Procedures & surgery prices at Ogallala Community Hospital

Ogallala, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $122.18 $225 0.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $84.17 $155 0.1×
Ablate inf turbinate submuc (30802) $182.16 $403 0.1×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $147.26 $296 0.1×
Acne Surgery (10040) $50.17 $111 0.2×
Adding Walker Previously Applied Cast (29440) $32.58 $60 0.2×
Amniocentesis diagnostic (59000) $536.14 $1,068 0.6×
Amniocentesis therapeutic (59001) $701.80 $1,398 2.2×
Amputate metacarpal bone (26910) $828.62 $1,526 0.2×
Amputation Finger/Thumb (26951) $750.97 $1,383 0.2×
Amputation Toe Metatarsophalangeal Joint (28820) $443.63 $817 0.1×
Analyze infusn pump+reprogram (62368) $185.40 $354.50 0.6×
Analyze spine infus pump (62367) $240.46 $452 0.8×
Anoscopy diagnostic (46600) $46.16 $85 0.3×
Anoscopy W/Rmvl Foreign Body (46608) $96.11 $177 0.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $151.13 $238 0.9×
Application cast elbow finger short arm (29075) $69.50 $128 0.2×
Application Cast Hand & Lower Forearm Gauntlet (29085) $75.48 $139 0.4×
Application cast shoulder hand long arm (29065) $76.56 $141 0.3×
Application Finger Splint Dynamic (29131) $38.55 $71 0.6×
Application finger splint static (29130) $33.67 $62 0.2×
Application long arm splint shoulder hand (29105) $47.78 $88 0.3×
Application Long Leg Cast Walker/Ambulatory Type (29355) $120.55 $222 0.4×
Application long leg splint thigh ankle/toes (29505) $57.02 $105 0.3×
Application of long leg cast (29345) $112.94 $208 0.4×
Application Of Rigid Total Contact Leg Cast (29445) $509.27 $802 1.8×
Application short arm splint forearm-hand static (29125) $44.53 $82 0.3×
Application short leg splint calf foot (29515) $55.93 $103 0.3×
Apply patella tendon bearing cast (29435) $92.31 $170 0.3×
Apply short leg cast (29405) $66.25 $122 0.2×
Apply short leg cast (29425) $62.45 $115 0.2×
Arterial puncture (36600) $42.48 $72 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $127.19 $258 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $155.29 $315 0.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $122.76 $249 0.4×
Aspirat/Injection Ganglion Cyst(S) (20612) $131.18 $253.50 0.4×
Aspiration Bladder Insert Suprapubic Catheter (51102) $165.07 $304 0.1×
Aspiration bladder needle (51100) $43.98 $81 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $63.14 $117.50 0.3×
Biopsy external auditory canal (69105) $58.31 $129 0.0×
Biopsy external ear (69100) $44.75 $99 0.2×
Biopsy intranasal (30100) $62.38 $138 0.0×
Biopsy of floor of mouth (41108) $82.26 $182 0.0×
Biopsy of lip (40490) $66.44 $147 0.3×
Biopsy of mouth lesion (40808) $80.91 $179 0.1×
Biopsy of palate, uvula (42100) $100.80 $223 0.1×
Biopsy of penis (54100) $114.36 $253 0.1×
Biopsy of tongue (41100) $98.54 $218 0.2×
Biopsy of uterus lining (58100) $161.20 $303 0.8×
Biopsy Oropharynx (42800) $105.32 $233 0.1×
Biopsy Salivary Gland,Needle (42400) $50.62 $112 0.1×
Bladder Instillation Anticarcinogenic Agent (51720) $436.77 $821 0.6×
Bladder Irrigation Simple (51700) $190.46 $358 0.7×
Blood patch (62273) $497.88 $963 0.7×
Blood transfusion service (36430) $735.80 $1,415 1.6×
Brain Shunt Tube/Reserv Injectn (61070) $326.66 $633.50 0.4×
Bx abdl/retroperitoneal mass prq needle (49180) $616.96 $1,229 0.4×
Bx breast 1st lesion us imag (19083) $1,307.21 $2,604 0.8×
Change Cystostomy Tube Simple (51705) $185.09 $358 0.7×
Chemical Cautery Tissue (17250) $38.80 $78 0.2×
Chemodenerv Musc Migraine (64615) $169.18 $318 0.5×
Chest tube placement (32551) $179.19 $330 0.1×
Chg Collect Blood From Catheter Venous Nos (36592) $114.91 $216 0.8×
Circumcision (54150) $374.93 $538 0.2×
Clean out mastoid cavity (69222) $124.75 $276 0.2×
Close Rx Fingr Articular Fx,Manip (26742) $377.93 $696 0.2×
Closed Rx Acetabular Fx,Manipulatn (27222) $1,102.83 $2,031 4.3×
Closed Rx Humeral Supracondylar Fx (24530) $390.42 $719 1.5×
Closed Rx Med Malleolus Fx (27760) $345.35 $636 1.3×
Closed Rx Med Malleolus Fx,Manip (27762) $489.79 $902 0.3×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $507.16 $934 0.3×
Closed rx prox/neck femur fx,manip (27232) $847.62 $1,561 0.5×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $524.54 $966 0.3×
Closed Rx Radial Shaft Fx (25500) $284.53 $524 1.1×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $447.43 $824 0.3×
Closed Rx Tibia Shaft Fx (27750) $360.01 $663 1.4×
