Procedures & surgery prices at Okeene Municipal Hospital
Okeene, OK · every code in this section with a posted price and a Medicare benchmark.
301 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $608.80 | $761 | 0.7× |
| Amputation toe metatarsophalangeal joint (28820) | $897.60 | $1,122 | 0.3× |
| Anoscopy diagnostic (46600) | $112 | $140 | 0.9× |
| Appendectomy (44950) unusually low: confirm this is the full procedure |
$2,011.20 | $2,514 | 0.3× |
| Application cast elbow finger short arm (29075) | $122.40 | $153 | 0.5× |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$95.20–$100 | $119–$125 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$86.40–$94.40 | $108–$118 | varies |
| Application long arm splint shoulder hand (29105) | $139.20 | $174 | 0.9× |
| Application Long Leg Splint (29505) | $119.20 | $149 | 0.8× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$124–$129.60 | $155–$162 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$100–$188.80 | $125–$236 | varies |
| Apply hand/wrist cast (29085) | $194.40 | $243 | 1.2× |
| Apply long arm cast (29065) | $168 | $210 | 0.6× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$60–$1,144.80 | $75–$1,431 | varies |
| Apply Short Leg Cast (29405) | $127.20 | $159 | 0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$87.20–$277.60 | $109–$347 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$108–$162.40 | $135–$203 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$80–$277.60 | $100–$347 | varies |
| Aspirate pleura w/ imaging (32555) | $1,533.60 | $1,917 | 2.5× |
| Aspirate/Inj Ganglion Cyst (20612) | $87.20 | $109 | 0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$158.40–$176.80 | $198–$221 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $154.40 | $193 | 0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $251.20 | $314 | 0.5× |
| Blepharoplasty upper eyelid (15822) | $877.60 | $1,097 | 0.4× |
| Blepharotomy drainage abscess eyelid (67700) | $410.40 | $513 | 1.3× |
| Blood Transfusion Service (36430) | $772 | $965 | 1.8× |
| Bx/exc lymph node open superficial (38500) | $785.60 | $982 | 0.2× |
| Carpal Tunnel Surgery (64721) | $1,236 | $1,545 | 0.7× |
| Cautery Cervix Electro/Thermal (57510) | $265.60 | $332 | 0.1× |
| Chemical Cautery Tissue (17250) | $205.60 | $257 | 1.1× |
| Chest tube placement (32551) | $2,778.40 | $3,473 | 1.8× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$272–$690.40 | $340–$863 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $102.40 | $128 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $776.80 | $971 | 0.5× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$230.40–$241.60 | $288–$302 | varies |
| Closed Treatment Sesamoid Fracture (28530) | $156 | $195 | 0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $462.40 | $578 | 1.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $634.40 | $793 | 2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$517.60–$542.40 | $647–$678 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $356 | $445 | 0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $317.60 | $397 | 0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $514.40 | $643 | 2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $675.20 | $844 | 2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) | $715.20 | $894 | 0.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $751.20 | $939 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$635.20–$640.80 | $794–$801 | varies |
| Closed tx talus fracture w/o manipulation (28430) | $332 | $415 | 1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $137.60 | $172 | 0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $598.40 | $748 | 2.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$569.60–$597.60 | $712–$747 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,108.80–$1,163.20 | $1,386–$1,454 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $742.40 | $928 | 3.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $476.80 | $596 | 2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $706.40 | $883 | 3.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$442.40–$482.40 | $553–$603 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$692–$912 | $865–$1,140 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $848.80 | $1,061 | 0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $315.20 | $394 | 1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $444 | $555 | 1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $756 | $945 | 3.2× |
| Cltx Medial Ankle Fx (27760) | $465.60 | $582 | 2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $450.40 | $563 | 1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$570.40–$598.40 | $713–$748 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $580.80 | $726 | 0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $470.40 | $588 | 2.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $416.80 | $521 | 1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) | $416 | $520 | 1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $273.60 | $342 | 1.2× |
| Cltx tibial shaft fx w/o manipulation (27750) | $482.40 | $603 | 2.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $1,424.80 | $1,781 | 6.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$440.80–$828 | $551–$1,035 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $239.20 | $299 | 1.9× |
| Collection of venous blood by venipuncture (36415) | $19.20 | $24 | 2.1× |
