Procedures & surgery prices at Munson Healthcare Paul Oliver Memorial Hospital

Frankfort, MI · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$1,584.40–$1,644.75 $1,864–$1,935 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,352.35 $1,591 1.5×
Ablate inf turbinate submuc (30802) $2,611.88 $3,072.80 1.7×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,913.12 $3,427.20 1.9×
Amputation toe interphalangeal joint (28825) $4,532.20 $5,332 1.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $292.40 $344 1.8×
Application cast elbow finger short arm (29075) $127.50 $150 0.5×
Application finger splint static (29130) $294.10 $346 2.2×
Application long arm splint shoulder hand (29105) $557.60 $656 3.4×
Application Long Leg Splint (29505) $459 $540 2.8×
Application of long leg cast (29345) $394.40 $464 1.4×
Application Short Arm Splint Dynamic (29126) $165.75 $195 1.3×
Application short arm splint forearm-hand static (29125) $557.60 $656 4.2×
Application short leg splint calf foot (29515) $506.60 $596 3.1×
Apply Multlay Comprs Lwr Leg (29581) $343.40 $404 2.1×
Apply Short Leg Cast (29405) $483.65 $569 1.7×
Arterial puncture (36600)
range across 8 matching MRF lines
$231.20–$242.25 $272–$285 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $990.25 $1,165 3.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 20 matching MRF lines
$822.80–$847.45 $968–$997 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $630.70 $742 2.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 20 matching MRF lines
$874.65–$901 $1,029–$1,060 varies
Aspirate pleura w/ imaging (32555) $1,586.10 $1,866 2.5×
Aspiration bladder insert suprapubic catheter (51102) $4,091.90 $4,814 2.0×
Aspiration Bladder Needle (51100) $608.60 $716 2.4×
Avulsion nail plate partial/complete simple 1 (11730) $360.40 $424 1.8×
Biopsy Nasopharynx Visible Lesion Simple (42804) $3,695.80 $4,348 1.1×
Biopsy of upper nose/throat (42806) $2,937.60 $3,456 0.9×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $4,587.45 $5,397 1.3×
Biopsy Salivary Gland Incisional (42405) $3,795.08 $4,464.80 2.5×
Biopsy Tongue Anterior Two-Thirds (41100) $1,353.20 $1,592 2.5×
Biopsy Tongue Posterior One-Third (41105) $2,896.80 $3,408 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $171.70 $202 0.2×
Bladder Irrigation (51700) $363.80 $428 1.5×
Bladder Scan (51798) $297.50 $350 5.1×
Blood Transfusion Service (36430) $1,035.30 $1,218 2.4×
Blood/Lymph System Procedure (38999) $2,840.70 $3,342 6.5×
Bone Marrow; Aspiration Only (38220) $1,655.80 $1,948 1.0×
Bronchoscopy Clear Airways (31645) $2,159.85 $2,541 1.2×
Bx breast needle core w/o imaging guidance spx (19100) $1,947.52 $2,291.20 1.2×
Catheter aspiration nasotracheal spx (31720) $369.75 $435 1.7×
Change Cystostomy Tube Simple (51705) $588.20 $692 2.4×
Chemical Cautery Tissue (17250) $368.90 $434 1.8×
Chest tube placement (32551) $317.90 $374 0.2×
Clear outer ear canal (69200) $274.55 $323 2.1×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,320.50 $2,730 1.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $542.30 $638 2.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,205.75 $2,595 1.4×
Closed tx patellar dislocation w/o anesthesia (27560) $278.80 $328 1.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,096.95 $2,467 1.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $495.55 $583 2.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $459.85 $541 1.9×
Closed tx talotarsal joint dislc w/o anes (28570) $391 $460 1.6×
Closed Tx Talus Fracture W/Manipulation (28435) $1,799.45 $2,117 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $508.30 $598 2.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $558.45 $657 2.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $486.20 $572 2.0×
Cltx dstl fibular fx lat malls w/manj (27788) $449.65 $529 1.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $488.75 $575 2.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,933.75 $2,275 1.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,529.15 $1,799 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,096.95 $2,467 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $591.60 $696 2.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $362.95 $427 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $500.65 $589 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $654.50 $770 2.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $599.25 $705 2.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $644.30 $758 2.6×
Collect Blood From Catheter Venous Nos (36592) $301.75 $355 2.3×
Collection of venous blood by venipuncture (36415) $21.25 $25 2.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $545.70 $642 1.8×
Control Nasal Hemorrhage Anterior Complex (30903) $391 $460 2.9×
Control Nasal Hemorrhage Anterior Simple (30901) $422.45 $497 3.2×
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines
$2,624.12–$2,824.55 $3,087.20–$3,323 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $370.60 $436 2.8×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962)
range across 2 matching MRF lines
$3,695.80–$5,666.95 $4,348–$6,667 varies
Cysto Bladder W/Ureteral Catheterization (52005) $4,718.35 $5,551 2.3×
Cysto w/irrig & evac multple obstructing clots (52001) $4,611.25 $5,425 1.3×
Cystourethroscopy (52000) $811.75 $955 1.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,500.70 $2,942 3.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $964.75 $1,135 2.4×
Declot vascular device (36593)
range across 11 matching MRF lines
$826.20–$853.40 $972–$1,004 varies
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $285.09 $335.40 1.4×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $264.52 $311.20 1.3×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines
$3,446.75–$5,169.70 $4,055–$6,082 varies
Dilation Salivary Duct (42650) $4,007.92 $4,715.20 2.6×
Drain Cerebro Spinal Fluid (62272) $1,490.05 $1,753 2.1×
Drain Hand Tendon Sheath (26020) $3,849.65 $4,529 1.2×
Drain/inj small joint/bursa w/us (20604)
range across 7 matching MRF lines
$822.80–$847.45 $968–$997 varies
Drainage external auditory canal abscess (69020) $691.90 $814 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $657.05 $773 0.9×
Drainage Finger Abscess Complicated (26011) $2,382.55 $2,803 1.4×
Drainage of finger abscess simple (26010) $446.25 $525 2.2×
Drainage of gum lesion (41800)
range across 2 matching MRF lines
$513.40–$3,306.84 $604–$3,890.40 varies
Drainage of hematoma/fluid (10140) $2,557.65 $3,009 1.6×
Drainage of hydrocele (55000) $1,081.20 $1,272 1.5×
Drainage of scrotal wall abscess (55100) $2,278.85 $2,681 1.4×
Drainage of scrotum (54700)
range across 2 matching MRF lines
$4,095.30–$4,172.65 $4,818–$4,909 varies
Draw Blood Off Venous Device (36591) $238.85 $281 1.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines
$782.85–$789.48 $921–$928.80 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $411.40 $484 2.1×
Dstrj lesion anus simple surg excision (46922) $4,700.84 $5,530.40 1.7×
Dstrj lesion penis simple surg excision (54060) $4,052.80 $4,768 2.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$2,001.75–$3,002.20 $2,355–$3,532 varies
Egd control bleeding any (43255) $2,434.40 $2,864 1.3×
Epidural Blood Patch (62273) $1,726.35 $2,031 2.5×
Evacuation of subungual hematoma (11740) $202.30 $238 1.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $6,330.80 $7,448 1.6×
Exc Forearm Les Sc 3 Cm/> (25071) $3,869.20 $4,552 2.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,028.95 $2,387 1.0×
Excision H/P/P/U Complex Repair (11471) $7,771.72 $9,143.20 2.7×
Excision H/P/P/U Simple/Intermediate Repair (11470) $4,866.08 $5,724.80 1.7×
Excision Hidradenitis Inguinal Complex Repair (11463) $4,903.48 $5,768.80 1.7×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $5,063.28 $5,956.80 1.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,841.04 $3,342.40 1.7×
Excision of hydrocele; bilateral (55041) $7,129.80 $8,388 2.0×
Excision of single external papilla or tag, anus (46220) $3,795.76 $4,465.60 3.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $4,868.12 $5,727.20 3.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $4,568.24 $5,374.40 1.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $3,172.88 $3,732.80 1.9×
Exploration penetrating wound spx chest (20101) $6,618.10 $7,786 3.2×
Fine needle aspiration without imaging guidance (10021) $571.20 $672 1.4×
Fluid Pressure Muscle (20950) $911.20 $1,072 1.3×
Fluoro exam of g/colon tube (49465) $810.05 $953 3.4×
Foreskin manipulation (54450) $604.35 $711 2.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $4,636.24 $5,454.40 1.7×
I&d abscess peritonsillar (42700) $579.70 $682 2.5×
I&d abscess simple (10060)
range across 2 matching MRF lines
$175.10–$425 $206–$500 varies
I&d perianal abscess superficial (46050) $296.65 $349 0.3×
I&d pilonidal cyst complicated (10081) $2,133.50 $2,510 3.0×
I&d pilonidal cyst simple (10080) $657.05 $773 0.9×
Incision & drainage abscess complicated/multiple (10061) $505.75 $595 1.2×
Incision & removal foreign body subq tiss compl (10121) $3,373.65 $3,969 2.1×
Incision & removal foreign body subq tiss simple (10120) $993.65 $1,169 2.5×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines
$235.45–$580.55 $277–$683 varies
Incision and drainage of vulva or perineal abscess (56405) $318.75 $375 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,765.90 $3,254 1.7×
Initial Tx 1st Degree Burn Local Tx (16000) $348.50 $410 1.7×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines
$1,144.10–$1,717 $1,346–$2,020 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $827.05 $973 2.7×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines
$1,647.30–$2,471.80 $1,938–$2,908 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)
