Procedures & surgery prices at Nathan Littauer Hospital
Gloversville, NY · every code in this section with a posted price and a Medicare benchmark.
353 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) range across 2 matching MRF lines |
$184–$2,370.40 | $230–$2,963 | varies |
| Acne surgery (10040) range across 2 matching MRF lines |
$127.20–$317.60 | $159–$397 | varies |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) range across 2 matching MRF lines |
$588–$2,927.20 | $735–$3,659 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $1,008 | $1,260 | 0.2× |
| Anal/Urinary Muscle Study (51784) | $254.40 | $318 | 1.6× |
| Anoscopy diagnostic (46600) | $127.20 | $159 | 0.8× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$101.60–$424.80 | $127–$531 | varies |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$51.20–$252.80 | $64–$316 | varies |
| Application Finger Splint Dynamic (29131) range across 5 matching MRF lines |
$40–$656.08 | $50–$820.10 | varies |
| Application finger splint static (29130) range across 5 matching MRF lines |
$36–$206.40 | $45–$258 | varies |
| Application long arm splint shoulder hand (29105) range across 5 matching MRF lines |
$48–$435.10 | $60–$543.88 | varies |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$60–$252.80 | $75–$316 | varies |
| Application Short Arm Splint Dynamic (29126) range across 5 matching MRF lines |
$56–$206.40 | $70–$258 | varies |
| Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
$48–$206.40 | $60–$258 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$91.20–$252.80 | $114–$316 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$110.40–$252.80 | $138–$316 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$80.80–$472 | $101–$590 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$128–$472 | $160–$590 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$59.20–$472 | $74–$590 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $1,258.24 | $1,572.80 | 0.3× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$127.20–$472 | $159–$590 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) range across 2 matching MRF lines |
$192–$1,125.60 | $240–$1,407 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $296.80 | $371 | 0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$160.80–$317.60 | $201–$397 | varies |
| Biopsy bone open superficial (20240) | $195.20 | $244 | 0.1× |
| Biopsy External Auditory Canal (69105) range across 2 matching MRF lines |
$176–$2,370.40 | $220–$2,963 | varies |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$114.40–$371.20 | $143–$464 | varies |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$88–$1,125.60 | $110–$1,407 | varies |
| Biopsy of lip (40490) | $172 | $215 | 0.6× |
| Biopsy of palate, uvula (42100) range across 2 matching MRF lines |
$148–$2,370.40 | $185–$2,963 | varies |
| Biopsy Oropharynx (42800) range across 2 matching MRF lines |
$216–$2,370.40 | $270–$2,963 | varies |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $395.68 | $494.60 | 0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$240–$815.20 | $300–$1,019 | varies |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$127.20–$1,392.80 | $159–$1,741 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$106.40–$1,392.80 | $133–$1,741 | varies |
| Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$220–$815.20 | $275–$1,019 | varies |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$873.80–$908.75 | $1,092.25–$1,135.94 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$88–$388.80 | $110–$486 | varies |
| Bladder Scan (51798) | $33.60 | $42 | 0.5× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$605.10–$654.46 | $756.37–$818.08 | varies |
| Bx Cervix (57500) range across 2 matching MRF lines |
$181.60–$1,392.80 | $227–$1,741 | varies |
| Bx prostate strtctc saturation sampling img gid (55706) | $563.08 | $703.85 | 0.1× |
| Catheter aspiration nasotracheal spx (31720) | $111.78 | $139.73 | 0.4× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$64–$388.80 | $80–$486 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$51.20–$317.60 | $64–$397 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$169.60–$472 | $212–$590 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $392 | $490 | 0.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $267.90 | $334.88 | 0.1× |
| Clear outer ear canal (69200) | $112 | $140 | 0.7× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$30.50–$33 | $38.13–$41.25 | varies |
| Colonoscopy W/Band Ligation (45398) | $344.40 | $430.50 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $424 | $530 | 1.1× |
| Colposcopy Cervix Endocervical Curettage (57456) range across 2 matching MRF lines |
$184–$486.40 | $230–$608 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) | $212 | $265 | 0.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $296.80 | $371 | 0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $384 | $480 | 0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $424 | $530 | 0.1× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$161.60–$486.40 | $202–$608 | varies |
| Colposcopy of vulva (56820) range across 2 matching MRF lines |
$152–$321.60 | $190–$402 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$208–$1,392.80 | $260–$1,741 | varies |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $311.52 | $389.40 | 0.2× |
| Complex Cystometrogram (51726) | $360.80 | $451 | 1.2× |
| Complex drainage wound (10180) | $305.60 | $382 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $296 | $370 | 1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $140 | $175 | 0.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $420 | $525 | 1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$64–$979.20 | $80–$1,224 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $636 | $795 | 0.2× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $620 | $775 | 0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$254.40–$979.20 | $318–$1,224 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$42.40–$95.20 | $53–$119 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$68–$76 | $85–$95 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $340 | $425 | 0.2× |
