Lysis of labial adhesions (56441) $180 $300 0.1×
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines		 $240–$1,650 $400–$2,750 varies
Manipulation knee joint under general anesthesia (27570) $174 $290 0.1×
Myringoplasty (69620) $562.50 $937.50 0.2×
N Block Inj Ilio-Ing/Hypogi (64425) $710.76 $1,184.60 1.0×
N Block Inj Pudendal (64430) $63 $105 0.1×
Nasal/Orogastric W/Tube Plmt (43752) $545.39 $908.98 1.3×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $540.15 $900.25 0.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $21 $35 0.8×
Needle insertion w/o injection 3 or more muscles (20561) $27 $45 1.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $751.80 $1,253 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $130.20–$370.20 $217–$617 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $555 $925 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $75 $125 0.1×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $303.60 $506 0.0×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $226.20–$228 $377–$380 varies
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $960 $1,600 0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $822 $1,370 0.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $828 $1,380 0.1×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $840 $1,400 0.1×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $1,027.80 $1,713 0.1×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $990 $1,650 0.1×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $750 $1,250 0.1×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $462 $770 0.1×
Partial removal of fibula (27641) $745.50 $1,242.50 0.2×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,260.60 $2,101 0.4×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $814.43 $1,357.38 0.8×
Place Amniotic Membrane Ocular Surface Sutured (65779) $3,187.05 $5,311.75 0.8×
Place Rt Device/Marker Pros (55876) $180 $300 0.1×
Placement of needle for intraosseous infusion (36680) $436.80 $728 1.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $690 $1,150 0.1×
Prostate laser enucleation (52649)
likely a partial charge, not the full procedure		 $720 $1,200 0.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $501 $835 0.2×
Punch biopsy skin single lesion (11104) $299.40 $499 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $411.60 $686 1.1×
Puncture Aspiration Cyst Breast (19000) $540 $900 0.8×
Removal Embedded Foreign Body Eyelid (67938) $420 $700 1.4×
Removal Foreign Body Foot Complicated (28193) $420 $700 0.3×
Removal foreign body foot deep (28192) $1,216.20 $2,027 0.8×
Removal Foreign Body Foot Subcutaneous (28190) $758.40 $1,264 1.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $166.38–$1,783.80 $277.30–$2,973 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $74.40 $124 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $74.40 $124 1.3×
Removal impacted vag fb spx w/anes oth/thn local (57415) $2,266.80 $3,778 0.7×
Removal implantable contraceptive capsules (11976) $672 $1,120 1.0×
Removal of adenoids (42830) $241.65 $402.75 0.1×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $144–$436.80 $240–$728 varies
Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) $1,800 $3,000 0.8×
Removal of implant from finger or hand (26320) $405 $675 0.3×
Removal of nail bed (11750) $411.60 $686 1.1×
Removal of tonsils (42826) $291.99 $486.65 0.1×
Removal of vein clot (34490) $729 $1,215 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $156 $260 0.8×
Remove drug implant device (11982) $234 $390 0.5×
Remove foreign body from eye (65265) $1,800 $3,000 0.8×
Remove foreign body from eye (65235) $1,800 $3,000 0.8×
Remove foreign body from eye (65205) $139.20 $232 1.1×
Remove Intrauterine Device (58301) $327 $545 1.1×
Remove Nasal Foreign Body (30300) $139.20 $232 1.1×
Remove renal tube w/fluoro (50389) $60.90 $101.50 0.1×
Remove Tendon Sheath Lesion (26160) $630 $1,050 0.4×
Remove/Insert Drug Implant (11983) $255 $425 0.6×
Reopen fallopian tube (58350) $108 $180 0.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $309–$646.20 $515–$1,077 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $384–$646.20 $640–$1,077 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $411.60 $686 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $345–$387.60 $575–$646 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $634.20 $1,057 1.6×
Repair complex trunk 2.6-7.5 cm (13101) $300 $500 0.4×
Repair extensor tendon finger w/o graft each (26418) $720 $1,200 0.5×
Repair incomplete circumcision (54163) $1,650 $2,750 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $411.60 $686 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $411.60 $686 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $411.60 $686 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $249.60–$411.60 $416–$686 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $600 $1,000 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $387.60 $646 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $634.20 $1,057 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $600 $1,000 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $276–$411.60 $460–$686 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $411.60 $686 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $411.60 $686 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $646.20 $1,077 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $411.60 $686 1.1×
Repair of nail bed (11760) $758.40 $1,264 1.1×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722)
likely a partial charge, not the full procedure		 $1,050 $1,750 0.2×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,476 $2,460 0.2×