range across 2 matching MRF lines
$1,144.10–$1,717 $1,346–$2,020 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines
$1,252.90–$1,878.50 $1,474–$2,210 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,647.30 $1,938 1.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines
$1,270.75–$1,905.70 $1,495–$2,242 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 2 matching MRF lines
$1,144.10–$1,717 $1,346–$2,020 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines
$682.55–$1,024.25 $803–$1,205 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines
$1,161.95–$1,742.50 $1,367–$2,050 varies
Injection procedure for peyronie disease (54200) $369.75 $435 1.5×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$548.25–$885.70 $645–$1,042 varies
Injection single/mlt trigger point 3/> muscles (20553) $894.20 $1,052 2.9×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines
$2,464.15–$3,696.65 $2,899–$4,349 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines
$1,270.75–$1,861.50 $1,495–$2,190 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines
$296.65–$1,306.45 $349–$1,537 varies
Insert Bladder Cath Complex (51703) $428.40 $504 3.3×
Insert Drug Implant Device (11981) $197.20 $232 1.5×
Insert non-tunnel cv cath (36556) $2,928.25 $3,445 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,520.65 $1,789 1.0×
Insert Temp Bladder Cath (51702) $260.95 $307 2.0×
Insert,Non-Indwelling Bladder Catheter (51701) $263.50 $310 2.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,648.60 $3,116 1.7×
Insj Picc Rs&I <5 Yr (36572) $2,567.85 $3,021 4.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,293.30 $2,698 1.5×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,082.90 $1,274 2.7×
Intranasal Biopsy (30100) $1,657.16 $1,949.60 1.1×
Intubation endotracheal emergency procedure (31500) $721.65 $849 3.1×
Irrigation of corpora cavernosa for priapism (54220) $617.95 $727 2.5×
Lip Surgery Procedure (40799) $4,334.32 $5,099.20 18.4×
Maniplatn palar fascial crd post inj single cord (26341) $323.85 $381 1.3×
Manipulation Ankle Under General Anesthesia (27860) $4,026.45 $4,737 1.2×
Manipulation Elbow Under Anesthesia (24300) $2,646.90 $3,114 1.7×
Manipulation hip joint general anesthesia (27275) $2,747.20 $3,232 1.7×
Manipulation knee joint under general anesthesia (27570) $3,180.70 $3,742 2.0×
Manipulation spine requiring anesthesia (22505) $1,767.15 $2,079 1.1×
Manipulation tmj therapeutic require anesthesia (21073) $3,807.15 $4,479 2.5×
Manipulation wrist under anesthesia (25259) $2,738.70 $3,222 1.7×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,479.85 $1,741 0.9×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,946.95 $3,467 1.8×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines
$1,092.25–$1,638.80 $1,285–$1,928 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines
$1,270.75–$1,905.70 $1,495–$2,242 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines
$334.90–$503.20 $394–$592 varies
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines
$1,150.90–$2,471.80 $1,354–$2,908 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,555.04 $4,182.40 2.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,723 $4,380 2.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $34.85 $41 1.2×
Needle insertion w/o injection 3 or more muscles (20561) $34.85 $41 1.2×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines
$1,647.30–$2,471.80 $1,938–$2,908 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $296.65 $349 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,270.75 $1,495 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,647.30 $1,938 1.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,647.30 $1,938 1.9×
Occipital Nerve Block (64405)
range across 3 matching MRF lines
$1,225.70–$1,836.85 $1,442–$2,161 varies
Partial Excision Distal Phalanx Finger (26236) $3,390.65 $3,989 2.1×
Penile Injection (54235) $208.25 $245 0.8×
Percut Cath Occlusn Non Cns Lesn (61626) $15,024.60 $17,676 1.3×
Percut Drain/Inject Renal Cyst (50390) $124.10 $146 0.2×
Placement of needle for intraosseous infusion (36680) $387.60 $456 0.9×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines
$1,438.20–$2,157.30 $1,692–$2,538 varies
Rbc DNA gntyp 12 bld grp gen (0282U) $782 $920 1.1×
Reconstruction Nail Bed W/Graft (11762) $4,922.52 $5,791.20 2.4×
Removal Anal Seton Other Marker (46030) $2,624.12 $3,087.20 2.2×
Removal Foreign Body Foot Subcutaneous (28190) $1,339.60 $1,576 1.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $56.10 $66 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $111.35 $131 1.9×
Removal Implant Superficial Separate Procedure (20670) $3,730.65 $4,389 2.3×
Removal of a lesion from the floor of the mouth (41116) $5,202 $6,120 1.6×
Removal subcutaneous cardiac rhythm monitor (33286) $2,262.70 $2,662 3.2×
