Procedures & surgery prices at Ness County Hospital District #2

Ness City, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $810 $1,080 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $620.25 $827 0.7×
Acne surgery (10040) $187.50 $250 1.0×
Anoscopy diagnostic (46600) $96.75 $129 0.8×
Application cast elbow finger short arm (29075) $363 $484 1.4×
Application finger splint static (29130) $244.50 $326 2.0×
Application long arm splint shoulder hand (29105) $223.50 $298 1.5×
Application Long Leg Splint (29505) $282.75 $377 1.9×
Application of rigid total contact leg cast (29445) $185.25 $247 0.7×
Application Short Arm Splint Dynamic (29126) $184.50 $246 1.5×
Application short arm splint forearm-hand static (29125) $249.75 $333 2.0×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $220.50–$225 $294–$300 varies
Apply hand/wrist cast (29085) $438.75 $585 2.9×
Apply long arm cast (29065) $321 $428 1.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $262.50–$386.25 $350–$515 varies
Apply Short Leg Cast (29405) $363 $484 1.4×
Apply short leg cast (29425) $354.75 $473 1.4×
Arterial puncture (36600) $87.75 $117 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $243.75–$352.50 $325–$470 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $242.25–$412.50 $323–$550 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $472.50 $630 1.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $300–$337.50 $400–$450 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $2,332.50 $3,110 0.8×
Aspirate pleura w/ imaging (32555) $910.50 $1,214 1.6×
Aspirate Pleura W/O Imaging (32554) $712.50 $950 1.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $138–$152.25 $184–$203 varies
Biopsy bone trocar/needle deep (20225) $1,125 $1,500 0.7×
Biopsy Bone Trocar/Needle Superficial (20220) $1,125 $1,500 0.7×
Biopsy soft tissue neck/thorax (21550) $1,125 $1,500 0.7×
Bladder instillation anticarcinogenic agent (51720) $469.50 $626 0.7×
Bladder Irrigation (51700) $234.75 $313 1.0×
Bladder Scan (51798) $168.75 $225 3.1×
Blood Transfusion Service (36430) $719.25 $959 1.8×
Bx/exc lymph node open superficial (38500) $3,000 $4,000 0.8×
Canthotomy Separate Procedure (67715) $206.25 $275 0.1×
Change Cystostomy Tube Simple (51705) $204 $272 0.9×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $56.25–$313.50 $75–$418 varies
Chest tube placement (32551) $1,158.75 $1,545 0.8×
Cl Tx Tib Shft Fx W Manip (27752) $1,147.50 $1,530 0.8×
Clear outer ear canal (69200) $96.75 $129 0.8×
Closed Treat Vert Body Fract (22310) $170.25 $227 0.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $242.25 $323 1.1×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $242.25 $323 1.1×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $242.25 $323 1.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $806.25 $1,075 3.6×
Closed tx metatarsal fracture w/o manipulation (28470) $170.25 $227 0.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,016 $2,688 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,612.50 $2,150 1.1×
Closed tx patellar dislocation w/o anesthesia (27560) $262.50 $350 1.2×
Closed tx radial head/neck fx w/manipulation (24655) $1,147.50 $1,530 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $170.25 $227 0.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $242.25 $323 1.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,147.50 $1,530 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560) $242.25 $323 1.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $242.25 $323 1.1×
Closed tx talus fracture w/o manipulation (28430) $242.25 $323 1.1×
Closed tx tarsometatarsal dislocation w/o anes (28600) $201.75 $269 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $403.50 $538 1.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $201.75 $269 0.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $242.25 $323 1.1×
Clsd tx clavicular fracture w/o manipulation (23500) $242.25 $323 1.1×
Clsd tx fx orbit except blowout w/o manipulation (21400) $967.50 $1,290 2.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $201.75–$242.25 $269–$323 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,451.25 $1,935 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $685.50 $914 3.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $242.25 $323 1.1×
Cltx dstl fibular fx lat malls w/manj (27788) $242.25 $323 1.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $242.25 $323 1.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $242.25 $323 1.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $309.75 $413 1.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $242.25 $323 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,292.25 $1,723 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $242.25–$355.50 $323–$474 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230) $242.25 $323 1.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $375 $500 0.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $242.25 $323 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $242.25 $323 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $242.25 $323 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $309.75 $413 1.4×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $242.25 $323 1.1×
Cltx greater humeral tuberosity fx w/o manj (23620) $242.25 $323 1.1×
Cltx Greater Trochanteric Fx W/O Manj (27246) $806.25 $1,075 3.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $242.25 $323 1.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $222 $296 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $242.25 $323 1.1×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,147.50 $1,530 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $579.75 $773 2.6×
Cltx Medial Ankle Fx (27760) $242.25 $323 1.1×
Cltx metacarpal fx w/manipulation each bone (26605) $242.25 $323 1.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $170.25 $227 0.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $242.25 $323 1.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $242.25 $323 1.1×
Cltx prox fibula/shft fx w/o manj (27780) $242.25 $323 1.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $201.75 $269 0.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,147.50 $1,530 0.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $242.25 $323 1.1×
Cltx tibial fx proximal w/o manipulation (27530) $201.75 $269 0.9×
Cltx tibial shaft fx w/o manipulation (27750) $242.25 $323 1.1×
Cltx trimalleolar ankle fx w/o manipulation (27816) $242.25 $323 1.1×
Collect Blood From Catheter Venous Nos (36592) $121.50 $162 1.0×
Collection of venous blood by venipuncture (36415) $27.75 $37 3.0×
