Procedures & surgery prices at Ochiltree General Hospital

Perryton, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $560–$1,511 $800–$2,159 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,511 $2,159 1.7×
Acne surgery (10040) $334 $477 1.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,890 $2,700 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $5,397 $7,710 1.6×
Anoscopy diagnostic (46600) $268 $383 2.0×
Anoscopy W/Rmvl Foreign Body (46608) $1,524 $2,177 1.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $4,682 $6,688 1.7×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $448–$500 $640–$715 varies
Application Finger Splint Dynamic (29131) $102 $146 1.7×
Application finger splint static (29130)
range across 2 matching MRF lines		 $213–$238 $304–$340 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $263–$291 $375–$415 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $448 $640 1.6×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $263–$291 $375–$415 varies
Application of long leg cast (29345) $448 $640 1.6×
Application Short Arm Splint Dynamic (29126) $213 $304 1.6×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $213–$419 $304–$599 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $263–$291 $375–$415 varies
Apply hand/wrist cast (29085) $263 $375 1.6×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $448–$500 $640–$714 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines		 $291–$581 $415–$830 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $448–$497 $640–$710 varies
Apply short leg cast (29425) $448 $640 1.6×
Arterial puncture (36600) $284 $405 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $494–$549 $706–$784 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,153 $1,647 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $494–$549 $706–$784 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $494 $706 1.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $494–$549 $706–$784 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $1,224–$1,482 $1,748–$2,117 varies
Aspirate Pleura W/O Imaging (32554) $2,650 $3,785 4.2×
Aspirate/Inj Ganglion Cyst (20612) $494 $706 1.6×
Aspiration and/or injection thyroid cyst (60300) $1,173 $1,676 1.6×
Aspiration bladder insert suprapubic catheter (51102) $3,396 $4,852 1.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $455–$456 $650–$651 varies
Biopsy Abdominal Mass (49180) $2,703 $3,862 1.6×
Biopsy of liver, needle; percutaneous (47000) $2,703 $3,862 1.6×
Biopsy Vaginal Mucosa Simple (57100) $1,341 $1,915 1.4×
Bladder Irrigation (51700) $412 $589 1.6×
Bladder Scan (51798) $169 $241 2.9×
Blood Transfusion Service (36430) $788 $1,125 1.8×
Bone Marrow Biopsy (38221) $2,951 $4,215 1.8×
Bx breast 1st lesion us imag (19083) $3,633 $5,190 2.2×
Bx Cervix (57500)
range across 2 matching MRF lines		 $1,341–$1,645 $1,915–$2,350 varies
Catheter aspiration nasotracheal spx (31720) $356 $508 1.6×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines		 $535–$543 $764–$775 varies
Change Cystostomy Tube Simple (51705) $445 $635 1.8×
Change of Windpipe Airway (31502) $407 $582 1.7×
Chest tube placement (32551)
range across 2 matching MRF lines		 $2,671–$2,814 $3,815–$4,020 varies
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $1,330 $1,900 1.8×
Circumcision 28 days or older (54161) $3,396 $4,852 1.6×
Circumcision Neonate (54160) $1,246 $1,780 1.8×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $3,396–$3,710 $4,852–$5,300 varies
Cl Tx Tib Shft Fx W Manip (27752) $2,680 $3,828 1.7×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $283–$284 $404–$405 varies
Closed Rx Spontaneous Hip Disloc (27256) $543 $775 2.2×
Closed Treat Vert Body Fract (22310) $393 $562 1.6×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,680 $3,828 1.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $472 $675 1.9×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $393 $562 1.6×
Closed tx ankle dislocation w/o anesthesia (27840) $393 $562 1.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,680 $3,828 1.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $500 $715 2.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $393 $562 1.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $393 $562 1.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,015 $1,450 4.1×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,680 $3,828 1.7×
Closed tx knee dislocation w/o anesthesia (27550) $393 $562 1.6×
Closed tx metatarsal fracture w/o manipulation (28470) $393 $562 1.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,543 $3,633 1.6×
Closed tx patellar dislocation w/anesthesia (27562) $1,274 $1,820 5.1×
Closed tx patellar dislocation w/o anesthesia (27560) $579 $827 2.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $420 $600 1.7×
Closed tx radial head/neck fx w/manipulation (24655) $2,680 $3,828 1.7×
Closed tx radial head/neck fx w/o manipulation (24650) $393 $562 1.6×
Closed tx radial shaft fracture w/manipulation (25505) $2,870 $4,100 1.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $393 $562 1.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,821 $5,458 2.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $393 $562 1.6×
Closed tx talus fracture w/o manipulation (28430) $393 $562 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $580 $828 2.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,680 $3,828 1.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $279–$393 $399–$562 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $393 $562 1.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $407 $582 1.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $918 $1,311 1.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $393 $562 1.6×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $393 $562 1.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,680 $3,828 1.7×