| Debridement Mastoidectomy Cavity Cmplx (69222) range across 2 matching MRF lines |
$280–$815.20 | $350–$1,019 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
$112–$317.60 | $140–$397 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$212–$639.20 | $265–$799 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$152–$317.60 | $190–$397 | varies |
| Destruction Benign Lesions 15/> (17111) | $254.40 | $318 | 1.0× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $244 | $305 | 0.2× |
| Destruction Lesions Vulva Extensive (56515) | $212 | $265 | 0.1× |
| Destruction Lesions Vulva Simple (56501) | $148.80 | $186 | 0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 2 matching MRF lines |
$140–$317.60 | $175–$397 | varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) range across 2 matching MRF lines |
$160–$317.60 | $200–$397 | varies |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) range across 2 matching MRF lines |
$200–$639.20 | $250–$799 | varies |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) range across 2 matching MRF lines |
$240–$979.20 | $300–$1,224 | varies |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) range across 2 matching MRF lines |
$320–$979.20 | $400–$1,224 | varies |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$104–$317.60 | $130–$397 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $680 | $850 | 2.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) range across 2 matching MRF lines |
$144–$317.60 | $180–$397 | varies |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) range across 2 matching MRF lines |
$152–$639.20 | $190–$799 | varies |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) range across 2 matching MRF lines |
$188–$639.20 | $235–$799 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 2 matching MRF lines |
$110.40–$317.60 | $138–$397 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 2 matching MRF lines |
$148.80–$317.60 | $186–$397 | varies |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) range across 2 matching MRF lines |
$124–$317.60 | $155–$397 | varies |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) range across 2 matching MRF lines |
$144–$317.60 | $180–$397 | varies |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) range across 2 matching MRF lines |
$168–$639.20 | $210–$799 | varies |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) range across 2 matching MRF lines |
$196–$639.20 | $245–$799 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$84.80–$317.60 | $106–$397 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$212–$639.20 | $265–$799 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$88–$317.60 | $110–$397 | varies |
| Destruction Vaginal Lesions Extensive (57065) | $280 | $350 | 0.1× |
| Diaphragm or cervical cap fitting with instructions (57170) range across 2 matching MRF lines |
$84.80–$321.60 | $106–$402 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) range across 2 matching MRF lines |
$200–$2,592 | $250–$3,240 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$127.20–$1,125.60 | $159–$1,407 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$212–$2,592 | $265–$3,240 | varies |
| Drainage of mouth lesion (41017) | $408 | $510 | 0.1× |
| Draw Blood Off Venous Device (36591) | $98.99 | $123.74 | 0.6× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $203.60 | $254.50 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$220–$639.20 | $275–$799 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $160.80 | $201 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$106.40–$317.60 | $133–$397 | varies |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) range across 2 matching MRF lines |
$240–$639.20 | $300–$799 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $340 | $425 | 0.2× |
| Electro-Uroflowmetry First (51741) range across 2 matching MRF lines |
$20–$80 | $25–$100 | varies |
| Endocervical curettage (57505) range across 2 matching MRF lines |
$127.20–$1,392.80 | $159–$1,741 | varies |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$148.80–$321.60 | $186–$402 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$51.20–$206.40 | $64–$258 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$127.20–$1,125.60 | $159–$1,407 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$276–$2,592 | $345–$3,240 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$398.40–$2,592 | $498–$3,240 | varies |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) likely a partial charge, not the full procedure |
$636 | $795 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$324–$1,125.60 | $405–$1,407 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$368–$1,125.60 | $460–$1,407 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$381.60–$2,592 | $477–$3,240 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$212–$1,125.60 | $265–$1,407 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$254.40–$1,125.60 | $318–$1,407 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$296.80–$1,125.60 | $371–$1,407 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$339.20–$2,592 | $424–$3,240 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$424–$2,592 | $530–$3,240 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $152.80 | $191 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$212–$1,125.60 | $265–$1,407 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$241.60–$2,592 | $302–$3,240 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $460 | $575 | 0.1× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $320 | $400 | 0.1× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) likely a partial charge, not the full procedure |