Colonoscopy w/submucosal inj (45381) $812.25 $1,083 0.7×
Colsc Flexible W/Control Bleeding Any Method (45382) $812.25 $1,083 0.7×
Complex drainage wound (10180) $1,938 $2,584 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $161.25 $215 1.3×
Control Nasal Hemorrhage Anterior Simple (30901) $366.75 $489 3.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $222 $296 1.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $162.75 $217 0.7×
Cystourethroscopy w/dil bladder general anesth (52260) $2,400 $3,200 1.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $78.75–$435.75 $105–$581 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $135–$525.75 $180–$701 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $93.75–$187.50 $125–$250 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $213.75–$300 $285–$400 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $480–$1,354.50 $640–$1,806 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $90–$490.50 $120–$654 varies
Destruct B9 Lesion 1-14 (17110) $255 $340 1.4×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,125 $1,500 1.0×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $322.50 $430 0.9×
Destruction premalignant lesion 1st (17000) $187.50 $250 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $513 $684 0.8×
Drainage of hematoma/fluid (10140) $1,158.75 $1,545 0.8×
Drainage of hydrocele (55000) $513 $684 0.8×
Drainage of nose lesion (30000) $187.50 $250 0.9×
Drainage of rectal abscess (45005) $1,612.50 $2,150 1.5×
Draw Blood Off Venous Device (36591) $97.50 $130 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $150–$412.50 $200–$550 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $360 $480 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $112.50–$360 $150–$480 varies
Dx Laryngoscopy Excl Nb (31525) $1,232.25 $1,643 0.8×
Egd place gastrostomy tube (43246) $1,306.50 $1,742 0.7×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,837.50 $2,450 1.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,837.50 $2,450 1.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $723 $964 0.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $93.75–$101.25 $125–$135 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,125 $1,500 0.7×
Exc Back Les Sc < 3 Cm (21930) $2,625 $3,500 1.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $513 $684 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $513 $684 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $477 $636 0.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $513 $684 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $477 $636 0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,158.75 $1,545 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,158.75 $1,545 0.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $900 $1,200 1.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,125 $1,500 0.7×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,418.75 $3,225 1.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $900 $1,200 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,125 $1,500 0.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,125 $1,500 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,953 $2,604 0.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,125 $1,500 0.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $264.75–$280.50 $353–$374 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $477 $636 0.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,125 $1,500 0.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $486.75 $649 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $513 $684 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $525 $700 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $513 $684 0.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,125 $1,500 0.7×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,938 $2,584 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,125 $1,500 0.7×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $486.75 $649 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $513 $684 0.8×
Exploration penetrating wound spx extremity (20103) $1,209.75 $1,613 0.8×
Exploration Penetrating Wound Spx Neck (20100) $806.25 $1,075 1.6×
Explore/Treat Hand Joint (26070) $1,612.50 $2,150 1.1×
Fine needle aspiration without imaging guidance (10021) $285 $380 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,237.50 $1,650 1.4×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $135–$615.75 $180–$821 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,250 $3,000 0.8×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $486.75–$952.50 $649–$1,270 varies
Incise external hemorrhoid (46083) $282.75 $377 1.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $285–$727.50 $380–$970 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $527.25–$807 $703–$1,076 varies
Incision and drainage of vulva or perineal abscess (56405) $444 $592 1.6×
Incision&drainage bursa foot (28001) $1,125 $1,500 0.7×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $135–$480 $180–$640 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $148.50–$187.50 $198–$250 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $200.25 $267 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $248.25 $331 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $523.50 $698 0.8×
Insert Bladder Cath Complex (51703) $262.50 $350 2.2×
Insert cath pleura w/ image (32557) $1,275 $1,700 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,116 $1,488 0.8×
Insert Temp Bladder Cath (51702) $149.25 $199 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $108.75 $145 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,902.75 $2,537 1.3×
Insj Picc Rs&I <5 Yr (36572) $700.50 $934 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,116 $1,488 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,234.25 $2,979 0.8×
Intubation endotracheal emergency procedure (31500) $384 $512 1.8×
Late closure of wound (13160) $1,312.50 $1,750 0.4×
Lip Surgery Procedure (40799) $175.50 $234 0.8×
N Block Inj Ilio-Ing/Hypogi (64425) $486.75 $649 0.7×
N Block Inj Plantar Digit (64455) $242.25 $323 0.9×
Nasal/Orogastric W/Tube Plmt (43752) $285 $380 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $326.25 $435 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $486.75 $649 0.7×
Obstructive material removal from gi tube (49460) $620.25 $827 0.7×
Open Tx Distal Phalangeal Fracture Each (26765) $3,225 $4,300 1.1×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,225 $4,300 1.1×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure		 $242.25 $323 0.0×
