Procedures & surgery prices at Niobrara County Hospital District
Lusk, WY · every code in this section with a posted price and a Medicare benchmark.
279 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$246.40–$1,046.40 | $308–$1,308 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$502.40–$555.20 | $628–$694 | varies |
| Acne surgery (10040) | $164 | $205 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,616 | $2,020 | 0.5× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$210.40–$370.40 | $263–$463 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$115.20–$163.20 | $144–$204 | varies |
| Application long arm splint shoulder hand (29105) | $265.60 | $332 | 1.6× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$254.40–$270.40 | $318–$338 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$200.80–$208.80 | $251–$261 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$192–$223.20 | $240–$279 | varies |
| Arterial puncture (36600) | $84 | $105 | 0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$177.60–$353.60 | $222–$442 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$222.40–$380 | $278–$475 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $172 | $215 | 0.5× |
| Aspirate/Inj Ganglion Cyst (20612) | $160 | $200 | 0.5× |
| Aspiration bladder insert suprapubic catheter (51102) | $2,456.80 | $3,071 | 1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$200.80–$287.20 | $251–$359 | varies |
| Biopsy external ear (69100) | $168.80 | $211 | 0.7× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$236.80–$252.80 | $296–$316 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$239.20–$876.80 | $299–$1,096 | varies |
| Catheter aspiration nasotracheal spx (31720) | $201.60 | $252 | 0.9× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$309.60–$645.60 | $387–$807 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$938.40–$1,258.40 | $1,173–$1,573 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $1,559.20 | $1,949 | 0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,202.40 | $1,503 | 0.7× |
| Clear outer ear canal (69200) | $260.80 | $326 | 1.9× |
| Closed Rx Spontaneous Hip Disloc (27256) | $896 | $1,120 | 3.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,208.80 | $1,511 | 0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,705.60 | $2,132 | 6.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$680–$840 | $850–$1,050 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,382.40 | $1,728 | 0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $932 | $1,165 | 3.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,350.40 | $1,688 | 5.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $664.80 | $831 | 2.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,368 | $1,710 | 0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $900 | $1,125 | 3.6× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,656.80 | $3,321 | 1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $2,736 | $3,420 | 10.9× |
| Closed tx mandibular fracture w/manipulation (21451) | $3,446.40 | $4,308 | 2.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $2,410.40 | $3,013 | 4.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $680 | $850 | 2.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $544.80 | $681 | 0.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $642.40 | $803 | 0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$773.60–$1,333.60 | $967–$1,667 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $704.80 | $881 | 2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,123.20–$1,523.20 | $1,404–$1,904 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $744.80 | $931 | 3.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,717.60 | $2,147 | 1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$731.20–$779.20 | $914–$974 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,776 | $2,220 | 1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$785.60–$945.60 | $982–$1,182 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $416 | $520 | 1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $936.80 | $1,171 | 0.6× |
| Closed tx talus fracture w/o manipulation (28430) | $710.40 | $888 | 2.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $704 | $880 | 2.8× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $1,360.80 | $1,701 | 0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $369.60 | $462 | 1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,569.60 | $1,962 | 1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $487.20 | $609 | 1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $799.20 | $999 | 3.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,314.40 | $1,643 | 5.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $451.20 | $564 | 1.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,048 | $1,310 | 0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $689.60 | $862 | 2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,070.40–$1,123.20 | $1,338–$1,404 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$736–$848 | $920–$1,060 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,455.20 | $1,819 | 0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$320–$760 | $400–$950 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,450.40 | $1,813 | 0.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $1,096 | $1,370 | 4.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,216 | $1,520 | 4.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $840 | $1,050 | 3.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$838.40–$878.40 | $1,048–$1,098 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $287.20 | $359 | 1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $864.80 | $1,081 | 3.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,712 | $2,140 | 1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $3,104 | $3,880 | 1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$2,660.80–$2,798.40 | $3,326–$3,498 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $483.20 | $604 | 1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $404 | $505 | 1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $407.20 | $509 | 1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $312 | $390 | 1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$794.40–$1,280 | $993–$1,600 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $3,600 | $4,500 | 2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$1,158.40–$1,342.40 | $1,448–$1,678 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,626.40 | $2,033 | 1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $773.60 | $967 | 2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $859.20 | $1,074 | 3.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,569.60 | $1,962 | 1.0× |
| Cltx Medial Ankle Fx (27760) | $1,096 | $1,370 | 4.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $896 | $1,120 | 3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $446.40 | $558 | 1.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,266.40 | $1,583 | 0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$1,038.40–$1,340 | $1,298–$1,675 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $559.20 | $699 | 2.2× |
