Procedures & surgery prices at North Shore Health

Grand Marais, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,358.84 $1,477 1.5×
Adding Walker Previously Applied Cast (29440) $230.92 $251 1.4×
Application cast elbow finger short arm (29075) $394.68 $429 1.4×
Application finger splint static (29130) $162.84 $177 1.2×
Application long arm splint shoulder hand (29105) $287.96 $313 1.7×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $246.56–$287.96 $268–$313 varies
Application of long leg cast (29345) $394.68 $429 1.4×
Application Short Arm Splint Dynamic (29126) $230.92 $251 1.7×
Application short arm splint forearm-hand static (29125) $287.96 $313 2.1×
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $230.92–$287.96 $251–$313 varies
Apply hand/wrist cast (29085) $287.96 $313 1.7×
Apply long arm cast (29065) $394.68 $429 1.4×
Apply Short Leg Cast (29405) $394.68 $429 1.4×
Apply short leg cast (29425) $394.68 $429 1.4×
Arterial puncture (36600) $23 $25 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $605.36 $658 1.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $317.40–$577.76 $345–$628 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $605.36 $658 1.9×
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $98.44–$1,378.16 $107–$1,498 varies
Avulsion nail plate partial/complete simple 1 (11730) $420.44 $457 2.0×
Bladder instillation anticarcinogenic agent (51720) $571.32 $621 0.8×
Bladder Irrigation (51700) $608.12 $661 2.4×
Bladder Scan (51798)
range across 2 matching MRF lines		 $149.96–$154.56 $163–$168 varies
Blood Transfusion Service (36430)
range across 10 matching MRF lines		 $61.64–$1,474.76 $67–$1,603 varies
Bone Marrow Biopsy (38221) $659.64 $717 0.4×
Bone Marrow; Aspiration Only (38220) $236.44 $257 0.1×
Catheter aspiration nasotracheal spx (31720) $225.40 $245 1.0×
Change Cystostomy Tube Simple (51705) $608.12 $661 2.4×
Chest tube placement (32551) $1,378.16 $1,498 0.8×
Cl Tx Tib Shft Fx W Manip (27752) $2,837.28 $3,084 1.7×
Clear outer ear canal (69200) $154.56 $168 1.1×
Closed Rx Spontaneous Hip Disloc (27256) $457.24 $497 1.8×
Closed Treat Vert Body Fract (22310) $849.16 $923 3.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $517.04 $562 2.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $796.72 $866 3.1×
Closed Treatment Sesamoid Fracture (28530) $333.96 $363 1.3×
Closed Treatment Sternum Fracture (21820) $403.88 $439 1.6×
Closed Treatment Ulnar Styloid Fracture (25650) $898.84 $977 3.5×
Closed tx ankle dislocation w/o anesthesia (27840) $596.16 $648 2.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,442.56 $1,568 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $494.96 $538 1.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $711.16 $773 2.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $854.68 $929 3.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $494.96 $538 1.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $843.64 $917 0.5×
Closed tx knee dislocation w/o anesthesia (27550) $494.96 $538 1.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,771 $1,925 3.2×
Closed tx metatarsal fracture w/o manipulation (28470) $494.96 $538 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,941.20 $2,110 1.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $744.28 $809 0.2×
Closed tx patellar dislocation w/anesthesia (27562) $644 $700 2.5×
Closed tx patellar dislocation w/o anesthesia (27560) $473.80 $515 1.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $494.96 $538 1.9×
Closed tx radial head/neck fx w/manipulation (24655) $1,225.44 $1,332 0.7×
Closed tx radial head/neck fx w/o manipulation (24650) $494.96 $538 1.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $309.12 $336 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $494.96 $538 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $309.12 $336 1.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $309.12 $336 1.2×
Closed tx septal&nose fx (21337) $2,760.92 $3,001 0.8×
Closed tx talus fracture w/o manipulation (28430) $671.60 $730 2.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $241.96 $263 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $494.96 $538 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $309.12 $336 1.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $309.12 $336 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $309.12 $336 1.2×
Clsd tx fx orbit except blowout w/o manipulation (21400) $552.92 $601 1.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $1,303.64 $1,417 5.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $494.96 $538 1.9×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,467.40 $1,595 5.8×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $665.16 $723 0.4×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $494.96 $538 1.9×
Cltx dstl fibular fx lat malls w/manj (27788) $813.28 $884 3.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $494.96 $538 1.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $881.36 $958 3.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $309.12 $336 1.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $494.96 $538 1.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,583.32 $1,721 1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,196.96 $2,388 1.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $494.96 $538 1.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $494.96 $538 1.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,119.68 $2,304 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $263.12–$511.52 $286–$556 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $309.12 $336 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $494.96 $538 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $309.12 $336 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,837.28 $3,084 1.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $881.36 $958 3.5×
