Procedures & surgery prices at Ohio County Hospital (Hartford, KY)

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

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Procedure	Posted cash	Posted gross	× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)	$689.50	$1,379	0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)	$506	$1,012	0.2×
Anterior colporraphy rpr cystocele w/cysto (57240)	$458	$916	0.1×
Application cast elbow finger short arm (29075) range across 3 matching MRF lines	$30–$69.50	$60–$139	varies
Application finger splint static (29130) range across 3 matching MRF lines	$15–$33.50	$30–$67	varies
Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines	$21–$55.50	$42–$111	varies
Application short leg splint calf foot (29515) range across 3 matching MRF lines	$24.50–$56	$49–$112	varies
Apply Short Leg Cast (29405) range across 3 matching MRF lines	$29.50–$73.50	$59–$147	varies
Arterial puncture (36600)	$97	$194	0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 9 matching MRF lines	$46–$464	$92–$928	varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 12 matching MRF lines	$56–$805	$112–$1,610	varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 8 matching MRF lines	$30–$445	$60–$890	varies
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure	$874.50	$1,749	0.1×
Arthrodesis subtalar (28725) likely a partial charge, not the full procedure	$682.50	$1,365	0.1×
Arthrodesis triple (28715) likely a partial charge, not the full procedure	$821	$1,642	0.1×
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure	$1,259	$2,518	0.1×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)	$665.50	$1,331	0.2×
Arthroscopy knee synovectomy limited spx (29875)	$409	$818	0.1×
Arthroscopy shoulder distal claviculectomy (29824)	$552	$1,104	0.2×
Arthroscopy shoulder surgical capsulorrhaphy (29806) likely a partial charge, not the full procedure	$884	$1,768	0.1×
Arthroscopy, knee, surgical; with lateral release (29873)	$421.50	$843	0.1×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)	$568.50	$1,137	0.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823)	$520	$1,040	0.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822)	$476	$952	0.2×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure	$761	$1,522	0.1×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure	$911	$1,822	0.1×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure	$1,202.50	$2,405	0.1×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) likely a partial charge, not the full procedure	$909	$1,818	0.1×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure	$823	$1,646	0.1×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)	$540	$1,080	0.2×
Biopsy bone open superficial (20240)	$192	$384	0.1×
Biopsy Oropharynx (42800)	$103	$206	0.1×
Bladder Scan (51798) range across 5 matching MRF lines	$12.50–$48	$25–$96	varies
Blood Transfusion Service (36430) range across 2 matching MRF lines	$326–$336	$652–$672	varies
Bone Graft Any Donor Area Major/Large (20902) likely a partial charge, not the full procedure	$502	$1,004	0.1×
Bx breast 1st lesion strtctc (19081)	$936	$1,872	0.6×
Bx breast 1st lesion us imag (19083)	$936	$1,872	0.6×
Bx Cervix (57500) range across 4 matching MRF lines	$71–$167.50	$142–$335	varies
Bx/exc lymph node open deep axillary node (38525)	$257.50	$515	0.1×
Carpal Tunnel Surgery (64721)	$318	$636	0.2×
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines	$228–$254.50	$456–$509	varies
Chest tube placement (32551)	$820	$1,640	0.6×
Claviculectomy partial (23120)	$460.50	$921	0.1×
Clear outer ear canal (69200)	$95.50	$191	0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)	$197	$394	0.1×
Closed tx patellar dislocation w/o anesthesia (27560)	$192.50	$385	0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)	$180	$360	0.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)	$820	$1,640	0.5×
Cltx iphal jt dislc w/manj w/o anes (26770)	$180	$360	0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines	$559.50–$820	$1,119–$1,640	varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)	$626.50	$1,253	0.1×
Collection of venous blood by venipuncture (36415)	$6	$12	0.6×
Colonoscopy w/submucosal inj (45381)	$318	$636	0.3×
Colpocleisis (le fort type) (57120)	$396.50	$793	0.1×
Colposcopy Cervix Endocervical Curettage (57456) range across 4 matching MRF lines	$45–$94	$90–$188	varies
Colsc flx w/removal lesion by hot bx forceps (45384)	$319.50	$639	0.3×
Combined anteroposterior colporrhaphy; (57260)	$583	$1,166	0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522)	$189.50	$379	0.1×
Control Nasal Hemorrhage Anterior Simple (30901)	$95.50	$191	0.8×
Control oropharyngeal hemorrhage simple (42960)	$154.50	$309	0.3×
Correction hammertoe (28285)	$352.50	$705	0.1×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)	$620	$1,240	0.2×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) likely a partial charge, not the full procedure	$717.50	$1,435	0.1×
Cysto calibration dilat urtl strix/stenosis (52281)	$262	$524	0.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 6 matching MRF lines	$76.50–$507.50	$153–$1,015	varies
