Procedures & surgery prices at Ottawa County Health Center

Minneapolis, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $165 $165 0.9×
Adding Walker Previously Applied Cast (29440) $65 $65 0.4×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $1,415 $1,415 0.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $390 $390 2.6×
Application cast elbow finger short arm (29075) $125 $125 0.5×
Application Cast Finger (29086) $110 $110 0.7×
Application Finger Splint Dynamic (29131) $325 $325 6.0×
Application finger splint static (29130)
range across 2 matching MRF lines		 $65–$325 $65–$325 varies
Application long arm splint shoulder hand (29105) $120 $120 0.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $200 $200 0.8×
Application Long Leg Splint (29505) $125 $125 0.8×
Application of cylinder cast (thigh to ankle) (29365) $175 $175 0.7×
Application of long leg cast (29345) $190 $190 0.7×
Application Patellar Tendon Bearing Cast (29435) $160 $160 0.6×
Application Short Arm Splint Dynamic (29126) $110 $110 0.9×
Application short arm splint forearm-hand static (29125) $95 $95 0.8×
Application short leg splint calf foot (29515) $105 $105 0.7×
Apply hand/wrist cast (29085) $115 $115 0.8×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $140–$1,350 $140–$1,350 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $390–$780 $390–$780 varies
Apply Short Leg Cast (29405) $120 $120 0.5×
Apply short leg cast (29425) $110 $110 0.4×
Arterial puncture (36600)
range across 2 matching MRF lines		 $92–$102 $92–$102 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $85–$458 $85–$458 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $100–$531 $100–$531 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $85 $85 0.3×
Aspirate/Inj Ganglion Cyst (20612) $95 $95 0.3×
Aspiration & Injection Treatment Bone Cyst (20615) $360 $360 0.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $225–$310 $225–$310 varies
Biopsy external ear (69100) $140 $140 0.6×
Biopsy nail unit (11755) $180 $180 0.3×
Biopsy of breast; open, incisional (19101) $455 $455 0.1×
Biopsy Vaginal Mucosa Extensive (57105) $250 $250 0.1×
Biopsy Vaginal Mucosa Simple (57100) $150 $150 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $140 $140 0.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $95–$431 $95–$431 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $111–$127 $111–$127 varies
Blepharotomy drainage abscess eyelid (67700) $400 $400 1.4×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $1,654–$1,733 $1,654–$1,733 varies
Bx breast needle core w/o imaging guidance spx (19100) $220 $220 0.1×
Bx Cervix (57500) $220 $220 0.3×
Catheter aspiration nasotracheal spx (31720) $965 $965 4.8×
Cautery Cervix Cryocautery Initial/Repeat (57511) $280 $280 1.0×
Cautery Cervix Electro/Thermal (57510) $240 $240 0.1×
Change Cystostomy Tube Simple (51705) $215 $215 0.9×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $135–$545 $135–$545 varies
Clear outer ear canal (69200) $120 $120 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,010 $2,010 1.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $2,010 $2,010 8.9×
Closed tx knee dislocation w/o anesthesia (27550) $1,125 $1,125 5.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,139 $1,139 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,250 $1,250 5.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $520 $520 0.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $325 $325 1.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $485 $485 2.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $445 $445 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $265 $265 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $773 $773 3.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,125 $1,125 4.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $400 $400 1.8×
Cltx metacarpal fx w/manipulation each bone (26605) $465 $465 2.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $420 $420 1.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $590 $590 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $475 $475 2.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $285 $285 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,139 $1,139 5.0×
Collect Blood From Catheter Venous Nos (36592) $205 $205 1.7×
Collection of venous blood by venipuncture (36415) $16 $16 1.7×
Colpocleisis (le fort type) (57120) $735 $735 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $240 $240 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $180 $180 1.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $225 $225 0.8×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $445 $445 0.1×
Colposcopy entire vagina w/cervix if present (57420) $185 $185 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,850 $1,850 1.7×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $365–$5,230 $365–$5,230 varies
Control Nasal Hemorrhage Anterior Complex (30903) $350 $350 2.9×
Control Nasal Hemorrhage Anterior Simple (30901) $225 $225 1.8×
Correction of trichiasis; epilation, by forceps only (67820) $35 $35 0.3×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $85 $85 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $490 $490 4.0×
Cysto calibration dilat urtl strix/stenosis (52281) $400 $400 0.2×
Cystourethroscopy (52000) $800 $800 1.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $90 $90 0.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $625 $625 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $280 $280 0.4×