Placement of needle for intraosseous infusion (36680) $283.50 $378 0.7×
Proctosgmdsc rigid w/dilation (45303) $1,275 $1,700 1.2×
Punch biopsy skin single lesion (11104) $352.50 $470 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $126–$465 $168–$620 varies
Removal Foreign Body Deep Thigh/Knee (27372) $2,418.75 $3,225 0.9×
Removal foreign body foot deep (28192) $1,158.75 $1,545 0.8×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $967.50–$975 $1,290–$1,300 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,158.75 $1,545 0.8×
Removal foreign body upper arm/elbow deep (24201) $1,953 $2,604 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $81 $108 1.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $75 $100 1.4×
Removal of foreign body from pharynx (42809) $283.50 $378 0.7×
Removal of nail bed (11750) $280.50 $374 0.8×
Removal/bivalving gauntlet boot/body cast (29700) $262.50 $350 1.0×
Remove drug implant device (11982) $283.50 $378 0.7×
Remove foreign body from eye (65205) $233.25 $311 1.9×
Remove Nasal Foreign Body (30300) $96.75 $129 0.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $435.75 $581 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $483.75 $645 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $285 $380 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $435.75 $581 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $435.75 $581 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $435.75 $581 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $483.75 $645 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $435.75 $581 0.6×
Repair extensor tendon finger w/o graft each (26418) $1,612.50 $2,150 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $285–$306.75 $380–$409 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $339 $452 0.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $285 $380 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $285 $380 0.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $435.75 $581 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $285–$287.25 $380–$383 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $285–$333 $380–$444 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $435.75 $581 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $285 $380 0.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $264.75–$286.50 $353–$382 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $285–$328.50 $380–$438 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $285 $380 0.8×
Repair of nail bed (11760) $435.75 $581 0.6×
Repair tongue laceration (41250) $283.50 $378 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $283.50 $378 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $121.50 $162 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $283.50 $378 0.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,953 $2,604 0.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,158.75 $1,545 0.8×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $4,634.25 $6,179 1.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,430.25 $1,907 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $434.25 $579 0.8×
Rplc Gtube No Revj Trc (43762) $534 $712 2.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,674 $2,232 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $201.75 $269 1.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $624 $832 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $138 $184 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $187.50–$357 $250–$476 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $357 $476 1.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $138.75–$230.25 $185–$307 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $201.75 $269 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $138.75–$355.50 $185–$474 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,154.25 $1,539 6.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $433.50 $578 2.3×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $142.50–$2,197.50 $190–$2,930 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $137.25–$2,418.75 $183–$3,225 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $279.75–$2,697.75 $373–$3,597 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $307.50–$2,250 $410–$3,000 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $138.75–$357.75 $185–$477 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $607.50 $810 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $303 $404 0.8×
Spinal puncture lumbar diagnostic (62270) $513.75 $685 0.8×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,697.75 $3,597 0.8×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,837.50 $2,450 1.0×
Strapping ankle (29540) $293.25 $391 2.0×
Strapping elbow or wrist (29260) $208.50 $278 3.8×
Strapping hand/finger (29280) $262.50 $350 4.8×
Strapping knee (29530) $282.75 $377 2.3×
Strapping shoulder (29240) $208.50 $278 1.7×
Strapping thorax (29200) $222 $296 1.5×
Strapping Unna Boot (29580) $262.50 $350 1.8×
Tangential biopsy skin single lesion (11102) $315 $420 0.8×
Tattooing incl micropigmentation 6.0 cm/< (11920) $435.75 $581 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,076.25 $1,435 0.7×
Thrombolytic Art Therapy (37211) $3,862.50 $5,150 0.8×
Thrombolytic Therapy Stroke (37195) $495 $660 1.6×
Thrombolytic Venous Therapy (37212) $2,343.75 $3,125 0.8×
Tooth extraction (41899) $175.50 $234 0.8×
Treat humerus fracture (24500) $242.25 $323 1.1×
Treat Humerus Fracture (24505) $1,147.50 $1,530 0.8×
Treat humerus fracture (23600) $225 $300 1.0×
Treat Knuckle Dislocation (26700) $201.75 $269 0.9×
Treat Tail Bone Fracture (27200) $201.75 $269 0.9×
Treat Thumb Dislocation (26641) $322.50 $430 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,076.25 $1,435 0.7×
Treatment closed elbow dislocation w/o anes (24600) $242.25 $323 1.1×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $138–$228 $184–$304 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $138–$300 $184–$400 varies
Trim skin lesions over 4 (11057) $300 $400 1.6×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $72–$93.75 $96–$125 varies
Tx Gastro Intub W/Asp (43753) $282.75 $377 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $435.75 $581 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $1,213.50 $1,618 5.3×
Urinary Reflex Study (51792) $75 $100 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,000 $4,000 1.6×
Wound Prep F/N/Hf/G (15004) $525 $700 1.4×
Wound Prep Trk/Arm/Leg (15002) $1,312.50 $1,750 1.9×

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.