Clsd tx clavicular fracture w/o manipulation (23500) $393 $562 1.6×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $393 $562 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,821 $5,458 2.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $648 $925 2.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $2,680–$2,870 $3,828–$4,100 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $3,639 $5,198 2.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,680 $3,828 1.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $393 $562 1.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $393 $562 1.6×
Cltx dstl fibular fx lat malls w/manj (27788) $580 $828 2.3×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $393–$580 $562–$828 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $648 $925 2.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $393 $562 1.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $421–$534 $602–$763 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,821 $5,458 2.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,680 $3,828 1.7×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $597 $853 2.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,680 $3,828 1.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $401 $573 1.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $393 $562 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $393 $562 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $393 $562 1.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,680 $3,828 1.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $580 $828 2.3×
Cltx hip dislocation traumatic req anesthesia (27252) $3,638 $5,197 2.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $393 $562 1.6×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $676 $966 2.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $441 $630 1.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $448 $640 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $580 $828 2.3×
Cltx Med Ankle Fx W/Mnpj (27762) $2,680 $3,828 1.7×
Cltx Medial Ankle Fx (27760) $393 $562 1.6×
Cltx metacarpal fx w/manipulation each bone (26605) $648 $925 2.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $393 $562 1.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,680 $3,828 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $401 $573 1.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $393 $562 1.6×
Cltx post hip arthrp dislc req anes (27266) $3,638 $5,197 2.3×
Cltx post hip arthrp dislc w/o anes (27265) $2,450 $3,500 9.9×
Cltx prox fibula/shft fx w/manj (27781) $2,680 $3,828 1.7×
Cltx prox fibula/shft fx w/o manj (27780) $393 $562 1.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,680 $3,828 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $441 $630 1.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,638 $5,197 2.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $393 $562 1.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,680 $3,828 1.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,015 $1,450 4.1×
Cltx tibial fx proximal w/o manipulation (27530) $393 $562 1.6×
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $393–$426 $562–$608 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $2,680 $3,828 1.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $580 $828 2.3×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $15–$16 $22–$23 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $535–$543 $764–$775 varies
Colposcopy Cervix Endocervical Curettage (57456) $535 $764 1.7×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $333–$361 $475–$515 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $5,213 $7,447 1.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,100 $3,000 1.7×
Complex drainage wound (10180) $4,738 $6,768 1.6×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,037 $1,482 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $238 $340 1.8×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $213–$419 $304–$599 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,703 $3,862 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $284 $405 2.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $407 $582 1.7×
Curette/treat cornea (65435) $1,688 $2,412 1.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,047 $1,496 2.6×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $4,738 $6,768 1.6×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,173 $1,676 1.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,047 $1,496 1.4×
Debride nail 1-5 (11720) $102 $146 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,703 $3,862 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $665–$838 $950–$1,197 varies
Delivery of placenta (59414) $5,213 $7,447 1.6×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
Destruction Benign Lesions 15/> (17111) $334 $477 1.7×
Destruction Lesions Vulva Simple (56501) $3,041 $4,344 1.5×
Destruction Premalignant Lesion 15/> (17004) $665 $950 1.6×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
Dilation & curettage dx&/ther nonobstetric (58120) $2,665 $3,807 0.8×
Drain Cerebro Spinal Fluid (62272) $1,153 $1,647 1.6×
Drain/inj small joint/bursa w/us (20604) $494 $706 1.6×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $1,173 $41–$1,676 1.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,173 $1,676 1.6×
Drainage of finger abscess simple (26010) $334 $477 1.7×
Drainage of gum lesion (41800) $213 $304 1.6×
Drainage of hematoma/fluid (10140) $2,703 $3,862 1.6×