Closed Rx Tibial Plateau Fx (27530) $319.83 $589 1.2×
Closed Rx Trauma Hip Disloc,Anesth (27252) $855.22 $1,575 0.5×
Closed Rx Trimalleolar Fx (27816) $327.97 $604 1.3×
Closed treatment of talus fracture; without manipulation (28430) $236.75 $436 0.9×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $207.97 $383 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $511.51 $942 2.0×
Closed Treatment Ulnar Styloid Fracture (25650) $341 $628 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $425.17 $783 1.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $478.38 $881 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $341 $628 1.3×
Closed tx calcaneal fracture w/o manipulation (28400) $256.84 $473 1.0×
Closed tx knee dislocation w/anesthesia (27552) $711.33 $1,310 0.4×
Closed tx knee dislocation w/o anesthesia (27550) $547.34 $1,008 2.1×
Closed tx metatarsal fracture w/o manipulation (28470) $229.69 $423 0.9×
Closed tx patellar dislocation w/anesthesia (27562) $549.52 $1,012 2.1×
Closed tx patellar dislocation w/o anesthesia (27560) $387.70 $714 1.5×
Closed tx patellar fracture w/o manipulation (27520) $335.03 $617 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $450.15 $829 0.3×
Closed tx radial head/neck fx w/o manipulation (24650) $273.13 $503 1.1×
Closed tx radial shaft fracture w/manipulation (25505) $518.02 $954 0.3×
Closed tx scapular fracture w/o manipulation (23570) $270.41 $498 1.1×
Closed tx septal&nose fx (21337) $330.14 $608 0.1×
Closed Tx Talus Fracture W/Manipulation (28435) $364.90 $672 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $36.38 $67 0.1×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $470.24 $866 0.3×
Closed tx ulnar fracture prox end w/o manipulate (24670) $299.19 $551 1.2×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $158.20 $350 0.6×
Clsd tx clavicular fracture w/manipulation (23505) $376.84 $694 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $253.04 $466 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $456.66 $841 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $327.97 $604 1.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $556.58 $1,025 0.3×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $390.96 $720 1.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $348.06 $641 1.4×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $542.46 $999 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $435.49 $802 1.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $323.63 $596 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $308.97 $569 1.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $210.14 $387 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $355.12 $654 1.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $577.75 $1,064 0.3×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $769.97 $1,418 0.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $536.48 $988 2.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $166.70 $307 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $139.55 $257 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $160.18 $295 0.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $558.75 $1,029 0.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $209.06 $385 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $103.17 $190 0.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $290.50 $535 1.1×
Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) $566.35 $1,043 0.2×
Cltx metacarpal fx w/manipulation each bone (26605) $331.23 $610 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $316.03 $582 1.2×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $347.52 $640 1.4×
Cltx metatarsophlngl jt dislc w/o anes (28630) $125.43 $231 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $342.63 $631 1.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $208.51 $384 0.8×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $658.66 $1,213 0.4×
Cltx post hip arthrp dislc w/o anes (27265) $457.21 $842 1.8×
Cltx prox fibula/shft fx w/o manj (27780) $317.11 $584 1.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $480.56 $885 0.3×
Cltx prox tibfib jt dislc req anes (27831) $456.12 $840 0.1×