Cltx greater humeral tuberosity fx w/o manj (23620) $757.16 $823 3.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $1,066.28 $1,159 4.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $448.04 $487 1.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,479.36 $1,608 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $903.44 $982 3.5×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,275.12 $1,386 0.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $310.96 $338 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $240.12 $261 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $309.12 $336 1.2×
Cltx Medial Ankle Fx (27760) $494.96 $538 1.9×
Cltx metacarpal fx w/manipulation each bone (26605) $494.96 $538 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $828 $900 3.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $494.96 $538 1.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $309.12 $336 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $494.96 $538 1.9×
Cltx prox fibula/shft fx w/o manj (27780) $494.96 $538 1.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $494.96 $538 1.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $529.92–$1,187.72 $576–$1,291 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,064.44 $1,157 4.2×
Cltx tibial fx proximal w/o manipulation (27530) $494.96 $538 1.9×
Cltx tibial shaft fx w/o manipulation (27750) $494.96 $538 1.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,311.92 $1,426 5.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,982.60 $2,155 1.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $494.96 $538 1.9×
Collection of venous blood by venipuncture (36415)
range across 7 matching MRF lines		 $29.44–$62.56 $32–$68 varies
Colonoscopy w/ablation (45388) $2,302.76 $2,503 1.9×
Colonoscopy w/fb removal (45379) $3,180.44 $3,457 2.6×
Colonoscopy w/submucosal inj (45381) $3,622.04 $3,937 2.9×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,634 $3,950 2.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $4,680.96 $5,088 3.8×
Complex drainage wound (10180) $3,557.64 $3,867 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $241.96 $263 1.8×
Control Nasal Hemorrhage Anterior Simple (30901) $241.96 $263 1.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $241.96 $263 1.8×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,368.96 $1,488 1.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $866.64 $942 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $782 $850 1.9×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135)
range across 2 matching MRF lines		 $1,580.56–$2,374.52 $1,718–$2,581 varies
Diagnostic sigmoidoscopy (45330) $759 $825 0.8×
Drainage of gum lesion (41800) $356.04 $387 2.6×
Drainage of hematoma/fluid (10140) $2,394.76 $2,603 1.4×
Draw Blood Off Venous Device (36591) $117.76 $128 0.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $361.56–$454.48 $393–$494 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $420.44 $457 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $420.44 $457 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $87.40–$420.44 $95–$457 varies
Evacuation of subungual hematoma (11740) $126.96 $138 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $906.20 $985 1.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $669.76 $728 1.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $906.20 $985 1.2×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $351.44–$956.34 $382–$1,039.50 varies
Gi malabs eval aat calprotectin pncrtc elastase (0430U) $1,027.64 $1,117 16.7×
I&d abscess simple (10060) $304.52 $331 1.5×
Incise external hemorrhoid (46083) $284.28 $309 1.1×
Incision & drainage abscess complicated/multiple (10061) $454.48 $494 1.1×
Incision & removal foreign body subq tiss compl (10121) $2,599.92 $2,826 1.5×
Incision & removal foreign body subq tiss simple (10120) $782 $850 1.9×
Incision and drainage of bartholin's gland abscess (56420) $411.24 $447 2.0×
Incision and drainage of vulva or perineal abscess (56405) $514.28 $559 1.6×
Initial Tx 1st Degree Burn Local Tx (16000) $177.56 $193 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $577.76 $628 1.8×
Injection single tendon origin/insertion (20551) $175.72 $191 0.6×
Injection single/mlt trigger point 1/2 muscles (20552) $270.48 $294 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,036.84 $1,127 1.4×
Injection, intralesional; up to and including 7 lesions (11900) $188.60 $205 0.9×
Insert Temp Bladder Cath (51702) $282.44 $307 2.1×
Insert tun ip cath perc (49418) $3,586.16 $3,898 1.0×
Insert tunneled cv cath (36561) $4,598.16 $4,998 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $282.44 $307 2.1×
Insertion indwelling tunneled pleural catheter (32550) $1,978.92 $2,151 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $567.64 $617 1.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $567.64 $617 1.4×
Intubation endotracheal emergency procedure (31500) $454.48 $494 1.9×
Laryngoscopy diagnostic (31505) $316.48 $344 1.5×
Late closure of wound (13160)
range across 2 matching MRF lines		 $2,652.36–$3,106.84 $2,883–$3,377 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $297.16–$347.76 $323–$378 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $577.76 $628 1.8×
Occipital Nerve Block (64405) $627.44 $682 2.0×
Open Tx Distal Phalangeal Fracture Each (26765) $1,396.56 $1,518 0.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,831.72 $1,991 0.5×