Drainage of rectal abscess (45020) $1,470 $2,100 0.5×
Drainage of scrotal wall abscess (55100) $2,940 $4,200 1.8×
Dressing Change Under Anesthesia (15852) $1,047 $1,496 1.4×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $917 $1,310 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $858 $1,226 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $334 $477 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $334–$455 $477–$650 varies
Dx gastr intub w/asp spec (43754) $524 $748 2.4×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,153 $1,647 1.6×
Egd Flexible Foreign Body Removal (43247) $1,511 $2,159 1.7×
Egd place gastrostomy tube (43246) $3,173 $4,533 1.6×
Endocervical curettage (57505) $1,341 $1,915 1.4×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $333–$361 $475–$515 varies
Epidural Blood Patch (62273) $2,036 $2,908 2.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $213–$238 $304–$340 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,173 $1,676 1.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $2,703–$2,940 $3,862–$4,200 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,173 $1,676 1.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $1,173–$1,260 $1,676–$1,800 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $696–$1,260 $994–$1,800 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $1,173–$1,260 $1,676–$1,800 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $1,173–$1,260 $1,676–$1,800 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,703 $3,862 1.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,703 $3,862 1.6×
Exc Frenum Labial/Buccal (40819) $2,543 $3,633 1.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $2,703–$2,940 $3,862–$4,200 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,173 $1,676 1.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $2,703–$2,940 $3,862–$4,200 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $1,173–$1,260 $1,676–$1,800 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $2,703–$2,940 $3,862–$4,200 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,738 $6,768 1.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines		 $2,703–$2,940 $3,862–$4,200 varies
Exc Skin Benig >4cm Face,Facial (11446) $4,738 $6,768 1.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,703 $3,862 1.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $4,738 $6,768 1.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,968 $2,811 1.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $665–$718 $950–$1,025 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $1,173–$1,260 $1,676–$1,800 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $2,703–$2,940 $3,862–$4,200 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,173 $1,676 1.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $665 $950 1.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,173 $1,676 1.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,703 $3,862 1.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,173 $1,676 1.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,703 $3,862 1.6×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $1,750–$4,738 $2,500–$6,768 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,703 $3,862 1.6×
Exploration penetrating wound spx extremity (20103) $2,703 $3,862 1.6×
Fetal non-stress test (59025) $361 $515 1.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,173 $1,676 1.6×
Fna bx w/us gdn 1st les (10005) $1,173 $1,676 1.6×
Guide Cathet Fluid Drainage (10030) $1,173 $1,676 1.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,400 $2,000 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,524 $2,177 1.6×
I&d abscess peritonsillar (42700)
range across 3 matching MRF lines		 $424–$700 $605–$1,000 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $4,738 $6,768 1.6×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $5,397 $7,710 1.6×
I&D Intramural Im/Absc Transanal Anes (46045) $4,682 $6,688 1.7×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $5,397 $7,710 1.6×
I&d perianal abscess superficial (46050) $1,524 $2,177 1.6×
I&d pilonidal cyst complicated (10081) $1,173 $1,676 1.6×
I&d pilonidal cyst simple (10080) $1,173 $1,676 1.6×
I&d shoulder deep abscess/hematoma (23030) $4,738 $6,768 1.6×
I&d upper arm/elbow deep abscess/hematoma (23930) $4,738 $6,768 1.6×
Image Cath Fluid Colxn Visc (49405) $2,703 $3,862 1.6×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $665–$980 $950–$1,400 varies
Incision & drainage abscess complicated/multiple (10061) $725 $1,035 1.8×
Incision & drainage leg/ankle abscess/hematoma (27603) $4,738 $6,768 1.6×
Incision & removal foreign body subq tiss compl (10121) $2,703 $3,862 1.6×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $665–$725 $950–$1,035 varies
Incision and drainage of bartholin's gland abscess (56420) $529 $755 2.6×
Incision and drainage of vulva or perineal abscess (56405) $566 $809 1.8×
Incision of lingual frenum (frenotomy) (41010) $2,543 $3,633 1.6×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $875–$1,968 $1,250–$2,811 varies
Incision&drainage bursa foot (28001) $2,703 $3,862 1.6×
Initial Tx 1st Degree Burn Local Tx (16000) $455 $650 2.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,520 $2,171 1.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,520 $2,171 1.7×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $494–$549 $706–$784 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,575 $2,250 1.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $1,153–$1,260 $1,647–$1,800 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $494 $706 1.6×