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines	$30–$413.50	$60–$827	varies
Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines	$368.50–$2,450.50	$737–$4,901	varies
Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines	$147–$2,450.50	$294–$4,901	varies
Destruction Lesions Vulva Extensive (56515)	$220	$440	0.1×
Destruction neurolytic agt genicular nerve w/img (64624) range across 4 matching MRF lines	$180–$2,564.50	$360–$5,129	varies
Diagnostic sigmoidoscopy (45330)	$94.50	$189	0.1×
Dilate Esophagus 1/Mult Pass (43450)	$111	$222	0.1×
Drainage of hematoma/fluid (10140)	$820	$1,640	0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)	$155.50	$311	0.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 7 matching MRF lines	$246–$2,349	$492–$4,698	varies
Dx Bronchoscope/Wash (31622)	$542	$1,084	0.3×
Dx Laryngoscopy Excl Nb (31525)	$279.50	$559	0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)	$561.50	$1,123	0.3×
Egd cautery tumor polyp (43250)	$387.50	$775	0.2×
Egd control bleeding any (43255)	$530	$1,060	0.3×
Egd dilation gastric/duodenal stricture (43245)	$308.50	$617	0.2×
Egd Flexible Foreign Body Removal (43247)	$199	$398	0.2×
Egd intrmural us needle aspirate/biopsy esophags (43238)	$207.50	$415	0.1×
Egd lesion ablation (43270)	$561.50	$1,123	0.3×
Egd remove lesion snare (43251) range across 2 matching MRF lines	$260–$425	$520–$850	varies
Egd Varices Ligation (43244)	$207.50	$415	0.1×
Endoscopic injection/implant (51715)	$233	$466	0.1×
Endoscopy upper small intestine w/biopsy (44361)	$121	$242	0.1×
Ercp duct stent placement (43274) likely a partial charge, not the full procedure	$402.50	$805	0.1×
Ercp remove calculi/debris biliary/pancreas duct (43264)	$360	$720	0.1×
Ercp remove forgn body duct (43275)	$332	$664	0.2×
Ercp Stent Exchange W/Dilate (43276) likely a partial charge, not the full procedure	$419	$838	0.1×
Ercp W/Biopsy Single/Multiple (43261)	$255.50	$511	0.1×
Ercp,Sphincterotomy (43262)	$300	$600	0.1×
Exc Frenum Labial/Buccal (40819)	$245	$490	0.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)	$211.50	$423	0.1×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) likely a partial charge, not the full procedure	$824	$1,648	0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)	$1,136	$2,272	0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)	$1,026.50	$2,053	0.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)	$597.50	$1,195	0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)	$234.50	$469	0.2×
Excision Aural Polyp (69540)	$201	$402	0.1×
Excision Lingual Frenum Frenectomy (41115)	$151.50	$303	0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111)	$260	$520	0.2×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) unusually low: confirm this is the full procedure	$1,878.50	$3,757	0.3×
Excision of submandibular (submaxillary) gland (42440) likely a partial charge, not the full procedure	$463.50	$927	0.1×
Excision olecranon bursa (24105)	$271	$542	0.1×
Excision soft tissue lesion, external auditory canal (69145)	$247	$494	0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931)	$438	$876	0.3×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)	$487.50	$975	0.3×
Excision, interdigital (morton) neuroma, single, each (28080)	$368.50	$737	0.2×
Fna bx w/us gdn 1st les (10005)	$550.50	$1,101	0.8×
Hysteroscopy Biopsy (58558)	$686	$1,372	0.2×
Hysteroscopy Endometrial Ablation (58563)	$1,422.50	$2,845	0.3×
I&d abscess simple (10060)	$155.50	$311	0.8×
I&d pilonidal cyst simple (10080) range across 5 matching MRF lines	$126–$641	$252–$1,282	varies
Implant neuroelectrodes (63650) range across 2 matching MRF lines	$1,101.50–$8,600	$2,203–$17,200	varies
Implant Spine Infusion Pump (62362) likely a partial charge, not the full procedure	$381	$762	0.0×
Incise finger tendon sheath (26055)	$482.50	$965	0.3×
Incision & drainage leg/ankle abscess/hematoma (27603)	$419.50	$839	0.2×
Incision & removal foreign body subq tiss simple (10120)	$350.50	$701	0.9×
Incision extensor tendon sheath wrist (25000)	$300.50	$601	0.2×
Initial Tx 1st Degree Burn Local Tx (16000)	$155.50	$311	0.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines	$71–$1,149	$142–$2,298	varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)	$112	$224	0.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 8 matching MRF lines	$48.50–$469	$97–$938	varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)	$98	$196	0.1×
Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines	$887–$1,774	$1,774–$3,548	varies
Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines	$45.50–$231.50	$91–$463	varies
Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines	$52.50–$238	$105–$476	varies
Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines	$98.50–$1,149	$197–$2,298	varies
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines	$75–$887	$150–$1,774	varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines	$887–$906.50	$1,774–$1,813	varies
Insert Nasal Septal Button (30220)	$270.50	$541	0.2×
