Procedures & surgery prices at Nelson County Health System
Mcville, ND · every code in this section with a posted price and a Medicare benchmark.
214 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acne surgery (10040) | $220 | $220 | 1.1× |
| Adding Walker Previously Applied Cast (29440) range across 2 matching MRF lines |
$117–$193 | $117–$193 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,408 | $1,408 | 0.4× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) | $386 | $386 | 1.4× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$191–$386 | $191–$386 | varies |
| Application Finger Splint Dynamic (29131) | $193 | $193 | 3.2× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$90–$193 | $90–$193 | varies |
| Application Hip Spica Cast 1 Leg (29305) | $386 | $386 | 1.4× |
| Application long arm splint shoulder hand (29105) | $193 | $193 | 1.2× |
| Application Long Leg Cast Brace (29358) | $386 | $386 | 1.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $386 | $386 | 1.4× |
| Application Long Leg Splint (29505) | $193 | $193 | 1.2× |
| Application of cylinder cast (thigh to ankle) (29365) | $386 | $386 | 1.4× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$300–$386 | $300–$386 | varies |
| Application of rigid total contact leg cast (29445) | $386 | $386 | 1.4× |
| Application Patellar Tendon Bearing Cast (29435) | $386 | $386 | 1.4× |
| Application Short Arm Splint Dynamic (29126) | $193 | $193 | 1.4× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$144–$193 | $144–$193 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$159–$193 | $159–$193 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$212–$386 | $212–$386 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$203–$386 | $203–$386 | varies |
| Apply short leg cast (29425) | $386 | $386 | 1.4× |
| Arterial puncture (36600) | $72 | $72 | 0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $140 | $140 | 0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$145–$384 | $145–$384 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $149 | $149 | 0.5× |
| Aspirate/Inj Ganglion Cyst (20612) | $130 | $130 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$145–$212 | $145–$212 | varies |
| Biopsy nail unit (11755) | $686 | $686 | 0.9× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $563 | $563 | 0.3× |
| Bladder Irrigation (51700) | $307 | $307 | 1.2× |
| Bladder Scan (51798) | $98 | $98 | 1.6× |
| Blood Transfusion Service (36430) | $438 | $438 | 1.0× |
| Catheter aspiration nasotracheal spx (31720) | $71 | $71 | 0.3× |
| Change Cystostomy Tube Simple (51705) | $88 | $88 | 0.3× |
| Change of Windpipe Airway (31502) | $170 | $170 | 0.7× |
| Cl Tx Scapular Fx; W Manip (23575) | $813 | $813 | 0.5× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$100–$276 | $100–$276 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $736 | $736 | 2.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $668 | $668 | 2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$271–$487 | $271–$487 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $798 | $798 | 3.2× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$813–$1,095 | $813–$1,095 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$309–$595 | $309–$595 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$813–$1,135 | $813–$1,135 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $610 | $610 | 2.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$271–$506 | $271–$506 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $813 | $813 | 3.2× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$271–$520 | $271–$520 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$309–$638 | $309–$638 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $575 | $575 | 2.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $813 | $813 | 3.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $271 | $271 | 1.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $2,785 | $2,785 | 1.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$271–$479 | $271–$479 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,119 | $2,119 | 1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$271–$688 | $271–$688 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $813 | $813 | 0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $666 | $666 | 2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$271–$695 | $271–$695 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$271–$687 | $271–$687 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$271–$352 | $271–$352 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$271–$720 | $271–$720 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $271 | $271 | 1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$278–$323 | $278–$323 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$271–$356 | $271–$356 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$271–$272 | $271–$272 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $271 | $271 | 1.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $2,785 | $2,785 | 1.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $706 | $706 | 2.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$271–$605 | $271–$605 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$271–$645 | $271–$645 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$327–$735 | $327–$735 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$327–$436 | $327–$436 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,785 | $2,785 | 1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$271–$313 | $271–$313 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $813 | $813 | 0.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $271 | $271 | 0.2× |
| Cltx tibial fx proximal w/o manipulation (27530) | $698 | $698 | 2.8× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$271–$758 | $271–$758 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $155 | $155 | 1.1× |
| Collection of venous blood by venipuncture (36415) | $18 | $18 | 1.9× |
| Complex drainage wound (10180) | $2,687 | $2,687 | 0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$159–$461 | $159–$461 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$159–$209 | $159–$209 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $159 | $159 | 1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $425 | $425 | 1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $686 | $686 | 0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $686 | $686 | 0.9× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $686 | $686 | 0.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $425 | $425 | 0.6× |
| Debride nail 1-5 (11720) | $145 | $145 | 2.4× |
| Debride nail 6 or more (11721) | $145 | $145 | 2.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,195 | $1,195 | 0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$258–$425 | $258–$425 | varies |
| Destruct B9 Lesion 1-14 (17110) | $244 | $244 | 1.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $388 | $388 | 1.9× |
| Destruction Premalignant Lesion 15/> (17004) | $368 | $368 | 0.9× |
| Destruction premalignant lesion 1st (17000) | $178 | $178 | 0.9× |
| Diagnostic sigmoidoscopy (45330) | $310 | $310 | 0.3× |
| Drainage of finger abscess simple (26010) | $206 | $206 | 1.0× |
| Drainage of hematoma/fluid (10140) | $1,769 | $1,769 | 1.0× |