Cltx prox tibfib jt dislc w/o anes (27830) $403.45 $743 1.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $89.05 $164 0.3×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $425.17 $783 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $640.74 $1,180 0.4×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $556.58 $1,025 0.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $491.96 $906 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $244.19 $459 0.8×
Colposcopy cervix upper/adjacent vagina (57452) $161.20 $303 0.8×
Complex Drainage, Wound (10180) $200.37 $369 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $89.60 $165 0.6×
Control Nasal Hemorrhage Anterior Simple (30901) $64.62 $119 0.5×
Control Oropharyngeal Hemorrhage Simple (42960) $170.14 $342 0.3×
Create eardrum opening (69436) $146.45 $324 0.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $110.44 $222 0.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $153.67 $283 0.6×
Cysto W/Simple Removal Stone & Stent (52310) $229.82 $432 0.1×
Cystoscopy w/biopsy (52204) $390.49 $734 0.2×
Cystoscopy,Dil Urethral Stricture (52281) $862.90 $1,622 0.4×
Cystourethroscopy (52000) $534.13 $1,004 0.7×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $312.22 $575 0.4×
Debride nail 1-5 (11720) $27.56 $51.50 0.4×
Debride nail 6 or more (11721) $59.05 $111 1.0×
Debridement Mastoidectomy Cavity Simple (69220) $47.91 $106 0.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $198.34 $371.50 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $883.12 $1,660 1.2×
Declot vascular device (36593) $216.62 $419 0.6×
Delivery placenta separate procedure (59414) $1,288.04 $2,035 0.4×
Destroy cerv/thor facet jnt (64633) $1,032.92 $1,998 0.5×
Destroy lumb/sac facet jnt (64635) $1,021.90 $1,976.50 0.5×
Destruc Benign/Premal,15+ Lesions (17004) $91.30 $202 0.2×
Destruction benign lesions 15 or more (17111) $76.39 $169 0.4×
Destruction Benign Lesions Up To 14 (17110) $99.82 $198 0.5×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $417.60 $814.50 0.5×
Destruction Lesions Vulva Simple (56501) $117.52 $260 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $111.64 $247 0.5×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $129.72 $287 0.6×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $162.27 $359 0.4×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $189.39 $419 0.2×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $256.74 $568 0.3×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $81.36 $180 0.4×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $104.41 $231 0.5×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $116.16 $257 0.6×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $123.85 $274 0.3×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $146 $323 0.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $81.36 $180 0.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $89.50 $198 0.4×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $98.54 $218 0.5×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $115.26 $255 0.6×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $130.18 $288 0.3×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $159.56 $353 0.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $65.54 $145 0.3×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) $102.15 $226 0.5×
Destruction premalignant lesion 1st (17000) $46.63 $96 0.2×
Dilation & curettage dx&/ther nonobstetric (58120) $257.38 $474 0.1×
Dilation and catheterization of salivary duct, with or without injection (42660) $82.26 $182 0.1×
Drain Ext Ear Absc/Blood,Complic (69005) $146.90 $325 0.1×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $127.86 $257 0.2×
Drain/inj small joint/bursa w/us (20604) $350.59 $659 1.1×
Drainage abscess/hematoma nasal int approach (30000) $110.29 $244 0.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $111.19 $246 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $136.29 $251 0.2×
Drainage Finger Abscess Simple (26010) $155.84 $287 0.7×
Drainage mouth roof lesion (42000) $117.29 $216 0.5×
Drainage of eyelid abscess (67700) $128.69 $237 0.4×
Drainage of gum lesion (41800) $171.59 $316 1.2×
Drainage of hematoma/fluid (10140) $294.31 $542 0.2×
Drainage of scrotal wall abscess (55100) $188.42 $347 0.1×
Draw blood off venous device (36591) $162.26 $305 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $150.95 $278 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $124.89 $230 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $61.36 $113 0.3×
Dry Needling 3+ Muscles (20561) $37.65 $75 1.3×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $191.20 $423 0.5×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $199.07 $382 0.6×