Insert non-tunnel cv cath (36556)	$1,843	$3,686	0.6×
Insert Temp Bladder Cath (51702)	$95.50	$191	0.8×
Insert tunneled cv cath (36561)	$921.50	$1,843	0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)	$820	$1,640	0.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure	$342	$684	0.0×
Insrt/Redo Neurostim 1 Array (61885) likely a partial charge, not the full procedure	$729.50	$1,459	0.0×
Intubation endotracheal emergency procedure (31500)	$179.50	$359	0.8×
Lap paraesophag hern repair (43281) likely a partial charge, not the full procedure	$1,202	$2,404	0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines	$321.50–$643	$643–$1,286	varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) likely a partial charge, not the full procedure	$1,409	$2,818	0.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure	$840	$1,680	0.1×
Laparoscopy W/Lysis Of Adhesions (58660) likely a partial charge, not the full procedure	$510	$1,020	0.1×
Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure	$488.50	$977	0.1×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure	$934	$1,868	0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure	$537	$1,074	0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure	$256.50	$513	0.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure	$244.50	$489	0.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure	$532	$1,064	0.1×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571)	$695.50	$1,391	0.2×
Laryngoscopy and dilation (31528)	$315	$630	0.1×
Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines	$34.50–$80	$69–$160	varies
Laryngoscopy w/biopsy microscope/telescope (31536)	$155.50	$311	0.0×
Larynscop w/tumr exc + scope (31541)	$194.50	$389	0.1×
Lateral retinacular release open (27425)	$360.50	$721	0.1×
Ligamentous Reconstruction Knee Extra-Articular (27427) likely a partial charge, not the full procedure	$766	$1,532	0.1×
Manipulation knee joint under general anesthesia (27570)	$120	$240	0.1×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines	$820–$933	$1,640–$1,866	varies
Myringoplasty (69620)	$465	$930	0.1×
N block inj intercost sng (64420)	$887	$1,774	1.3×
Nasal Endoscopy Dx (31231)	$125	$250	0.7×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)	$445.50	$891	0.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)	$228.50	$457	0.1×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239)	$1,390.50	$2,781	0.4×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) likely a partial charge, not the full procedure	$927	$1,854	0.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) likely a partial charge, not the full procedure	$296.50	$593	0.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)	$401	$802	0.3×
Needle Biopsy Lymph Nodes (38505)	$2,049.50	$4,099	1.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)	$439	$878	0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines	$60–$1,149	$120–$2,298	varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)	$887	$1,774	1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines	$191.50–$887	$383–$1,774	varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) likely a partial charge, not the full procedure	$963.50	$1,927	0.1×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) likely a partial charge, not the full procedure	$899	$1,798	0.0×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) likely a partial charge, not the full procedure	$732.50	$1,465	0.0×
Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure	$645	$1,290	0.1×
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure	$1,285	$2,570	0.1×
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure	$505.50	$1,011	0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure	$562.50	$1,125	0.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure	$568.50	$1,137	0.1×
Open Tx Distal Phalangeal Fracture Each (26765)	$1,739	$3,478	0.6×
Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure	$527.50	$1,055	0.1×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure	$713.50	$1,427	0.1×
Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure	$534.50	$1,069	0.1×
Partial Excision Distal Phalanx Finger (26236)	$355.50	$711	0.2×
Partial removal of thyroid (60220) likely a partial charge, not the full procedure	$522	$1,044	0.1×
Partial removal of tongue (41120) likely a partial charge, not the full procedure	$978.50	$1,957	0.2×
Perq skel fixj distal radial fx/epiphysl sep (25606)	$548.50	$1,097	0.2×
Placement of needle for intraosseous infusion (36680)	$152.50	$305	0.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)	$518	$1,036	0.2×
Punch biopsy skin single lesion (11104) range across 3 matching MRF lines	$23.50–$90.50	$47–$181	varies
Puncture aspiration abscess hematoma bulla/cyst (10160)	$338.50	$677	0.9×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure	$737.50	$1,475	0.1×
Reconstruction Tongue Fold (41520)	$371	$742	0.1×
Removal foreign body, intranasal; requiring general anesthesia (30310)	$138	$276	0.0×