| Draw Blood Off Venous Device (36591) | $155 | $155 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$291–$320 | $291–$320 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$178–$232 | $178–$232 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$74–$107 | $74–$107 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $270 | $270 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $520 | $520 | 0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $297 | $297 | 0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $367 | $367 | 0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $410 | $410 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $269 | $269 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $344 | $344 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $383 | $383 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $417 | $417 | 0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $327 | $327 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $363 | $363 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $499 | $499 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $440 | $440 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,236 | $1,236 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $514 | $514 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $560 | $560 | 0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) | $3,383 | $3,383 | 1.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $3,383 | $3,383 | 1.1× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,383 | $3,383 | 1.1× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,279–$1,769 | $1,279–$1,769 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$252–$254 | $252–$254 | varies |
| I&d pilonidal cyst complicated (10081) | $1,769 | $1,769 | 2.4× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$254–$396 | $254–$396 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $2,687 | $2,687 | 0.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$254–$445 | $254–$445 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,418 | $2,418 | 1.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$334–$530 | $334–$530 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$631–$2,687 | $631–$2,687 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$149–$174 | $149–$174 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $150 | $150 | 0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $119 | $119 | 0.4× |
| Insert Bladder Cath Complex (51703) | $289 | $289 | 2.2× |
| Insert Temp Bladder Cath (51702) | $246 | $246 | 1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $129 | $129 | 0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $512 | $512 | 1.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $512 | $512 | 1.2× |
| Intubation endotracheal emergency procedure (31500) | $271 | $271 | 1.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $228 | $228 | 0.5× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $10,266 | $10,266 | 0.8× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $1,592 | $1,592 | 0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$254–$284 | $254–$284 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$244–$702 | $244–$702 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$572–$1,197 | $572–$1,197 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$445–$686 | $445–$686 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$100–$113 | $100–$113 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$483–$686 | $483–$686 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$145–$193 | $145–$193 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $191 | $191 | 0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) | $193 | $193 | 0.7× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$124–$195 | $124–$195 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$100–$525 | $100–$525 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$512–$838 | $512–$838 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $763 | $763 | 1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$512–$931 | $512–$931 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$512–$565 | $512–$565 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$512–$642 | $512–$642 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $512 | $512 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $225 | $225 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $551 | $551 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $512 | $512 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $225 | $225 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $512 | $512 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$342–$512 | $342–$512 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $551 | $551 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $512 | $512 | 1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$512–$521 | $512–$521 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$512–$665 | $512–$665 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $512 | $512 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$512–$682 | $512–$682 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $512 | $512 | 0.2× |
| Repair of nail bed (11760) | $225 | $225 | 0.3× |
| Repair Spica/Body/Jacket Cast (29720) | $193 | $193 | 1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $968 | $968 | 1.5× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $386 | $386 | 1.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$182–$461 | $182–$461 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $512 | $512 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $249 | $249 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $180 | $180 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $263 | $263 | 1.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $374 | $374 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $182 | $182 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$280–$283 | $280–$283 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$283–$306 | $283–$306 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $182 | $182 | 0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$182–$368 | $182–$368 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $512 | $512 | 2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$263–$283 | $263–$283 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $182 | $182 | 0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$182–$324 | $182–$324 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$281–$283 | $281–$283 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $182 | $182 | 0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $182 | $182 | 0.4× |
| Strapping Unna Boot (29580) | $115 | $115 | 0.7× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$271–$782 | $271–$782 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$271–$717 | $271–$717 | varies |
| Treat Knuckle Dislocation (26700) | $707 | $707 | 2.8× |
| Treat Tail Bone Fracture (27200) | $391 | $391 | 1.6× |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$813–$925 | $813–$925 | varies |
| Trim skin lesion (11055) | $103 | $103 | 0.5× |
| Trim skin lesions 2 to 4 (11056) | $126 | $126 | 0.6× |
| Trimming Nondystrophic Nails Any Number (11719) | $73 | $73 | 1.2× |
| Tx Gastro Intub W/Asp (43753) | $100 | $100 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $802 | $802 | 1.1× |
| Tx superficial wound dehiscence w/packing (12021) | $512 | $512 | 1.2× |
| Wedge excision skin nail fold (11765) | $173 | $173 | 0.4× |
| Wedging of cast (29740) | $193 | $193 | 0.7× |
| Wedging of clubfoot cast (29750) | $193 | $193 | 0.7× |
| Windowing of cast (29730) | $193 | $193 | 1.2× |
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.