Removal sweat gland lesion (11450) $5,060.56 $5,953.60 1.7×
Remove drug implant device (11982) $513.40 $604 1.2×
Remove foreign body from eye (65205) $419.05 $493 3.2×
Remove lung catheter (32552) $1,552.95 $1,827 2.5×
Remove Nasal Foreign Body (30300) $262.65 $309 2.0×
Repair Blood Vessel Direct Hand Finger (35207) $4,378.35 $5,151 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,218.05 $1,433 3.0×
Repair complex trunk 2.6-7.5 cm (13101) $734.40 $864 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $759.05 $893 1.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $643.45 $757 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $816.68 $960.80 2.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,080.52 $1,271.20 1.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $583.10 $686 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $684.25 $805 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,105.85 $1,301 2.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $895.05 $1,053 2.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,506.88 $1,772.80 2.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $691.90 $814 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,746.52 $3,231.20 1.3×
Repair of nail bed (11760) $983.45 $1,157 1.3×
Repair tongue laceration (41250) $422.45 $497 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $400.35 $471 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $241.40 $284 1.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $297.50 $350 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,696.60 $1,996 2.7×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines
$461.55–$485.35 $543–$571 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $890.80 $1,048 1.2×
Rpr Lip Full Thickness Vermilion Only (40650) $1,419.50 $1,670 2.6×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $407.15 $479 0.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $357.85 $421 1.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $231.20 $272 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $479.40 $564 2.4×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $624.75 $735 3.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $357.85 $421 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $396.10 $466 2.0×
Skin Full Grft Face/Genit/Hf (15240) $3,490.44 $4,106.40 1.7×
Skin sub graft face/nk/hf/g (15275) $3,152.65 $3,709 4.3×
Skin sub graft trnk/arm/leg (15271) $5,808.05 $6,833 7.9×
Skin sub grft t/arm/lg child (15273) $5,397.50 $6,350 2.6×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines
$2,371.50–$3,343.90 $2,790–$3,934 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $376.55 $443 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $442 $520 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $675.75 $795 1.7×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines
$1,014.90–$1,015.75 $1,194–$1,195 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $5,455.30 $6,418 1.7×
Strapping Unna Boot (29580) $325.55 $383 2.0×
Subcutaneous Hormone Pellet Implantation (11980) $450.54 $530.04 1.0×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $1,015.92 $1,195.20 5.1×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $990.76 $1,165.60 1.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,725.10 $3,206 1.7×
Thrombolytic Therapy Stroke (37195) $1,008.10 $1,186 3.1×
Tooth extraction (41899)
range across 2 matching MRF lines
$4,619.75–$4,993.24 $5,435–$5,874.40 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $2,297.55 $2,703 1.5×
Treat Hip Socket Fracture (27222) $4,454 $5,240 18.1×
Treat humerus fracture (24500) $483.65 $569 2.0×
Treat Thumb Dislocation (26641) $333.20 $392 1.4×
Treat Vaginal Bleeding (57180) $1,116.05 $1,313 5.5×
Trnsplj autologous hematopoietic cells per donor (38241) $4,346.56 $5,113.60 2.8×
Tx Gastro Intub W/Asp (43753) $294.10 $346 1.4×
Tx superficial wound dehiscence w/packing (12021) $1,005.55 $1,183 2.5×
Unlisted laparoscopy procedure, testis (54699) $4,172.46 $4,908.77 0.7×
Unlisted Procedure Hands/Fingers (26989) $3,938.90 $4,634 16.0×
Unlisted procedure humerus/elbow (24999) $4,698.80 $5,528 19.1×
Unlisted Procedure Male Genital System (55899) $4,158.88 $4,892.80 16.7×
Unlisted Procedure Muscskeletal System General (20999) $4,307.80 $5,068 17.5×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines
$1,493.45–$2,240.60 $1,757–$2,636 varies
Unlisted Procedure Palate Uvula (42299) $3,306.84 $3,890.40 14.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines
$2,937.60–$2,991.15 $3,456–$3,519 varies
Unlisted Procedure Tongue Floor Mouth (41599) $4,993.24 $5,874.40 21.2×
Unlisted Procedure, Urinary System (53899) $4,075.75 $4,795 16.4×
Unlisted procedure, vestibule of mouth (40899) $5,470.60 $6,436 23.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,389.80 $3,988 1.6×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.