Debride nail 1-5 (11720) $55 $55 1.0×
Debride nail 6 or more (11721) $70 $70 1.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $370–$2,500 $370–$2,500 varies
Debridement Mastoidectomy Cavity Simple (69220) $110 $110 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $159–$630 $159–$630 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $165–$350 $165–$350 varies
Destruction Benign Lesions 15/> (17111) $190 $190 1.0×
Destruction Lesions Vulva Extensive (56515) $390 $390 0.2×
Destruction Lesions Vulva Simple (56501) $275 $275 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $255 $255 1.4×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $290 $290 1.6×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $390 $390 0.6×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $490 $490 0.7×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $210 $210 1.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $255 $255 1.4×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $275 $275 1.5×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $205 $205 1.1×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $210 $210 1.1×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $240 $240 1.3×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $265 $265 1.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $145 $145 0.8×
Destruction of skin lesions (17106) $475 $475 1.3×
Destruction Premalignant Lesion 15/> (17004) $240 $240 0.6×
Destruction premalignant lesion 1st (17000) $100 $100 0.5×
Destruction Vaginal Lesions Simple (57061) $240 $240 0.1×
Diagnostic sigmoidoscopy (45330) $1,125 $1,125 1.3×
Diaphragm or cervical cap fitting with instructions (57170) $120 $120 0.6×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $245 $245 2.1×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $110 $110 0.9×
Dilat Urethral Strix Dilator Male Sbsq (53601) $130 $130 1.1×
Dilate Urethra Stricture (53620) $210 $210 0.3×
Dilate Urethra Stricture (53600) $465 $465 2.0×
Drainage external auditory canal abscess (69020) $330 $330 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $305 $305 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $260 $260 0.4×
Drainage Finger Abscess Complicated (26011) $675 $675 0.4×
Drainage of finger abscess simple (26010) $485 $485 2.6×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $240–$1,645 $240–$1,645 varies
Drainage of scrotal wall abscess (55100) $325 $325 0.2×
Draw Blood Off Venous Device (36591) $180 $180 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $520 $520 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $520 $520 2.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $520 $520 2.8×
Dstrj Lesion Penis Simple Chemical (54050) $205 $205 0.5×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $155 $155 0.1×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,423 $1,423 0.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,183 $2,183 1.2×
Egd cautery tumor polyp (43250) $1,637 $1,637 0.9×
Egd Flexible Foreign Body Removal (43247) $1,820 $1,820 2.2×
Egd remove lesion snare (43251) $1,886 $1,886 1.1×
Endocervical curettage (57505) $220 $220 0.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $85–$100 $85–$100 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $185–$1,090 $185–$1,090 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $290–$2,270 $290–$2,270 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $895 $895 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $330–$910 $330–$910 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $375–$2,000 $375–$2,000 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $535–$1,820 $535–$1,820 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $205–$1,085 $205–$1,085 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $245–$1,085 $245–$1,085 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $270–$1,700 $270–$1,700 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $320–$1,950 $320–$1,950 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $395–$2,655 $395–$2,655 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $185–$2,495 $185–$2,495 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $225–$1,085 $225–$1,085 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $210–$2,495 $210–$2,495 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $275–$1,095 $275–$1,095 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $330–$2,490 $330–$2,490 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $460–$2,605 $460–$2,605 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $440–$2,870 $440–$2,870 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $535–$4,000 $535–$4,000 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $410–$2,495 $410–$2,495 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $560–$4,260 $560–$4,260 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $615–$2,765 $615–$2,765 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $220–$625 $220–$625 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $245–$1,095 $245–$1,095 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $315–$2,095 $315–$2,095 varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $710 $710 0.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $720 $720 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $390–$1,085 $390–$1,085 varies
Excision Chalazion Single (67800) $185 $185 0.6×