Electronic analysis reprogramming refill of spinal canal drug infusion (62369) $175.02 $335 0.5×
Evacuation of subungual hematoma (11740) $35.30 $65 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $145.54 $322 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $166.79 $369 0.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $96.28 $213 0.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $165.88 $367 0.1×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $139.01 $256 0.0×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $102.15 $226 0.1×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $96.73 $214 0.2×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $107.12 $237 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $152.24 $306 0.2×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $211.99 $469 0.1×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $152.32 $337 0.1×
Exc Skin Benig >4 Cm Face,Facial (11446) $302.39 $669 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $257.64 $570 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $254.72 $512 0.1×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $213.80 $473 0.1×
Exc Skin Malig >4 Cm Face,Facial (11646) $368.38 $815 0.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $275.72 $610 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $298.77 $661 0.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $126.52 $233 0.1×
Exc tr-ext b9+marg 0.5 cm or less (11400) $84.08 $169 0.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $287.02 $635 0.2×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $124.38 $250 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $138.76 $307 0.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $151.42 $335 0.4×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $180.80 $400 0.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $199.78 $442 0.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $117.52 $260 0.2×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $145.54 $322 0.2×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $170.40 $377 0.2×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $265.78 $588 0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $114.36 $253 0.1×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $139.67 $309 0.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $158.65 $351 0.2×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $197.07 $436 0.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $223.74 $495 0.1×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $122.04 $270 0.2×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $135.15 $299 0.2×
Excision of lesion of tongue without closure (41110) $122.04 $270 0.0×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $127.01 $281 0.1×
Excision of lesion other than skin tag </= 0.5 cm (11420) $84.08 $169 0.0×
Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) $328.15 $726 0.1×
Excision of nail fold toe (11765) $84.04 $156 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $209.60 $386 0.1×
Excision of tongue lesion (41112) $229.62 $508 0.1×
Excision, nasal polyp(s), simple (30110) $145.52 $268 0.1×
Exploration penetrating wound spx extremity (20103) $392.59 $723 0.2×
Exploration Penetrating Wound Spx Neck (20100) $684.72 $1,261 1.2×
External Cephalic Version (59412) $543.57 $780 0.2×
Fetal non-stress test (59025) $328.58 $353.50 1.6×
Fine needle aspiration without imaging guidance (10021) $52.43 $116 0.1×
Fixation of shoulder (23700) $221 $407 0.1×
Fluid pressure muscle (20950) $324.20 $574 0.4×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $891.61 $1,642 0.4×
Gastric Intubation/Aspiration, Therapeutic (43753) $25.52 $47 0.1×
I&D Abscess Peritonsillar (42700) $138.80 $279 0.6×
I&d abscess simple (10060) $88.66 $164.50 0.4×
I&d epididymis tstis&/scrotal space (54700) $242.72 $447 0.1×
I&d perianal abscess superficial (46050) $111.86 $206 0.1×
I&d pilonidal cyst simple (10080) $115.66 $213 0.2×
I&D Upper Arm/Elbow Bursa (23931) $175.39 $323 0.1×
Implant neuroelectrodes (63650) $4,675.24 $8,857.50 0.7×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure
$2,134.82 $4,079.50 0.2×
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure
$863.74 $1,752 0.0×
Incision & drainage abscess complicated/multiple (10061) $204.71 $377 0.5×