$740 | $925 | 0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$264–$1,125.60 | $330–$1,407 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$254.40–$2,592 | $318–$3,240 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $424 | $530 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$466.40–$2,592 | $583–$3,240 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $466.40 | $583 | 0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$400–$2,592 | $500–$3,240 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $560 | $700 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $551.20 | $689 | 0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) | $530.40 | $663 | 0.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$169.60–$639.20 | $212–$799 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$212–$1,125.60 | $265–$1,407 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$296.80–$2,592 | $371–$3,240 | varies |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) range across 2 matching MRF lines |
$472–$2,592 | $590–$3,240 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$372–$2,592 | $465–$3,240 | varies |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
$360–$2,592 | $450–$3,240 | varies |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $260 | $325 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$400–$2,370.40 | $500–$2,963 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$296.80–$1,125.60 | $371–$1,407 | varies |
| Excision exostosis(es), external auditory canal Facility (69140) likely a partial charge, not the full procedure |
$1,088 | $1,360 | 0.1× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $384 | $480 | 0.1× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $380 | $475 | 0.1× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $254.40 | $318 | 0.1× |
| Excision inferior turbinate partial/complete (30130) | $528 | $660 | 0.1× |
| Excision Lesion Tongue W/O Closure (41110) | $152 | $190 | 0.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$296.80–$1,125.60 | $371–$1,407 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$220.80–$1,125.60 | $276–$1,407 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$254.40–$639.20 | $318–$799 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$339.20–$1,125.60 | $424–$1,407 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$280–$1,125.60 | $350–$1,407 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$436–$2,592 | $545–$3,240 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $763.20 | $954 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $137.60 | $172 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$262.40–$1,125.60 | $328–$1,407 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$212–$1,125.60 | $265–$1,407 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$461.60–$2,592 | $577–$3,240 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) | $339.20 | $424 | 0.1× |
| Excision of single external papilla or tag, anus (46220) | $169.60 | $212 | 0.1× |
| Excision of sublingual salivary cyst (ranula) (42408) | $408 | $510 | 0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $848 | $1,060 | 0.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $678.40 | $848 | 0.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$368–$2,592 | $460–$3,240 | varies |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$424–$2,592 | $530–$3,240 | varies |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$38.40–$119.62 | $48–$149.52 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$148.80–$639.20 | $186–$799 | varies |
| Fluoro exam of g/colon tube (49465) | $757.39 | $946.74 | 2.5× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$112–$1,128 | $140–$1,410 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$292–$1,458.40 | $365–$1,823 | varies |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$160–$371.20 | $200–$464 | varies |
| I&d abscess simple (10060) | $169.60 | $212 | 0.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $800 | $1,000 | 0.2× |
| I&D Mouth/Tong Intra,Masticator (41009) range across 2 matching MRF lines |
$336–$815.20 | $420–$1,019 | varies |
| I&d perianal abscess superficial (46050) | $212 | $265 | 0.2× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$254.40–$1,125.60 | $318–$1,407 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$169.60–$1,125.60 | $212–$1,407 | varies |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $88 | $110 | 0.1× |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$232–$2,592 | $290–$3,240 | varies |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$360 | $450 | 0.0× |
| Incise external hemorrhoid (46083) | $248 | $310 | 0.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$296.80–$639.20 | $371–$799 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$339.20–$2,592 | $424–$3,240 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$160–$639.20 | $200–$799 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$169.60–$486.40 | $212–$608 | varies |
| Incision of eardrum (69420) | $168 | $210 | 0.6× |
| Incision of labial frenum (frenotomy) (40806) range across 2 matching MRF lines |
$254.40–$815.20 | $318–$1,019 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) range across 2 matching MRF lines |