| Colonoscopy w/submucosal inj (45381) | $660.80 | $826 | 0.6× |
| Complex drainage wound (10180) | $2,604 | $3,255 | 0.9× |
| Conization of cervix (57520) | $480 | $600 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $195.20 | $244 | 1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$136.80–$155.20 | $171–$194 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $583.20 | $729 | 0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $256 | $320 | 2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $329.60 | $412 | 1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$371.20–$575.20 | $464–$719 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$42.40–$50.40 | $53–$63 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$50.40–$61.60 | $63–$77 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $772.80 | $966 | 0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$136–$432.80 | $170–$541 | varies |
| Destruct B9 Lesion 1-14 (17110) | $169.60 | $212 | 0.9× |
| Destruction Lesions Vulva Simple (56501) | $320 | $400 | 0.2× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$18.54–$101.60 | $23.17–$127 | varies |
| Destruction Vaginal Lesions Simple (57061) | $276 | $345 | 0.1× |
| Diagnostic sigmoidoscopy (45330) | $192 | $240 | 0.2× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $122.40 | $153 | 1.0× |
| Dilat rct strix spx under anes oth/thn local (45910) | $740.80 | $926 | 0.6× |
| Dilate Urethra Stricture (53600) | $144 | $180 | 0.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$408.80–$690.40 | $511–$863 | varies |
| Drainage of finger abscess simple (26010) | $312 | $390 | 1.6× |
| Drainage of gum lesion (41800) | $672 | $840 | 5.3× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$208.80–$1,512 | $261–$1,890 | varies |
| Drainage of hydrocele (55000) | $207.20 | $259 | 0.3× |
| Draw Blood Off Venous Device (36591) | $239.20 | $299 | 1.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $462.40 | $578 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$421.60–$533.60 | $527–$667 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$336–$412 | $420–$515 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$176–$201.60 | $220–$252 | varies |
| Dstrj lesion anus simple cryosurgery (46916) | $337.60 | $422 | 1.7× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $308.80 | $386 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $510.40 | $638 | 0.3× |
| Endometrial Biopsy (58100) | $262.40 | $328 | 1.3× |
| Evacuation of subungual hematoma (11740) | $121.60 | $152 | 1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $169.60 | $212 | 0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $280 | $350 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $316.80 | $396 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $367.20 | $459 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $548.80 | $686 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$188.80–$302.40 | $236–$378 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$231.20–$388 | $289–$485 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$257.60–$433.60 | $322–$542 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $314.40 | $393 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $399.20 | $499 | 0.3× |
| Exc Frenum Labial/Buccal (40819) | $688 | $860 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $168 | $210 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$316.80–$473.60 | $396–$592 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$236.80–$473.60 | $296–$592 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $785.60 | $982 | 0.5× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $491.20 | $614 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $255.20 | $319 | 0.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$320–$556 | $400–$695 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $460.80 | $576 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $538.40 | $673 | 0.3× |
| Exc Skin Benig >4cm Face,Facial (11446) | $536 | $670 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $398.40 | $498 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $564 | $705 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $756.80 | $946 | 0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$200–$294.40 | $250–$368 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$220.80–$367.20 | $276–$459 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$291.20–$479.20 | $364–$599 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $365.60 | $457 | 0.5× |
| Excision Lingual Frenum Frenectomy (41115) | $425.60 | $532 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $253.60 | $317 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $283.20 | $354 | 0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $316 | $395 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $405.60 | $507 | 0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $262.40 | $328 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $439.20 | $549 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $731.20 | $914 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $253.60 | $317 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $296 | $370 | 0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $332.80 | $416 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $452.80 | $566 | 0.3× |