| Cltx post hip arthrp dislc req anes (27266) | $1,843.20 | $2,304 | 1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,378.40 | $1,723 | 5.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,531.20 | $3,164 | 1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $549.60 | $687 | 2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,849.60 | $2,312 | 1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $552.80 | $691 | 2.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,730.40 | $2,163 | 1.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $659.20 | $824 | 2.6× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,256.80 | $1,571 | 5.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,421.60–$1,794.40 | $1,777–$2,243 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $664 | $830 | 2.6× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$20–$32 | $25–$40 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $524 | $655 | 3.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$296–$333.60 | $370–$417 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $693.60 | $867 | 5.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$555.20–$779.20 | $694–$974 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 4 matching MRF lines |
$125.60–$161.60 | $157–$202 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,178.40 | $2,723 | 0.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,133.60 | $1,417 | 1.6× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,464 | $1,830 | 2.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $520 | $650 | 0.7× |
| Debride nail 6 or more (11721) | $84 | $105 | 1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$306.40–$442.80 | $383–$553.50 | varies |
| Destruct B9 Lesion 1-14 (17110) | $182.40 | $228 | 0.9× |
| Destruction Benign Lesions 15/> (17111) | $263.20 | $329 | 1.3× |
| Destruction premalignant lesion 1st (17000) | $134.40 | $168 | 0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$392.80–$624 | $491–$780 | varies |
| Drainage of finger abscess simple (26010) | $665.60 | $832 | 3.2× |
| Drainage of gum lesion (41800) | $744.80 | $931 | 5.5× |
| Drainage of hematoma/fluid (10140) | $393.60 | $492 | 0.2× |
| Draw Blood Off Venous Device (36591) | $59.20 | $74 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$508–$522.40 | $635–$653 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$340.80–$388.80 | $426–$486 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$276.80–$308.80 | $346–$386 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$85.60–$133.60 | $107–$167 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $215.20 | $269 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $892 | $1,115 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $273.60 | $342 | 0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $342.40 | $428 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $199.20 | $249 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$256–$354.40 | $320–$443 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $376.80 | $471 | 0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $762.40 | $953 | 0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $2,126.40 | $2,658 | 1.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $251.20 | $314 | 0.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $279.20 | $349 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $449.60 | $562 | 0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $475.20 | $594 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $416 | $520 | 0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $432 | $540 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $512 | $640 | 0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $680 | $850 | 0.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,411.20 | $1,764 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $1,144.80 | $1,431 | 0.7× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$208–$368 | $260–$460 | varies |
| Fine needle aspiration without imaging guidance (10021) | $360.80 | $451 | 0.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,160 | $1,450 | 0.4× |
| I&d abscess peritonsillar (42700) | $572.80 | $716 | 2.4× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$252–$343.20 | $315–$429 | varies |
| I&d perianal abscess superficial (46050) | $550.40 | $688 | 0.6× |
| Incise external hemorrhoid (46083) | $370.40 | $463 | 1.5× |
| Incision & drainage abscess complicated/multiple (10061) | $468.80 | $586 | 1.1× |
| Incision & removal foreign body subq tiss compl (10121) | $590.40 | $738 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$315.20–$357.60 | $394–$447 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$381.60–$397.60 | $477–$497 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $949.60 | $1,187 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $228.80 | $286 | 1.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $180 | $225 | 0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$172–$188 | $215–$235 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $280 | $350 | 0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$404–$440 | $505–$550 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $100 | $125 | 0.5× |
| Insert Bladder Cath Complex (51703) | $607.20 | $759 | 4.6× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$253.60–$339.20 | $317–$424 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$631.20–$640 | $789–$800 | varies |
| Insert pessary/other device (57160) range across 4 matching MRF lines |
$178.40–$218.40 | $223–$273 | varies |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$156–$354.40 | $195–$443 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$146.40–$330.40 | $183–$413 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,080 | $1,350 | 2.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,644 | $2,055 | 4.0× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$563.20–$699.20 | $704–$874 | varies |
| Laryngoscopy flexible diagnostic (31575) | $240 | $300 | 1.2× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $708.80 | $886 | 3.5× |
| Nasal/Orogastric W/Tube Plmt (43752) | $236 | $295 | 0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$469.60–$557.60 | $587–$697 | varies |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $1,855.20 | $2,319 | 0.5× |
