Procedures & surgery prices at Pawnee Valley Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $592 $1,480 0.7×
Anal/Urinary Muscle Study (51784) $116.40 $291 1.0×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $348.40 $871 0.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines
$152–$220 $380–$550 varies
Application cast elbow finger short arm (29075) $45.60 $114 0.2×
Application finger splint static (29130)
range across 3 matching MRF lines
$128–$144 $320–$360 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines
$54.80–$172 $137–$430 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$184–$204 $460–$510 varies
Application of long leg cast (29345) $71.20 $178 0.3×
Application of rigid total contact leg cast (29445) $308 $770 1.2×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines
$36–$172 $90–$430 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines
$37.60–$176 $94–$440 varies
Apply hand/wrist cast (29085) $46.40 $116 0.3×
Apply long arm cast (29065) $50.40 $126 0.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines
$176–$216 $440–$540 varies
Apply Short Leg Cast (29405) $42.80 $107 0.2×
Arterial puncture (36600)
range across 3 matching MRF lines
$60–$68 $150–$170 varies
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $5,685.20 $14,213 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$33.20–$280 $83–$700 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines
$48.80–$296 $122–$740 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines
$39.20–$232 $98–$580 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$40–$424 $100–$1,060 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $29.20 $73 0.1×
Aspirate pleura w/ imaging (32555) $500 $1,250 0.9×
Aspirate/Inj Ganglion Cyst (20612) $32 $80 0.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines
$59.20–$156 $148–$390 varies
Biopsy bone open superficial (20240) $1,392 $3,480 0.5×
Biopsy Nasopharynx Visible Lesion Simple (42804) $119.20 $298 0.0×
Biopsy Salivary Gland Incisional (42405) $161.60 $404 0.1×
Biopsy Tongue Posterior One-Third (41105) $104 $260 0.0×
Biopsy Vaginal Mucosa Simple (57100) $50 $125 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $30 $75 0.0×
Bladder instillation anticarcinogenic agent (51720) $29.60 $74 0.0×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$33.20–$168 $83–$420 varies
Bladder Scan (51798)
range across 2 matching MRF lines
$31.20–$80 $78–$200 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$280–$308 $700–$770 varies
Bone Marrow Biopsy (38221) $86.80 $217 0.1×
Bx breast needle core w/o imaging guidance spx (19100) $81.20 $203 0.1×
Bx Cervix (57500) $60 $150 0.1×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines
$124–$140 $310–$350 varies
Cessj Therapy Cath Removal (37214) $1,956 $4,890 0.7×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$36–$164 $90–$410 varies
Change of Windpipe Airway (31502) $23.20 $58 0.1×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines
$44–$208 $110–$520 varies
Chemodenerv Musc Migraine (64615) $396 $990 1.4×
Chemodenerv musc neck dyston (64616) $332 $830 1.2×
Chemodenerv trunk musc 1-5 (64646) $884 $2,210 1.4×
Chemodenervation of internal anal sphincter (46505) $1,024 $2,560 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $348 $870 1.2×
Chest tube placement (32551)
range across 2 matching MRF lines
$612–$1,080 $1,530–$2,700 varies
Circumcision w/clamp/oth dev w/block (54150) $696 $1,740 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $264 $660 0.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$72.80–$120 $182–$300 varies
Closed Treatment Ulnar Styloid Fracture (25650) $204 $510 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $648 $1,620 0.4×
Closed tx knee dislocation w/o anesthesia (27550) $528 $1,320 2.3×
Closed tx metatarsal fracture w/o manipulation (28470) $114.80 $287 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,068 $2,670 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,204 $3,010 0.4×
Closed tx patellar dislocation w/o anesthesia (27560) $420 $1,050 1.9×
Closed tx radial head/neck fx w/o manipulation (24650) $135.60 $339 0.6×
Closed tx radial shaft fracture w/manipulation (25505) $748 $1,870 0.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $220 $550 0.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $212 $530 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $112.40 $281 0.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines
$900–$992 $2,250–$2,480 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines
$264–$500 $660–$1,250 varies
Cltx dstl fibular fx lat malls w/manj (27788) $348 $870 1.5×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$142.80–$176 $357–$440 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $240 $600 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $170.40 $426 0.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$290.80–$484 $727–$1,210 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $924 $2,310 0.6×