Injection single tendon origin/insertion (20551) $494 $706 1.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $494–$549 $706–$784 varies
Injection single/mlt trigger point 3/> muscles (20553) $494 $706 1.6×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $494–$549 $706–$784 varies
Injection, anesthetic agent; brachial plexus, single (64415) $1,260 $1,800 1.4×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $840–$1,260 $1,200–$1,800 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $1,153–$1,260 $1,647–$1,800 varies
Insert Bladder Cath Complex (51703) $260 $372 2.0×
Insert cath pleura w/o image (32556) $3,847 $5,496 2.0×
Insert Drug Implant Device (11981) $238 $340 1.8×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $5,315–$5,646 $7,593–$8,065 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $399–$419 $570–$599 varies
Insert tunneled cv cath (36561) $2,800 $4,000 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $213–$238 $304–$340 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,814 $4,020 1.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $5,315 $7,593 1.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,315 $7,593 1.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,814 $4,020 1.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $14,166 $20,237 1.7×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $14,166 $20,237 1.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $665 $950 1.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $665 $950 1.6×
Intro Gastrointestinal Tube (44500)
range across 2 matching MRF lines		 $1,511–$1,621 $2,159–$2,315 varies
Intubation endotracheal emergency procedure (31500) $492 $703 2.1×
Lysis/excision penile postcircumcision adhesions (54162) $3,396 $4,852 1.6×
Myelography Lumbar Injection (62305) $1,579 $2,256 2.0×
Myelography Lumbar Injection (62304) $1,335 $1,907 1.7×
Myelography via lumbar injection rs&i cervical (62302) $1,335 $1,907 1.7×
N block inj intercost sng (64420) $1,153 $1,647 1.6×
N Block Lumbar/Thoracic (64520) $1,520 $2,171 1.7×
Nasal/Orogastric W/Tube Plmt (43752) $890 $1,271 2.0×
Needle Biopsy Lymph Nodes (38505) $2,703 $3,862 1.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $494 $706 1.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,520 $2,171 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,150 $4,500 4.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,582 $2,260 1.8×
Occipital Nerve Block (64405) $494 $706 1.6×
Pericardiocentesis W/Imaging (33016) $2,671 $3,815 1.7×
Peritoneal Lavage (49084) $1,511 $2,159 1.7×
Perq device breast 1st imag (19281) $2,703 $3,862 1.6×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,173 $1,676 1.6×
Placement of needle for intraosseous infusion (36680) $664 $949 1.5×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $168–$725 $240–$1,035 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $123–$718 $176–$1,025 varies
Puncture Aspiration Cyst Breast (19000) $1,173 $1,676 1.6×
Removal Embedded Foreign Body Eyelid (67938) $448 $640 1.4×
Removal Foreign Body Deep Thigh/Knee (27372) $4,738 $6,768 1.6×
Removal Foreign Body Foot Complicated (28193) $2,703 $3,862 1.6×
Removal foreign body foot deep (28192) $2,703 $3,862 1.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $1,173–$1,549 $1,676–$2,213 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,703 $3,862 1.6×
Removal Foreign Body Pelvis/Hip Deep (27087) $5,397 $7,710 1.6×
Removal foreign body upper arm/elbow deep (24201) $4,738 $6,768 1.6×
Removal foreign body, intranasal; requiring general anesthesia (30310) $5,368 $7,669 1.6×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $102–$105 $146–$150 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $102–$151 $146–$216 varies
Removal Implant Deep (20680) $3,150 $4,500 1.1×
Removal of foreign body from pharynx (42809) $664 $949 1.5×
Removal of heel spur (28119) $2,170 $3,100 0.7×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $665–$725 $950–$1,035 varies
Removal of tonsils (42825)
unusually low: confirm this is the full procedure		 $2,105 $3,007 0.4×
Removal of tonsils (42826) $2,105 $3,007 0.6×
Removal shoulder foreign body deep subfascial/im (23333) $4,738 $6,768 1.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $213–$306 $304–$437 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $535–$543 $764–$775 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $283–$399 $404–$570 varies
Remove Shoulder Foreign Body (23330) $2,703 $3,862 1.6×
Remove/Insert Drug Implant (11983) $798 $1,140 1.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,320 $1,885 1.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,047 $1,496 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $725 $1,035 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,047 $1,496 2.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,047 $1,496 2.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,047 $1,496 2.6×
Repair complex trunk 1.1-2.5 cm (13100) $1,047 $1,496 1.4×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $525–$1,047 $750–$1,496 varies
Repair extensor tendon finger w/o graft each (26418) $2,680 $3,828 1.7×
Repair Hand Tendon (26410) $2,680 $3,828 1.7×