$80–$478.40 | $100–$598 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$176–$979.20 | $220–$1,224 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$55.20–$317.60 | $69–$397 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$80.80–$472 | $101–$590 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $127.20 | $159 | 0.1× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$84.80–$472 | $106–$590 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$127.20–$472 | $159–$590 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$169.60–$472 | $212–$590 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $140 | $175 | 0.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $144 | $180 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $127.20 | $159 | 0.1× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$29.60–$317.60 | $37–$397 | varies |
| Insert Bladder Cath Complex (51703) | $200 | $250 | 1.2× |
| Insert Drug Implant Device (11981) | $169.60 | $212 | 1.0× |
| Insert non-tunnel cv cath (36556) | $296.80 | $371 | 0.1× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$127.20–$321.60 | $159–$402 | varies |
| Insert Temp Bladder Cath (51702) | $127.20 | $159 | 0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$64–$206.40 | $80–$258 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $96 | $120 | 0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $352 | $440 | 0.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $452 | $565 | 0.9× |
| Intranasal Biopsy (30100) range across 2 matching MRF lines |
$80–$2,370.40 | $100–$2,963 | varies |
| Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
$128–$815.20 | $160–$1,019 | varies |
| Intraoral i&d tongue/floor submental space (41007) range across 2 matching MRF lines |
$260–$2,370.40 | $325–$2,963 | varies |
| Intraoral i&d tongue/floor submndblr space (41008) | $304 | $380 | 0.1× |
| Intubation endotracheal emergency procedure (31500) | $254.40 | $318 | 0.9× |
| Labyrinthotomy Transcanal (69801) | $280 | $350 | 0.1× |
| Lap insert tunnel ip cath (49324) likely a partial charge, not the full procedure |
$568.80 | $711 | 0.1× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$116–$310.40 | $145–$388 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$160–$310.40 | $200–$388 | varies |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $381.60 | $477 | 0.1× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$827.20–$2,927.20 | $1,034–$3,659 | varies |
| N Block Inj Plantar Digit (64455) | $68 | $85 | 0.2× |
| Nasal Endoscopy Dx (31231) | $272 | $340 | 1.1× |
| Nasal surgery procedure (30999) range across 2 matching MRF lines |
$188–$371.20 | $235–$464 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$348–$2,759.20 | $435–$3,449 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$344–$2,759.20 | $430–$3,449 | varies |
| Nasal/sinus ndsc total with sphenoidotomy (31257) likely a partial charge, not the full procedure |
$520 | $650 | 0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $20 | $25 | 0.6× |
| Needle insertion w/o injection 3 or more muscles (20561) | $32 | $40 | 0.9× |
| Neuroeltrd Stim Post Tibial (64566) range across 2 matching MRF lines |
$169.60–$472 | $212–$590 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $172 | $215 | 0.2× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$123.20–$472 | $154–$590 | varies |
| Pin Finger Dislocation (26776) | $686.20 | $857.75 | 0.2× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$148–$639.20 | $185–$799 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$169.60–$639.20 | $212–$799 | varies |
| Reconstruction Nail Bed W/Graft (11762) | $340 | $425 | 0.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $169.60 | $212 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$16–$46.40 | $20–$58 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$64–$128 | $80–$160 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $168 | $210 | 0.1× |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$148.80–$1,125.60 | $186–$1,407 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$212–$639.20 | $265–$799 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$84.80–$317.60 | $106–$397 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$120–$1,125.60 | $150–$1,407 | varies |
| Removal Submand Stone,Complicated (42335) | $397.20 | $496.50 | 0.1× |
| Removal sweat gland lesion (11450) | $318.40 | $398 | 0.1× |
| Remove drug implant device (11982) | $169.60 | $212 | 0.3× |
| Remove Hand Bone Lesion (26200) | $686.64 | $858.30 | 0.3× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$136–$486.40 | $170–$608 | varies |
| Remove mastoid structures (69505) likely a partial charge, not the full procedure |
$1,480 | $1,850 | 0.2× |
| Remove Nasal Foreign Body (30300) | $145.60 | $182 | 0.9× |
| Remove Skin Nerve Lesion (64774) range across 2 matching MRF lines |
$500–$3,124.80 | $625–$3,906 | varies |
| Remove vc lesion w/scope (31545) | $424 | $530 | 0.1× |
| Remove/Insert Drug Implant (11983) | $171.20 | $214 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $580 | $725 | 0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $696 | $870 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $479.20 | $599 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$381.60–$979.20 | $477–$1,224 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$488–$979.20 | $610–$1,224 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $508.80 | $636 | 1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$284–$979.20 | $355–$1,224 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$318.40–$979.20 | $398–$1,224 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $360 | $450 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $424 | $530 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$252–$639.20 | $315–$799 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $551.20 | $689 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $496 | $620 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$316–$979.20 | $395–$1,224 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $336 | $420 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $400 | $500 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$339.20–$979.20 | $424–$1,224 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$416–$2,927.20 | $520–$3,659 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$284–$639.20 | $355–$799 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $336 | $420 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$296.80–$639.20 | $371–$799 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$332–$979.20 | $415–$1,224 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $466.40 | $583 | 0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$440.80–$2,927.20 | $551–$3,659 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$280–$979.20 | $350–$1,224 | varies |