Repair tongue laceration (41252) $609 $1,015 2.7×
Repair tongue laceration (41250) $139.20 $232 0.3×
Revise eyelashes (67825) $366 $610 1.2×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $495 $825 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $436.80 $728 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $139.20 $232 1.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $711 $1,185 1.7×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,295 $3,825 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $162 $270 0.1×
Rmvl Lens Material Phacofragmentation Aspir (66850) $880.80 $1,468 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $216 $360 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,300.80 $2,168 2.2×
Rmvl Vitreous Ant Appr Partial Removal (67005) $540 $900 0.2×
Rmvl/revj sling stress incontinence (57287) $855 $1,425 0.3×
Rplc Gtube No Revj Trc (43762) $352.35 $587.25 1.5×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $828.72 $1,381.20 0.1×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $390 $650 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $543 $905 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $223.80 $373 1.2×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $182.85 $304.75 0.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $240–$390.90 $400–$651.50 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $210–$609 $350–$1,015 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $486 $810 0.3×
Shave skin lesion 0.5 cm/< (11300) $299.40 $499 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $156 $260 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $315 $525 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $156 $260 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $162 $270 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $165 $275 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $299.40 $499 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $156 $260 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $299.40 $499 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $156 $260 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $299.40 $499 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $156 $260 0.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $90–$915 $150–$1,525 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $411.60 $686 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $223.80 $373 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $223.80 $373 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $223.80 $373 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $223.80 $373 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $223.80 $373 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $223.80 $373 1.2×
Skin sub graft trnk/arm/leg (15271) $177 $295 0.2×
Skn sub grft f/n/hf/g child (15277) $270 $450 0.1×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $840 $1,400 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $223.80 $373 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $411.60 $686 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $411.60 $686 1.1×
Spinal puncture lumbar diagnostic (62270) $719.40 $1,199 1.1×
Strapping ankle (29540) $123 $205 0.8×
Strapping elbow or wrist (29260) $48 $80 0.8×
Strapping knee (29530) $99 $165 0.8×
Strapping Unna Boot (29580) $123 $205 0.8×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $204.06 $340.10 0.1×
Surg tx anal fistula subq (46270) $453.60 $756 0.2×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $270 $450 0.1×
Tangential biopsy skin single lesion (11102) $156 $260 0.4×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $855 $1,425 0.1×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $703.86 $1,173.10 0.1×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $348 $580 0.1×
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure		 $330 $550 0.1×
Trabeculoplasty by laser surgery (65855) $415.42 $692.37 0.8×
Translum Dil Eye Canal (66174)
range across 2 matching MRF lines		 $840–$3,420 $1,400–$5,700 varies
Treat Dental Ridge Fracture (21440) $2,364.60 $3,941 0.7×
Treat Finger Fracture Each (26727) $592.20 $987 0.2×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $933.60 $1,556 0.1×
Treat Knuckle Dislocation (26700) $396.60 $661 1.7×
Treat vagina infection (57150) $82.20 $137 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $360–$1,786.20 $600–$2,977 varies
Treatment closed elbow dislocation w/o anes (24600) $284.40 $474 1.2×
Treatment extensive retinopathy photocoagulation (67228) $519.68 $866.14 1.0×
Trim skin lesion (11055) $156 $260 0.8×
Trim skin lesions 2 to 4 (11056) $156 $260 0.8×
Trim skin lesions over 4 (11057) $162 $270 0.8×
Trimming Nondystrophic Nails Any Number (11719) $48 $80 0.8×
Tx open tendon flexor toe 1 tendon spx (28232) $1,203 $2,005 0.8×
Tx superficial wound dehiscence w/packing (12021) $159 $265 0.4×
Tympanostomy general anesthesia (69436) $183 $305 0.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $375 $625 0.1×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $600 $1,000 0.1×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $780 $1,300 0.1×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $225.72–$300 $376.20–$500 varies
Vaginal delivery only (59409) $3,007.20 $5,012 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $300 $500 0.1×
Wedge excision skin nail fold (11765) $411.60 $686 1.1×
Wound Prep F/N/Hf/G (15004) $303 $505 0.8×
Wound Prep Trk/Arm/Leg (15002) $255 $425 0.4×
Wrist arthroscopy with partial removal of joint lining (29844) $717 $1,195 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.