Repair incomplete circumcision (54163) $3,396 $4,852 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $725 $1,035 1.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $725 $1,035 1.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $665 $950 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $665 $950 1.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $665 $950 1.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,047 $1,496 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $665 $950 1.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $725 $1,035 1.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,316 $1,880 1.8×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $3,041 $4,344 1.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $665 $950 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $665–$725 $950–$1,035 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $665–$725 $950–$1,035 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,047 $1,496 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $665–$838 $950–$1,197 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $3,041 $4,344 1.5×
Repair of nail bed (11760) $1,320 $1,885 1.8×
Repair tongue laceration (41250) $664 $949 1.5×
Reposition Gastrostomy Tube (43761) $412 $589 1.6×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,543 $3,633 1.6×
Rmvl embedded fb vestibule mouth comp (40805) $918 $1,311 1.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,511 $2,159 1.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 3 matching MRF lines		 $385–$3,633 $550–$5,190 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $934 $1,335 2.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $238 $340 1.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $664–$798 $949–$1,140 varies
Rmvl fecal impaction/fb spx under anes (45915) $1,968 $2,811 1.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $4,738 $6,768 1.6×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $4,738 $6,768 1.6×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,703 $3,862 1.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,120 $1,600 1.8×
Rplc Gtube No Revj Trc (43762) $445 $635 1.8×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,671 $3,815 1.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $334–$455 $477–$650 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,047 $1,496 1.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $407 $582 1.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $918 $1,311 1.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,397 $7,710 1.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $5,397 $7,710 1.6×
Shave skin lesion 0.5 cm/< (11300) $665 $950 1.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 2 matching MRF lines		 $665–$718 $950–$1,025 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $334 $477 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $334 $477 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $665 $950 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $665–$718 $950–$1,025 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $665–$725 $950–$1,035 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $334–$357 $477–$510 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $838 $1,197 2.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $334–$478 $477–$683 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $455–$456 $650–$651 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $665 $950 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $334–$455 $477–$650 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $349 $499 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $334–$478 $477–$683 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $334 $477 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $334–$456 $477–$651 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $455–$478 $650–$683 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $665–$838 $950–$1,197 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $838 $1,197 2.1×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,153–$1,260 $1,647–$1,800 varies
Strapping ankle (29540) $291 $415 1.8×
Strapping elbow or wrist (29260) $105 $150 1.8×
Strapping hand/finger (29280) $314 $448 5.3×
Strapping Hip (29520) $239 $342 1.8×
Strapping knee (29530)
range across 2 matching MRF lines		 $213–$238 $304–$340 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $213–$238 $304–$340 varies
Strapping thorax (29200) $263 $375 1.6×
Strapping toes (29550) $162 $231 2.7×
Strapping Unna Boot (29580) $263 $375 1.6×
Tangential biopsy skin single lesion (11102) $334 $477 0.8×
Therapeutic pneumothorax (32960) $1,047 $1,496 1.7×
Thrombolytic Therapy Stroke (37195) $802 $1,146 2.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,105 $3,007 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $593 $847 2.5×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $458–$584 $655–$834 varies
Treat Humerus Fracture (24505) $2,680 $3,828 1.7×
Treat humerus fracture (23600) $393 $562 1.6×
Treat Metatarsal Fracture (28475) $440 $628 1.8×
Treat Tail Bone Fracture (27200) $393 $562 1.6×
Treat toe dislocation (28630) $441 $630 1.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,680 $3,828 1.7×
Treatment closed elbow dislocation w/o anes (24600) $579 $827 2.3×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $334–$358 $477–$512 varies
Tx Gastro Intub W/Asp (43753) $524 $748 2.4×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,665 $3,807 0.8×
Tx Missed Abortion First Trimester Surgical (59820) $1,050 $1,500 0.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,680 $3,828 1.7×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $525–$1,303 $750–$1,861 varies
Unlisted Procedure Casting/Strapping (29799) $263 $375 1.6×
Unlisted procedure nervous system (64999) $494 $706 1.6×
Vaginal Delivery After Cesarean Delivery (59612) $5,213 $7,447 1.6×
Vaginal delivery only (59409) $6,432 $9,188 2.0×
Vasc Embolize/Occlude Bleed (37244) $18,344 $26,205 1.6×
Vein Access Cutdown < 1 Yr (36420) $213 $304 1.6×
Venous Cutdown >1 Y/O (36425) $664 $949 1.5×
Wedge excision skin nail fold (11765) $665 $950 1.6×

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.