| Replace g/c tube perc (49450) range across 2 matching MRF lines |
$169.60–$1,500 | $212–$1,875 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$88–$206.40 | $110–$258 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$52–$388.80 | $65–$486 | varies |
| Rplcmt cath ctr vad subq port/pmp (36578) | $294.28 | $367.85 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $296.80 | $371 | 1.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $372 | $465 | 0.4× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$68–$639.20 | $85–$799 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$60–$317.60 | $75–$397 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$256–$639.20 | $320–$799 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$56–$317.60 | $70–$397 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$68–$317.60 | $85–$397 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $196 | $245 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$208.80–$639.20 | $261–$799 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$216–$639.20 | $270–$799 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$46.40–$317.60 | $58–$397 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$80–$639.20 | $100–$799 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$123.20–$317.60 | $154–$397 | varies |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $252 | $315 | 0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$318.40–$639.20 | $398–$799 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $212 | $265 | 0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $254.40 | $318 | 1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $339.20 | $424 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $276 | $345 | 1.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $204 | $255 | 0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $169.60 | $212 | 0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $508.80 | $636 | 2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $254.40 | $318 | 1.0× |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$924–$2,927.20 | $1,155–$3,659 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$2,780.05–$2,927.20 | $3,475.06–$3,659 | varies |
| Skin sub graft trnk/arm/leg (15271) | $96 | $120 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $169.60 | $212 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$318.40–$639.20 | $398–$799 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $381.60 | $477 | 0.8× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$212–$1,108 | $265–$1,385 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$42.40–$252.80 | $53–$316 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$24–$95.20 | $30–$119 | varies |
| Strapping Unna Boot (29580) range across 8 matching MRF lines |
$68–$252.80 | $85–$316 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) range across 2 matching MRF lines |
$68–$638.40 | $85–$798 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $356 | $445 | 0.1× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) likely a partial charge, not the full procedure |
$920 | $1,150 | 0.1× |
| Suture 1 Nerve Median Motor Thenar (64835) | $1,527.20 | $1,526.40 | 0.4× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$120–$317.60 | $150–$397 | varies |
| Tenotomy extensor hand/finger open each tendon (26460) | $674.84 | $843.55 | 0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$244–$2,560.80 | $305–$3,201 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $332 | $415 | 0.2× |
| Treatment mouth roof lesion (42160) | $212 | $265 | 0.1× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$55.20–$317.60 | $69–$397 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$64–$317.60 | $80–$397 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$76–$317.60 | $95–$397 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$33.60–$95.20 | $42–$119 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$28–$498.40 | $35–$623 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$360.80–$979.20 | $451–$1,224 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$169.60–$639.20 | $212–$799 | varies |
| Unlisted Procedure Accessory Sinuses (31299) | $348 | $435 | 1.2× |
| Unlisted procedure breast (19499) | $339.20 | $424 | 0.1× |
| Unlisted Procedure External Ear (69399) | $384 | $480 | 1.3× |
| Unlisted procedure foot or toes (28899) | $384 | $480 | 1.2× |
| Unlisted Procedure Muscskeletal System General (20999) | $1,256 | $1,570 | 4.1× |
| Unlisted Procedure Palate Uvula (42299) range across 2 matching MRF lines |
$180–$371.20 | $225–$464 | varies |
| Unlisted Procedure Rectum (45999) range across 2 matching MRF lines |
$720–$1,458.40 | $900–$1,823 | varies |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$412–$989.60 | $515–$1,237 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,500.12 | $1,875.15 | 1.3× |
| Urine Flow Measurement (51736) range across 3 matching MRF lines |
$12.80–$205.60 | $16–$257 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$212–$639.20 | $265–$799 | 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.