Placement of needle for intraosseous infusion (36680)
range across 3 matching MRF lines		 $123.28–$369.84 $134–$402 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $454.48 $494 1.1×
Removal Foreign Body Foot Complicated (28193) $1,818.84 $1,977 1.1×
Removal foreign body foot deep (28192) $2,599.92 $2,826 1.5×
Removal Foreign Body Foot Subcutaneous (28190) $1,818.84 $1,977 2.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $63.48 $69 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $154.56 $168 2.5×
Removal of foreign body from pharynx (42809) $282.44 $307 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $241.04 $262 1.2×
Remove foreign body from eye (65205) $224.48 $244 1.6×
Remove Intrauterine Device (58301) $540.96 $588 1.7×
Remove Nasal Foreign Body (30300) $282.44 $307 2.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $321.08 $349 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $391 $425 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $567.64 $617 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,162.88 $1,264 2.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $567.64 $617 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,162.88 $1,264 2.8×
Repair complex trunk 1.1-2.5 cm (13100) $1,162.88 $1,264 1.5×
Repair complex trunk 2.6-7.5 cm (13101) $468.28 $509 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $567.64 $617 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $567.64 $617 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $567.64 $617 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $567.64 $617 1.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $567.64 $617 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $567.64 $617 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $567.64 $617 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $567.64 $617 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $567.64 $617 0.7×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,162.88 $1,264 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,162.88 $1,264 2.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $567.64 $617 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $567.64 $617 1.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,162.88 $1,264 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $567.64 $617 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,162.88 $1,264 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $224.48 $244 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $224.48 $244 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $241.04 $262 1.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $567.64 $617 0.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $699.20 $760 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,127 $1,225 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $952.20 $1,035 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $241.04 $262 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $241.04 $262 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $241.04 $262 1.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $241.04 $262 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $241.04 $262 1.2×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $241.04 $262 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $241.04 $262 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $241.04 $262 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $241.04 $262 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $241.04 $262 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $181.47–$241.04 $197.25–$262 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $567.64 $617 1.4×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $983.48–$1,004.64 $1,069–$1,092 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $162.84–$169.28 $177–$184 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $152.72–$162.84 $166–$177 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $162.84–$169.28 $177–$184 varies
Strapping Hip (29520)
range across 2 matching MRF lines		 $162.84–$169.28 $177–$184 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $162.84–$169.28 $177–$184 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $162.84–$169.28 $177–$184 varies
Strapping thorax (29200)
range across 2 matching MRF lines		 $162.84–$169.28 $177–$184 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $162.84–$169.28 $177–$184 varies
Strapping Unna Boot (29580) $394.68 $429 2.4×
Thrombolytic Therapy Stroke (37195) $555.68 $604 1.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,547.44 $1,682 6.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,547.44 $1,682 1.0×
Treat Big Toe Fracture (28505) $1,897.96 $2,063 0.6×
Treat humerus fracture (24500) $494.96 $538 1.9×
Treat Humerus Fracture (24505) $1,390.12 $1,511 0.8×
Treat humerus fracture (23600) $1,442.56 $1,568 5.7×
Treat Knee Fracture(S) (27538) $494.96 $538 1.9×
Treat Knuckle Dislocation (26700) $494.96 $538 1.9×
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure		 $2,700.20 $2,935 0.4×
Treat Tail Bone Fracture (27200) $506 $550 2.0×
Treat Thumb Dislocation (26641) $475.64 $517 1.9×
Treat toe dislocation (28630) $494.96 $538 1.9×
Treatment closed elbow dislocation w/o anes (24600) $494.96 $538 1.9×
Trim skin lesion (11055) $305.44 $332 1.5×
Tx Gastro Intub W/Asp (43753) $302.68 $329 1.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $513.36 $558 2.0×
Unlisted Procedure Casting/Strapping (29799) $167.44 $182 1.0×
Vaginal delivery only (59409) $2,853.84 $3,102 0.9×
Wound Prep F/N/Hf/G (15004) $1,130.68 $1,229 2.7×

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.