Cltx hip dislocation traumatic req anesthesia (27252) $1,072 $2,680 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $248 $620 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $240 $600 1.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $392 $980 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $260 $650 1.1×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines
$186–$420 $465–$1,050 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $132 $330 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
$132–$188 $330–$470 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$380–$452 $950–$1,130 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $804 $2,010 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $228 $570 0.2×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines
$72–$84 $180–$210 varies
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines
$5.60–$14 $14–$35 varies
Colonoscopy w/submucosal inj (45381) $450 $1,125 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $62 $155 0.2×
Colposcopy Cervix Endocervical Curettage (57456) $77.20 $193 0.3×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $82 $205 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $158.80 $397 0.1×
Complex Cystometrogram (51726) $165.20 $413 0.7×
Complex drainage wound (10180) $138 $345 0.1×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$50.40–$256 $126–$640 varies
Create Eardrum Opening (69433) $113.20 $283 0.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$156–$172 $390–$430 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines
$133.60–$864 $334–$2,160 varies
Cysto w/irrig & evac multple obstructing clots (52001) $180 $450 0.1×
Cysto w/removal of lesions small (52224) $351.60 $879 0.1×
Cysto W/Simple Removal Stone & Stent (52310) $177.60 $444 0.1×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $162.80 $407 0.1×
Cystometrogram W/Vp&Up (51729) $125.60 $314 0.2×
Cystourethroscopy (52000)
range across 2 matching MRF lines
$135.20–$504 $338–$1,260 varies
Cystourethroscopy with biopsy (52204) $200.80 $502 0.1×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$536–$564 $1,340–$1,410 varies
Debride nail 1-5 (11720) $13.60 $34 0.3×
Debride nail 6 or more (11721) $24 $60 0.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$192.40–$956 $481–$2,390 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines
$48.80–$504 $122–$1,260 varies
Declot vascular device (36593)
range across 2 matching MRF lines
$320–$352 $800–$880 varies
Destruct B9 Lesion 1-14 (17110) $61.20 $153 0.3×
Destruction premalignant lesion 1st (17000) $36.80 $92 0.2×
Diagnostic sigmoidoscopy (45330) $900 $2,250 1.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $36.40 $91 0.3×
Dilate Urethra Stricture (53600) $20 $50 0.1×
Drain Spinal Cord Cyst (62268) $884 $2,210 1.1×
Drain/inj small joint/bursa w/us (20604) $200 $500 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $220 $550 0.3×
Drainage Finger Abscess Complicated (26011) $237.60 $594 0.2×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$147.20–$164 $368–$410 varies
Drainage of gum lesion (41800) $216 $540 1.8×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$44–$804 $110–$2,010 varies
Drainage of hydrocele (55000) $61.20 $153 0.1×
Drainage of nose lesion (30000) $146 $365 0.7×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$76–$84 $190–$210 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $144 $360 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $200 $500 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $228 $570 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $200 $500 1.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $420 $1,050 0.5×
Dx Bone Marrow Bx & Aspir (38222) $72 $180 0.0×
Egd control bleeding any (43255) $900 $2,250 0.5×
Egd remove lesion snare (43251) $474 $1,185 0.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $24 $60 0.1×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $200 $500 0.7×
Electro-Uroflowmetry First (51741) $22 $55 0.1×
Endometrial Biopsy (58100) $39.20 $98 0.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,492 $6,230 0.9×
Endoven ther chem adhes 1st (36482) $3,440 $8,600 0.7×
Epidural Blood Patch (62273) $772 $1,930 1.2×
Evacuation of subungual hematoma (11740) $96 $240 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $69.20 $173 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $104 $260 0.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $122 $305 0.2×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $139.20 $348 0.2×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $206.40 $516 0.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $68.80 $172 0.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $86.40 $216 0.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $96.40 $241 0.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $125.60 $314 0.1×
Exc Forearm Les Sc 3 Cm/> (25071) $240 $600 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $68 $170 0.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $87.20 $218 0.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines
$97.60–$300 $244–$750 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$106.40–$300 $266–$750 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $134.40 $336 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $172.80 $432 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $174.80 $437 0.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $154.40 $386 0.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $210.40 $526 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $232 $580 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $218.40 $546 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $95.20 $238 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $82.80 $207 0.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $92 $230 0.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $120.80 $302 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $145.60 $364 0.2×
Excision lesion mouth roof (42104) $120 $300 0.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $126.80 $317 0.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $102.40 $256 0.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $291.20 $728 0.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $118.80 $297 0.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $190.80 $477 0.1×
Excision nasal polyp(s) simple (30110) $137.20 $343 0.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $900 $2,250 0.6×
Excision/destruction intranasal lesion int appr (30117) $560.40 $1,401 0.2×
External cephalic version (59412) $1,040 $2,600 0.3×
Fetal non-stress test (59025) $20.40 $51 0.1×
Fine needle aspiration without imaging guidance (10021) $84 $210 0.2×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $468.40 $1,171 0.1×
Guide Cathet Fluid Drainage (10030) $892 $2,230 1.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $140 $350 0.2×
I&d abscess peritonsillar (42700) $236 $590 1.1×
I&d abscess simple (10060)
range across 3 matching MRF lines
$30.40–$404 $76–$1,010 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines
$112–$668 $280–$1,670 varies
I&d pilonidal cyst simple (10080) $264 $660 0.4×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
$41.20–$244 $103–$610 varies
Incision & drainage abscess complicated/multiple (10061) $115.20 $288 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$48–$552 $120–$1,380 varies
Incision and drainage of bartholin's gland abscess (56420) $176 $440 0.9×
Incision and drainage of vulva or perineal abscess (56405) $54 $135 0.2×
Incision of lingual frenum (frenotomy) (41010) $948 $2,370 0.7×
Incisional biopsy skin single lesion (11106) $296 $740 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $41.60 $104 0.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $964 $2,410 1.2×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$31.20–$192 $78–$480 varies
Injection aa&/strd genicular nrv branches w/img (64454) $784 $1,960 1.2×
Injection anesthetic agent suprascapular nerve (64418) $532 $1,330 0.8×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines
$32–$176 $80–$440 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$28.40–$324 $71–$810 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$38.40–$328 $96–$820 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines
$40–$200 $100–$500 varies
Injection, anesthetic agent; femoral nerve, single (64447) $596 $1,490 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines
$468–$480 $1,170–$1,200 varies
Ins cath ren art 1st bilat (36252) $1,980 $4,950 0.7×
Ins cath ren art 1st unilat (36251) $1,520 $3,800 0.5×
Ins endovas vena cava filtr (37191) $3,460 $8,650 0.7×
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure
$9,460 $23,650 0.3×
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure
$2,456 $6,140 0.3×
Insert cath pleura w/ image (32557) $572 $1,430 0.4×
Insert Drug Implant Device (11981) $75.20 $188 0.6×
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure
$4,796 $11,990 0.5×
Insert Heart Pm Ventricular (33207)
unusually low: confirm this is the full procedure
$4,768 $11,920 0.5×
Insert non-tunnel cv cath (36556) $1,384 $3,460 0.5×
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure
$3,500 $8,750 0.4×
Insert pessary/other device (57160) $28 $70 0.2×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$36–$124 $90–$310 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines
$37.20–$78 $93–$195 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $5,228 $13,070 0.7×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
likely a partial charge, not the full procedure
$2,276 $5,690 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$1,452–$1,528 $3,630–$3,820 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,440 $3,600 0.5×
Insj/Rplcmt Defib W/Lead(S) (33249)
likely a partial charge, not the full procedure
$8,100 $20,250 0.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure
$2,404 $6,010 0.3×
Insrt heart pm atrial & vent (33208) $5,668 $14,170 0.6×
Intranasal Biopsy (30100) $77.60 $194 0.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $6,652 $16,630 0.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $4,148 $10,370 0.8×