Excision H/P/P/U Complex Repair (11471) $750 $750 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $630 $630 0.2×
Excision lesion tendon sheath forearm&/wrist (25110) $480 $480 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 3 matching MRF lines		 $280–$2,000 $280–$2,000 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $320–$1,085 $320–$1,085 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $340–$625 $340–$625 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $430–$1,085 $430–$1,085 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $330–$700 $330–$700 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $435–$1,435 $435–$1,435 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $695–$2,625 $695–$2,625 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines		 $280–$2,495 $280–$2,495 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $320–$1,085 $320–$1,085 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $350–$1,085 $350–$1,085 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $465–$2,495 $465–$2,495 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111) $450 $450 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $500 $500 0.2×
Excision of vaginal cyst or tumor (57135) $350 $350 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,065 $1,065 0.4×
Excision/curettage cyst/tumor phalanx finger (26210) $620 $620 0.4×
Explo/Drain Breast Abscess (19020) $645 $645 0.4×
Exploration penetrating wound spx extremity (20103) $458 $458 0.3×
Fetal non-stress test (59025) $35 $35 0.2×
Fine needle aspiration without imaging guidance (10021) $145 $145 0.4×
I&d abscess simple (10060) $180 $180 1.0×
I&d pilonidal cyst complicated (10081) $485 $485 0.7×
I&d pilonidal cyst simple (10080) $360 $360 0.6×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $300–$2,055 $300–$2,055 varies
Incision & removal foreign body subq tiss compl (10121) $370 $370 0.2×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $215–$415 $215–$415 varies
Incision and drainage of bartholin's gland abscess (56420) $265 $265 1.4×
Incision and drainage of vulva or perineal abscess (56405) $210 $210 0.7×
Incisional biopsy eyelid skin & lid margin (67810) $260 $260 0.9×
Incisional biopsy skin single lesion (11106) $225 $225 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $400 $400 2.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $275–$750 $275–$750 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $90 $90 0.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $180 $180 0.3×
Injection enzyme palmar fascial cord (20527) $130 $130 0.5×
Injection single tendon origin/insertion (20551) $90 $90 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $85 $85 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $95 $95 0.3×
Injection therapeutic carpal tunnel (20526) $120 $120 0.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $110 $110 0.2×
Injection, Intralesional; More Than 7 Lesions (11901) $105 $105 0.6×
Injection, intralesional; up to and including 7 lesions (11900) $85 $85 0.5×
Insert Bladder Cath Complex (51703) $180 $180 1.5×
Insert Drug Implant Device (11981) $224 $224 1.8×
Insert pessary/other device (57160) $110 $110 0.6×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $70–$204 $70–$204 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $110–$204 $110–$204 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,360 $2,360 1.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,250 $4,250 1.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $695 $695 1.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $795 $795 2.1×
Intubation endotracheal emergency procedure (31500) $345 $345 1.6×
Mastectomy partial (19301) $895 $895 0.2×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,285 $1,285 0.2×
N block inj intercost sng (64420) $145 $145 0.2×
N Block Inj Plantar Digit (64455) $75 $75 0.3×
Nasal/Orogastric W/Tube Plmt (43752) $310 $310 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $25 $25 0.9×
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $35–$60 $35–$60 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $160 $160 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $250–$970 $250–$970 varies
Open Tx Distal Phalangeal Fracture Each (26765) $2,910 $2,910 1.0×
Placement of needle for intraosseous infusion (36680) $379 $379 0.9×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $180–$630 $180–$630 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $185–$1,315 $185–$1,315 varies
Puncture Aspiration Cyst Breast (19000) $150 $150 0.2×
Reconstruction Nail Bed W/Graft (11762) $405 $405 0.2×
Removal foreign body foot deep (28192) $1,735 $1,735 1.1×
Removal Foreign Body Foot Subcutaneous (28190) $2,755 $2,755 4.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $845 $845 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $30 $30 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $70 $70 1.3×
Removal implantable contraceptive capsules (11976) $205 $205 0.3×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $230–$630 $230–$630 varies
Removal or bivalving full arm or full leg cast (29705) $95 $95 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $130–$300 $130–$300 varies
Removal sweat gland lesion (11450) $600 $600 0.2×
Removal/bivalving gauntlet boot/body cast (29700) $95 $95 0.4×
Remove drug implant device (11982) $160 $160 0.4×
Remove Forearm Foreign Body (25248) $580 $580 0.4×
Remove foreign body from eye (65205) $50 $50 0.4×