Incision & drainage pilonidal cyst complicated (10081) $193.31 $356 0.3×
Incision & removal foreign body subq tiss compl (10121) $209.06 $385 0.1×
Incision & removal foreign body subq tiss simple (10120) $115.66 $213 0.3×
Incision and drainage of bartholin's gland abscess (56420) $116.75 $215 0.6×
Incision and drainage of vulva or perineal abscess (56405) $134.66 $248 0.4×
Incision of eardrum (69421) $137.41 $304 0.0×
Incision of eardrum (69420) $110.74 $245 0.5×
Incision of rectal abscess (46045) $496.30 $914 0.2×
Incision of rectal abscess (46040) $476.75 $878 0.4×
Incision thrombosed hemorrhoid external (46083) $122.72 $226 0.5×
Incisional biopsy eyelid skin & lid margin (67810) $65.54 $145 0.2×
Incisional biopsy skin single lesion (11106) $177.06 $342 0.2×
Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) $921.99 $1,251 2.2×
Initial tx 1st degree burn local tx (16000) $52.13 $96 0.3×
Inj paravert f jnt c/t 1 lev (64490) $855.68 $1,635 0.9×
Inj tendon sheath/ligament (20550) $139.86 $270 0.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $171.69 $291 0.2×
Inj,Anes Agent,Femoral Nerve,Single (64447) $143.37 $243 0.2×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $171.70 $331.50 0.5×
Inject Intravitreal Pharmcologic (67028) $108.53 $204 0.3×
Inject Nerv Blck,Axillary Nerv (64417) $164.02 $278 0.2×
Inject Nerv Blck,Intercost,Multpl (64421) $761.32 $1,338 0.8×
Inject Nerv Blck,Intercostal,One (64420) $572.41 $1,006 0.8×
Inject Nerv Blck,Paravert Sympath (64520) $449.08 $858 0.5×
Inject Tendon Origin/Insert (20551) $163.48 $314 0.5×
Injection aa&/strd sciatic nerve w/img gdn (64445) $145.73 $247 0.2×
Injection aa&/strd suprascapular nerve (64418) $372.60 $679 0.5×
Injection aa&/strd trigeminal nerve each branch (64400) $263.55 $525 0.8×
Injection anes other peripheral nerve/branch (64450) $115.64 $196 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $96.11 $177 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $108.06 $199 0.3×
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) $711.82 $1,338 0.8×
Injection, anesthetic agent; greater occipital nerve (64405) $232.70 $451 0.7×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $261.96 $444 0.8×
Injection, intralesional; up to and including 7 lesions (11900) $29.14 $59.50 0.1×
Insert Bladder Cath Complex (51703) $162.65 $324 1.2×
Insert cervical dilator (59200) $356.11 $511 1.1×
Insert non-tunnel cv cath (36556) $221.50 $391 0.1×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $210.68 $388 0.1×
Insert pessary/other device (57160) $42.03 $79 0.2×
Insert Temp Bladder Cath (51702) $145.28 $281 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $117.97 $235 0.9×
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure
$2,108.65 $4,024 0.1×
Intubation endotracheal emergency procedure (31500) $357.29 $658 1.5×
Irrigate corpora cavernosa for priapism (54220) $151.50 $279 0.6×
Laryngoscopy Flexible Diagnostic (31575) $147.09 $293 0.7×
Laryngoscopy Indirect Diagnostic Spx (31505) $54.84 $101 0.3×
Laryngoscopy W/Foreign Body Removal (31530) $223.72 $412 0.1×
Laryngoscopy,Direct,Diagnostic (31525) $179.19 $330 0.1×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $304.34 $582 1.5×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $758.63 $1,426 1.9×
Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) $1,373.62 $2,582 0.7×
Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) $169.05 $374 0.0×
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287)
likely a partial charge, not the full procedure
$188.94 $418 0.0×
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure
$227.81 $504 0.0×
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure
$303.74 $672 0.0×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $148.26 $328 0.1×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $46.70 $86 0.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $34.64 $69 1.2×
Neuroeltrd stim post tibial (64566) $229.82 $432 0.7×
Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) $578.54 $785 2.2×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $347.13 $471 2.2×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $347.13 $471 2.2×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $4,701.32 $6,379 2.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $984.71 $1,873.50 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $774.32 $1,473.50 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $241.90 $410 0.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $711.82 $1,338 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $564.10 $1,077 0.8×
NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common… (0169U) $1,031.06 $1,399 2.2×
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $18,694.01 $25,365 2.2×
Onc Pncrs Dna&Mrna Seq 74 (0313U) $7,959.60 $10,800 2.2×
Open treatment interphalangeal joint dislocation (28675) $455.58 $839 0.1×
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge, not the full procedure
$1,097.40 $2,021 0.1×
Open tx nose fx uncomplicatd (21325) $488.16 $899 0.1×
Pericardiocentesis W/Imaging (33016) $606.95 $1,078 0.4×
Perineoplasty rpr perineum nonobstetrical spx (56810) $302.99 $558 0.1×
Peritoneal Lavage (49084) $124.35 $229 0.1×
Placement of needle for intraosseous infusion (36680) $168.50 $299 0.4×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $54.30 $100 0.1×
Punch biopsy skin single lesion (11104) $145.14 $280.50 0.3×
Puncture Aspiration (10160) $97.51 $196 0.2×
Puncture Aspiration Cyst Breast (19000) $247.49 $493 0.3×
Removal fb intranasal (30300) $116.42 $234 0.8×
Removal Foreign Body Deep Thigh/Knee (27372) $454.49 $837 0.2×
Removal foreign body foot subcutaneous (28190) $150.95 $278 0.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $165.62 $305 0.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $38.01 $70 0.6×
Removal of adenoids (42835) $179.90 $398 0.1×
Removal of adenoids (42831) $210.18 $465 0.1×
Removal of adenoids (42830) $194.36 $430 0.1×
Removal of arm foreign body (24200) $159.10 $293 0.1×
Removal of intrauterine device (iud) (58301) $170.57 $303 0.5×
Removal of nail bed (11750) $89.47 $166 0.2×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $82.54 $152 0.4×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $1,139.90 $2,197 0.6×
Removal of tonsils (42825)
likely a partial charge, not the full procedure
$245.44 $543 0.0×
Removal of tonsils (42826) $235.04 $520 0.1×
Removal/bivalving gauntlet boot/body cast (29700) $38.01 $70 0.1×
Remove Eyelid Foreign Body (67938) $128.69 $237 0.4×
Remove foreign body from eye (65210) $41.27 $76 0.1×
Remv Ext Canal Foreign Body (69200) $53.21 $98 0.4×
Remv F.B.,Eye,Superf Conjunc (65205) $32.58 $60 0.2×
Renal biopsy (50200) $1,145.56 $2,282 0.7×
Repair Blood Vessel Direct Hand Finger (35207) $853.05 $1,571 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $290.54 $584 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $350.24 $704 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $253.23 $509 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $316.41 $636 0.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $240.30 $483 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $269.64 $542 0.6×
Repair complex trunk 1.1-2.5 cm (13100) $208.95 $420 0.3×
Repair complex trunk 2.6-7.5 cm (13101) $256.71 $516 0.3×
Repair extensor tendon finger w/o graft each (26418) $667.89 $1,230 0.4×
Repair finger/hand tendon (26350) $816.13 $1,503 0.2×
Repair forearm tendon/muscle (25270) $556.58 $1,025 0.2×
Repair hand tendon (26410) $649.43 $1,196 0.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $339.92 $626 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $158.65 $351 0.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $206.46 $415 0.5×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $435.49 $802 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $243.26 $448 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $249.24 $459 0.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $481.64 $887 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $304.62 $561 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $151.74 $305 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $202.98 $408 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $241.64 $445 0.3×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $397.48 $732 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $272.04 $501 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $156.72 $315 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $196.52 $395 0.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $319.83 $589 0.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $231.86 $427 0.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $373.58 $688 0.2×
Repair Laceration Palate </2 Cm (42180) $207.43 $382 0.4×
Repair of nail bed (11760) $129.23 $238 0.2×