Removal impacted cerumen irrigation/lvg unilat (69209)	$48	$96	0.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines	$42–$174	$84–$348	varies
Removal Implant Deep (20680)	$478	$956	0.2×
Removal of adenoids (42835)	$232	$464	0.1×
Removal of adenoids (42830)	$270.50	$541	0.1×
Removal of nail bed (11750) range across 5 matching MRF lines	$123–$462.50	$246–$925	varies
Removal of sesamoid bone (28315)	$534	$1,068	0.2×
Removal of tonsils (42825) likely a partial charge, not the full procedure	$355.50	$711	0.1×
Removal of tonsils (42826)	$385.50	$771	0.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200)	$171	$342	0.9×
Remove Intrauterine Device (58301) range across 4 matching MRF lines	$75–$298.50	$150–$597	varies
Repair Achilles Tendon (27650) likely a partial charge, not the full procedure	$569.50	$1,139	0.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)	$269	$538	0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)	$170.50	$341	0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)	$216.50	$433	0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)	$171.50	$343	0.4×
Repair Nasal Vestibular Stenosis (30465) likely a partial charge, not the full procedure	$1,172	$2,344	0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268)	$377	$754	0.1×
Repair of Ruptured Tendon (24342) likely a partial charge, not the full procedure	$556.50	$1,113	0.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure	$509	$1,018	0.1×
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure	$590.50	$1,181	0.1×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure	$776	$1,552	0.1×
Revis reconst shoulder joint (23473) likely a partial charge, not the full procedure	$1,600	$3,200	0.1×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure	$2,002.50	$4,005	0.2×
Revision of big toe (28310) likely a partial charge, not the full procedure	$412	$824	0.1×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) likely a partial charge, not the full procedure	$2,022	$4,044	0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205)	$70	$140	0.0×
Rmvl spinal nstim eltrd prq array incl fluor (63661)	$425.50	$851	0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)	$206	$412	0.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure	$403.50	$807	0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure	$257.50	$515	0.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)	$359.50	$719	0.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)	$495.50	$991	0.2×
Shoulder Arthroscopy/Surgery (29825)	$485	$970	0.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)	$150.50	$301	0.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)	$158.50	$317	0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 5 matching MRF lines	$23–$173.50	$46–$347	varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)	$182	$364	1.0×
Skin sub graft trnk/arm/leg (15271)	$111	$222	0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)	$166.50	$333	0.9×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)	$279.50	$559	0.1×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)	$4,945.50	$9,891	0.9×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) range across 2 matching MRF lines	$4,802.50–$7,420	$9,605–$14,840	varies
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure	$486.50	$973	0.1×
Suture of quadriceps or hamstring muscle rupture primary (27385) likely a partial charge, not the full procedure	$521	$1,042	0.1×
Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines	$19–$72.50	$38–$145	varies
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure	$613.50	$1,227	0.1×
Tonsillectomy and adenoidectomy; age 12 or over (42821)	$403.50	$807	0.1×
Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure	$1,291	$2,582	0.1×
Treat Big Toe Fracture (28505)	$517	$1,034	0.2×
Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure	$572.50	$1,145	0.1×
Treatment closed elbow dislocation w/o anes (24600)	$194	$388	0.8×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)	$206	$412	0.1×
Tympanoplasty (69631) likely a partial charge, not the full procedure	$1,596.50	$3,193	0.3×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) unusually low: confirm this is the full procedure	$2,712	$5,424	0.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646)	$3,023	$6,046	0.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644)	$3,242.50	$6,485	0.6×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) unusually low: confirm this is the full procedure	$2,171.50	$4,343	0.4×
Tympanostomy general anesthesia (69436) range across 2 matching MRF lines	$116.50–$240	$233–$480	varies
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure	$270.50	$541	0.0×
Unlisted procedure femur or knee (27599)	$909	$1,818	3.9×
Unlisted procedure nervous system (64999) range across 2 matching MRF lines	$366–$1,797.50	$732–$3,595	varies
Unlisted procedure pelvis/hip joint (27299)	$695.50	$1,391	3.0×
Unlisted px female genital system nonobstetrical (58999)	$197	$394	1.0×
Ventilating tube removal requiring general anesthesia (69424)	$85	$170	0.0×

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.