| Excision of bartholin's gland or cyst (56740) | $454.40 | $568 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $977.60 | $1,222 | 0.6× |
| Excision of hydrocele; bilateral (55041) | $563.20 | $704 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $521.60 | $652 | 0.2× |
| Excision of single external papilla or tag, anus (46220) | $244 | $305 | 0.2× |
| Excision olecranon bursa (24105) | $1,007.20 | $1,259 | 0.3× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $3,410.40 | $4,263 | 0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $804 | $1,005 | 0.5× |
| Explore/Treat Knee Joint (27331) | $526.40 | $658 | 0.2× |
| Fasciotomy palmar percutaneous (26040) | $913.60 | $1,142 | 0.6× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$577.60–$1,039.20 | $722–$1,299 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $947.20 | $1,184 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $225.60 | $282 | 0.3× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$231.20–$282.40 | $289–$353 | varies |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $604 | $755 | 0.2× |
| I&d pilonidal cyst simple (10080) | $249.60 | $312 | 0.4× |
| Incise external hemorrhoid (46083) | $267.20 | $334 | 1.1× |
| Incise finger tendon sheath (26055) | $404 | $505 | 0.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$264–$440.80 | $330–$551 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$302.40–$378.40 | $378–$473 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $211.20 | $264 | 1.1× |
| Incision and drainage of vulva or perineal abscess (56405) | $307.20 | $384 | 1.0× |
| Incision of lingual frenum (frenotomy) (41010) | $305.60 | $382 | 0.2× |
| Incision of rectal abscess (46040) | $670.40 | $838 | 0.6× |
| Incision&drainage bursa foot (28001) | $234.40 | $293 | 0.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $446.40 | $558 | 0.3× |
| Incisional biopsy skin single lesion (11106) | $588 | $735 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$134.40–$168 | $168–$210 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $121.60 | $152 | 0.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $174.40 | $218 | 0.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $161.60 | $202 | 0.2× |
| Injection anesthetic agent suprascapular nerve (64418) | $220.80 | $276 | 0.3× |
| Injection single tendon origin/insertion (20551) | $101.60 | $127 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $100 | $125 | 0.3× |
| Injection therapeutic carpal tunnel (20526) | $109.60 | $137 | 0.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$108–$168 | $135–$210 | varies |
| Insert and remove bone pin (20650) | $277.60 | $347 | 0.1× |
| Insert Drug Implant Device (11981) | $181.60 | $227 | 1.4× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$152–$203.20 | $190–$254 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$128.80–$319.20 | $161–$399 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $564.80 | $706 | 1.4× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $286.40 | $358 | 1.3× |
| Intubation endotracheal emergency procedure (31500) | $741.60 | $927 | 3.3× |
| Late closure of wound (13160) | $665.60 | $832 | 0.2× |
| Ligation of hemorrhoids (46946) | $306.40 | $383 | 0.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $280.80 | $351 | 0.1× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$3,012.80 | $3,766 | 0.5× |
| Muscle/tendon transfer upper arm/elbow single (24301) likely a partial charge, not the full procedure |
$782.40 | $978 | 0.1× |
| N Block Inj Paracervical (64435) | $217.60 | $272 | 0.3× |
| N Block Inj Plantar Digit (64455) | $109.60 | $137 | 0.4× |
| Nasal/Orogastric W/Tube Plmt (43752) | $300 | $375 | 0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $203.20 | $254 | 0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 3 matching MRF lines |
$204–$216 | $255–$270 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $236 | $295 | 0.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $295.20 | $369 | 0.8× |
| Njx Sclrsnt Spider Veins (36468) | $118.40 | $148 | 0.3× |
| Occipital Nerve Block (64405) | $168 | $210 | 0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $459.20 | $574 | 0.1× |
| Placement of needle for intraosseous infusion (36680) | $171.20 | $214 | 0.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $312.80 | $391 | 0.1× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$131.20–$378.40 | $164–$473 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$175.20–$378.40 | $219–$473 | varies |
| Puncture Aspiration Cyst Breast (19000) | $133.60 | $167 | 0.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $892 | $1,115 | 0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$316–$655.20 | $395–$819 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $282.40 | $353 | 0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$69.34–$104 | $86.67–$130 | varies |
| Removal Implant Deep (20680) | $332.80 | $416 | 0.1× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$289.60–$536.80 | $362–$671 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $208 | $260 | 1.1× |
| Remove drug implant device (11982) | $217.60 | $272 | 0.5× |
| Remove Forearm Foreign Body (25248) | $593.60 | $742 | 0.4× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$138.40–$144 | $173–$180 | varies |
| Remove Intrauterine Device (58301) | $268.80 | $336 | 0.9× |
| Remove Nasal Foreign Body (30300) | $352 | $440 | 2.8× |
| Remove Tendon Sheath Lesion (26160) | $760.80 | $951 | 0.5× |