Repair of nasal septum (30520) $601.61 $1,331 0.2×
Repair Tongue Laceration (41250) $173.76 $320 0.4×
Repair tympanic membrane (69610) $268.94 $595 0.2×
Resect Inferior Turbinate (30140) $166.79 $369 0.0×
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $838.10 $1,700 0.2×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $261.71 $579 0.1×
Revj/rmvl peripheral neurostimulator electrode (64585) $295.61 $654 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $46.70 $86 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $57.56 $106 0.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $188.96 $348 0.1×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $356.21 $656 0.5×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $235.66 $434 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $344.80 $635 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $43.84 $97 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $37.06 $82 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $47.46 $105 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $61.02 $135 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $69.16 $153 0.2×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $32.54 $72 0.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $109.86 $216.50 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $49.27 $109 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $67.80 $150 0.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $57.86 $128 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $148.24 $273 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $58.70 $118 0.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $67.88 $125 0.3×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $175.93 $324 0.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $86.34 $159 0.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $109.14 $201 0.5×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $199.28 $367 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $51.04 $94 0.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $166.16 $306 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $84.71 $156 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $67.88 $125 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $110.23 $203 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $134.66 $248 0.3×
Spinal puncture lumbar diagnostic (62270) $161.46 $285 0.2×
Strapping shoulder (29240) $21.18 $39 0.2×
Strapping unna boot (29580) $149.22 $235 0.9×
Tangential biopsy skin single lesion (11102) $116.46 $225 0.3×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $126.52 $233 0.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $101.54 $187 0.2×
Thyroid biopsy (60100) $295.37 $596.50 0.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $281.60 $623 0.1×
Trach Tube Change (31502) $39.64 $73 0.2×
Tracheobrnchsc Thru Est Trachs Inc (31615) $107.12 $237 0.2×
Tracheostomy emergency cricothyroid membrane (31605) $380.64 $701 1.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $364.90 $672 0.2×
Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) $6,087.62 $8,260 2.2×
Treat eyelid lesion (67850) $122.49 $271 0.1×
Treat finger dislocation (26775) $390.42 $719 1.3×
Treat Fracture Radius & Ulna (25560) $286.70 $528 1.1×
Treat humerus fracture (24500) $370.87 $683 1.4×
Treat humerus fracture (24577) $570.15 $1,050 0.3×
Treat humerus fracture (23600) $349.69 $644 1.4×
Treat Metatarsal Fracture (28475) $255.75 $471 1.0×
Treat wrist bone fracture (25622) $316.57 $583 1.2×
Treatment closed elbow dislocation req anes (24605) $534.86 $985 0.3×
Treatment closed elbow dislocation w/o anes (24600) $380.64 $701 1.5×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $214.49 $395 0.8×
Trim skin lesion (11055) $64.37 $121 0.3×
Trim skin lesions 2 to 4 (11056) $89.38 $168 0.4×
Trimming Of Nondystrophic Nails, Any Number (11719) $33.52 $63 0.5×
Tx Incomplete Abortion Any Trimester Surgical (59812) $344.80 $635 0.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $212.86 $392 0.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $290.50 $535 0.2×
Tympanostomy (69433) $121.59 $269 0.2×
Vaginal delivery only (59409) $922.56 $1,699 0.3×
Venipuncture Cutdown Younger Than 1 Year (36420) $54.84 $101 0.4×
Venipuncture, cutdown; age 1 or over (36425) $45.61 $84 0.1×
Ventilating tube removal requiring general anesthesia (69424) $56.50 $125 0.0×