| Pericardiocentesis W/Imaging (33016) | $923.20 | $1,154 | 0.6× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$1,200–$2,800 | $1,500–$3,500 | varies |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$280–$300 | $350–$375 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$256.80–$1,080 | $321–$1,350 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$540.80–$720 | $676–$900 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $521.60 | $652 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$49.60–$112 | $62–$140 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$122.40–$130.40 | $153–$163 | varies |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$411.20–$571.20 | $514–$714 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$434.40–$586.40 | $543–$733 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $172 | $215 | 0.8× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$260–$336.80 | $325–$421 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$163.20–$175.20 | $204–$219 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$232.80–$280.80 | $291–$351 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$465.60–$545.60 | $582–$682 | varies |
| Remove/Insert Drug Implant (11983) range across 3 matching MRF lines |
$393.60–$513.60 | $492–$642 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $840 | $1,050 | 1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,173.60 | $1,467 | 1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $836.80 | $1,046 | 2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,093.60 | $1,367 | 2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$723.20–$747.20 | $904–$934 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$920–$1,098.40 | $1,150–$1,373 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $906.40 | $1,133 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) | $870.40 | $1,088 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$603.20–$628 | $754–$785 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$686.40–$718.40 | $858–$898 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$700–$786.40 | $875–$983 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$954.40–$1,034.40 | $1,193–$1,293 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,672 | $2,090 | 4.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$983.20–$1,000 | $1,229–$1,250 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$529.60–$569.60 | $662–$712 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$621.60–$661.60 | $777–$827 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $680.80 | $851 | 0.9× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,541.60 | $1,927 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$927.20–$977.60 | $1,159–$1,222 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$451.20–$576 | $564–$720 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$496–$592 | $620–$740 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,037.60–$1,167.20 | $1,297–$1,459 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$667.20–$708 | $834–$885 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,200 | $1,500 | 0.6× |
| Repair of nail bed (11760) | $672 | $840 | 0.9× |
| Repair tongue laceration (41250) | $690.40 | $863 | 1.5× |
| Repair/graft achilles tendon (27652) unusually low: confirm this is the full procedure |
$3,434.40 | $4,293 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$204–$230.40 | $255–$288 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$140–$258.40 | $175–$323 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $191.20 | $239 | 0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) | $852 | $1,065 | 0.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$977.60–$1,457.60 | $1,222–$1,822 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $724.80 | $906 | 0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $492 | $615 | 0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $573.60 | $717 | 2.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,077.60 | $1,347 | 1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,036 | $1,295 | 1.9× |
| Shave skin lesion 0.5 cm/< (11300) | $162.40 | $203 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $175.20 | $219 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $243.20 | $304 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $285.60 | $357 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $240 | $300 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $221.60 | $277 | 1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $180 | $225 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $264.80 | $331 | 1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $574.40 | $718 | 1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$412–$416 | $515–$520 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$427.20–$452.80 | $534–$566 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $720 | $900 | 1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$418.40–$470.40 | $523–$588 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $760 | $950 | 3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$280–$296 | $350–$370 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $720.80 | $901 | 3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$476.80–$586.40 | $596–$733 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$388–$399.20 | $485–$499 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$532–$647.20 | $665–$809 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$684.80–$796.80 | $856–$996 | varies |
| Spinal puncture lumbar diagnostic (62270) | $436.80 | $546 | 0.6× |
| Strapping ankle (29540) | $60 | $75 | 0.4× |
| Strapping toes (29550) | $43.20 | $54 | 0.7× |
| Strapping Unna Boot (29580) | $220 | $275 | 1.3× |
| Treat humerus fracture (24500) | $409.60 | $512 | 1.6× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,368–$1,468 | $1,710–$1,835 | varies |
| Treat humerus fracture (23600) | $539.20 | $674 | 2.1× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$703.20–$944.80 | $879–$1,181 | varies |
| Treat Metatarsal Fracture (28475) | $766.40 | $958 | 3.0× |
| Treat Tail Bone Fracture (27200) | $660.80 | $826 | 2.6× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$530.40–$1,170.40 | $663–$1,463 | varies |
| Treat toe dislocation (28630) | $495.20 | $619 | 2.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$720.80–$1,040.80 | $901–$1,301 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $1,033.60 | $1,292 | 4.1× |
| Treatment of nose fracture (21330) unusually low: confirm this is the full procedure |
$2,923.20 | $3,654 | 0.5× |
| Trim skin lesion (11055) | $81.60 | $102 | 0.4× |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$92–$132 | $115–$165 | varies |
| Trim skin lesions over 4 (11057) | $108 | $135 | 0.5× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$28.80–$40 | $36–$50 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,468 | $1,835 | 0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $654.40 | $818 | 0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $676.80 | $846 | 2.7× |
| Vaginal Delivery After Cesarean Delivery (59612) range across 2 matching MRF lines |
$2,800–$4,984.80 | $3,500–$6,231 | varies |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$2,560–$4,728 | $3,200–$5,910 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$277.60–$360 | $347–$450 | 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.