Remove Intrauterine Device (58301) $160 $160 0.6×
Remove Nasal Foreign Body (30300) $295 $295 2.4×
Remove Tendon Sheath Lesion (26160) $855 $855 0.6×
Remove/Insert Drug Implant (11983) $200 $200 0.5×
Repair bladder neck (51845) $955 $955 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $590 $590 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $690 $690 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $540 $540 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $655 $655 1.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $495 $495 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $590 $590 1.6×
Repair complex trunk 1.1-2.5 cm (13100) $475 $475 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $555 $555 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $395 $395 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $440–$750 $440–$750 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $505 $505 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $535 $535 1.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $840 $840 2.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $565 $565 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $370 $370 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $435 $435 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $530 $530 0.8×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $750 $750 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $535 $535 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $370 $370 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $420 $420 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $595 $595 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $465 $465 1.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $665 $665 0.4×
Repair of nail bed (11760) $265 $265 0.4×
Revise ulnar nerve at wrist (64719) $560 $560 0.3×
Revision of urethra (57220) $485 $485 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $140 $140 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $90 $90 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $100 $100 0.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $60 $60 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,335 $1,335 2.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $240 $240 1.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $685 $685 1.0×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $150–$630 $150–$630 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $170–$305 $170–$305 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 2 matching MRF lines		 $260–$515 $260–$515 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $155–$305 $155–$305 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $105–$175 $105–$175 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $105–$205 $105–$205 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 2 matching MRF lines		 $215–$515 $215–$515 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $105–$195 $105–$195 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $105–$220 $105–$220 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $175–$305 $175–$305 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $220–$515 $220–$515 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $200–$305 $200–$305 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $305 $305 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $160 $160 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $165 $165 0.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $210 $210 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $205 $205 1.1×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $240 $240 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $135 $135 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $325 $325 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $185 $185 1.0×
Skin sub graft face/nk/hf/g (15275) $6,190 $6,190 9.1×
Skin sub graft trnk/arm/leg (15271) $4,165 $4,165 6.1×
Skin sub grft t/arm/lg child (15273) $3,415 $3,415 1.8×
Skn sub grft f/n/hf/g child (15277) $1,120 $1,120 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $160 $160 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $245 $245 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $290 $290 0.8×
Strapping elbow or wrist (29260) $50 $50 0.9×
Strapping hand/finger (29280) $50 $50 0.9×
Strapping shoulder (29240) $55 $55 0.4×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $95–$390 $95–$390 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $150–$310 $150–$310 varies
Thrombolytic Therapy Stroke (37195) $400 $400 1.3×
Treat Knuckle Dislocation (26700) $470 $470 2.1×
Treat metacarpal fracture (26607) $705 $705 0.2×
Treat Thumb Dislocation (26641) $580 $580 2.6×
Treat Thumb Fracture (26645) $600 $600 0.4×
Treat Vaginal Bleeding (57180) $285 $285 1.5×
Treatment closed elbow dislocation w/o anes (24600) $1,125 $1,125 5.0×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $105–$310 $105–$310 varies
Trim skin lesions 2 to 4 (11056) $120 $120 0.7×
Trim skin lesions over 4 (11057) $135 $135 0.7×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $30–$110 $30–$110 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $420 $420 0.6×
Tx superficial wound dehiscence w/packing (12021) $250 $250 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250) $470 $470 0.2×
Wedge excision skin nail fold (11765) $235 $235 0.6×

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.