| Remove/Insert Drug Implant (11983) | $386.40 | $483 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $769.60 | $962 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$847.20–$924 | $1,059–$1,155 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$776–$1,433.60 | $970–$1,792 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $595.20 | $744 | 1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$521.60–$644.80 | $652–$806 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $496.80 | $621 | 0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $595.20 | $744 | 0.8× |
| Repair Finger/Hand Tendon (26350) | $967.20 | $1,209 | 0.3× |
| Repair Hand Tendon (26410) | $772.80 | $966 | 0.5× |
| Repair initial femoral hernia, any age; reducible (49550) | $521.60 | $652 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $358.40 | $448 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $387.20 | $484 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $416.80 | $521 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $453.60 | $567 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$483.20–$509.60 | $604–$637 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$380.80–$602.40 | $476–$753 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $416.80 | $521 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $521.60 | $652 | 1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $430.40 | $538 | 1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$400–$639.20 | $500–$799 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $582.40 | $728 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $390.40 | $488 | 1.0× |
| Repair of nail bed (11760) | $289.60 | $362 | 0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $268.80 | $336 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$120.80–$127.20 | $151–$159 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$451.20–$530.40 | $564–$663 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $408.80 | $511 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $383.20 | $479 | 2.0× |
| Shave skin lesion 0.5 cm/< (11300) | $92.80 | $116 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $116 | $145 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $211.20 | $264 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$7.20–$95.20 | $9–$119 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $133.60 | $167 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $154.40 | $193 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $144 | $180 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $164 | $205 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $124.80 | $156 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $176.80 | $221 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $147.20 | $184 | 0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $236 | $295 | 0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $451.20 | $564 | 1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$352.80–$371.20 | $441–$464 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$407.20–$426.40 | $509–$533 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$172.80–$303.20 | $216–$379 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$198.40–$359.20 | $248–$449 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$348–$479.20 | $435–$599 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$454.40–$477.60 | $568–$597 | varies |
| Skin sub graft trnk/arm/leg (15271) | $2,579.20 | $3,224 | 3.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$211.20–$403.20 | $264–$504 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$220.80–$340.80 | $276–$426 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$297.60–$425.60 | $372–$532 | varies |
| Spinal puncture lumbar diagnostic (62270) | $194.40 | $243 | 0.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $709.60 | $887 | 0.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $604 | $755 | 0.3× |
| Strapping ankle (29540) | $305.60 | $382 | 2.0× |
| Strapping elbow or wrist (29260) | $120.80 | $151 | 2.1× |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$69.60–$109.60 | $87–$137 | varies |
| Strapping knee (29530) | $240.80 | $301 | 1.9× |
| Strapping shoulder (29240) | $234.40 | $293 | 1.8× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$16–$126.40 | $20–$158 | varies |
| Tangential biopsy skin single lesion (11102) | $220 | $275 | 0.6× |
| Therapeutic plasma exchange (36514) | $581.60 | $727 | 0.4× |
| Treat humerus fracture (24500) | $488.80 | $611 | 2.1× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$798.40–$832.80 | $998–$1,041 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,073.60 | $1,342 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$542.40–$762.40 | $678–$953 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$66.40–$184.80 | $83–$231 | varies |
| Trim skin lesions 2 to 4 (11056) | $184.80 | $231 | 1.0× |
| Trim skin lesions over 4 (11057) | $184.80 | $231 | 1.0× |
| Trimming Nondystrophic Nails Any Number (11719) | $59.20 | $74 | 1.0× |
| Tx Gastro Intub W/Asp (43753) | $160 | $200 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $584 | $730 | 0.8× |
| Unlisted procedure nervous system (64999) | $236 | $295 | 0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $640.80 | $801 | 0.3× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$172–$207.20 | $215–$259 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.