Intubation endotracheal emergency procedure (31500) $336 $840 1.5×
Laryngoscopy flexible diagnostic (31575) $84 $210 0.5×
Ligation of a-v fistula (37607) $2,648 $6,620 0.9×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $189.60 $474 0.1×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines
$62.40–$544 $156–$1,360 varies
N block inj intercost sng (64420) $552 $1,380 0.9×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines
$27.60–$124 $69–$310 varies
N Block Inj Pudendal (64430) $1,008 $2,520 1.2×
Nasal Endoscopy Dx (31231) $84 $210 0.5×
Nasal/Orogastric W/Tube Plmt (43752) $220 $550 0.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $92.40 $231 0.1×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $148.80 $372 0.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $16 $40 0.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $304 $760 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,032–$1,084 $2,580–$2,710 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $944 $2,360 1.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines
$768–$808 $1,920–$2,020 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$944–$992 $2,360–$2,480 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $228 $570 0.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $252 $630 0.7×
Occipital Nerve Block (64405) $396 $990 1.4×
Open/Perq Place Stent 1St (37236) $6,196 $15,490 0.6×
Penile Injection (54235) $48.80 $122 0.2×
Pericardiocentesis W/Imaging (33016) $876 $2,190 0.6×
Phleb Veins - Extrem 20+ (37766) $1,884 $4,710 0.6×
Place Cath Subclavian Art (36225) $2,436 $6,090 0.8×
Place Cath Thoracic Aorta (36221) $2,636 $6,590 0.9×
Place Cath Vertebral Art (36226) $3,112 $7,780 0.6×
Place Rt Device/Marker Pros (55876) $27.20 $68 0.0×
Placement of needle for intraosseous infusion (36680) $152 $380 0.4×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure
$3,156 $7,890 0.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$70.40–$268 $176–$670 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $26.40 $66 0.1×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines
$572–$1,092 $1,430–$2,730 varies
Reconstruction Tongue Fold (41520) $142.40 $356 0.0×
Relocation Pocket Pacemaker (33222) $1,160 $2,900 0.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$158.80–$436 $397–$1,090 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$26–$84 $65–$210 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$28–$84 $70–$210 varies
Removal of tunneled intraperitoneal catheter (49422) $1,836 $4,590 0.6×
Removal ppm generator only (33233)
likely a partial charge, not the full procedure
$1,368 $3,420 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $49.20 $123 0.3×
Removal subcutaneous cardiac rhythm monitor (33286) $880 $2,200 1.4×
Removal/bivalving gauntlet boot/body cast (29700) $124 $310 0.5×
Remove drug implant device (11982) $82.40 $206 0.2×
Remove Elctrd Transvenously (33244) $1,920 $4,800 0.6×
Remove foreign body from eye (65205) $172 $430 1.4×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines
$50.40–$188 $126–$470 varies
Remove lung catheter (32552) $104.40 $261 0.2×
Remove Nasal Foreign Body (30300) $176 $440 1.4×
Remove Pulse Generator (33241) $1,720 $4,300 0.5×
Remove renal tube w/fluoro (50389) $872 $2,180 1.4×
Remove Tendon Sheath Lesion (26160) $320.80 $802 0.2×
Remove&replace pm gen singl (33227) $3,956 $9,890 0.5×
Remove/Insert Drug Implant (11983) $90 $225 0.2×
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure
$8,568 $21,420 0.4×
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure
$9,080 $22,700 0.3×
Remv&replc pm gen dual lead (33228) $5,828 $14,570 0.6×
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure
$4,948 $12,370 0.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $680 $1,700 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $456 $1,140 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $596 $1,490 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $142.80 $357 0.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $163.20 $408 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $134 $335 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $160 $400 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $131.20 $328 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines
$168–$348 $420–$870 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $172.80 $432 0.5×
Repair of nail bed (11760)
range across 2 matching MRF lines
$120–$232 $300–$580 varies
Repair tongue laceration (41250) $188 $470 0.5×
Reposition Pacing-Defib Lead (33215) $1,796 $4,490 0.6×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $5,372 $13,430 1.0×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $4,476 $11,190 0.9×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $11,184 $27,960 0.7×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $9,320 $23,300 0.6×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $13,344 $33,360 0.8×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $11,120 $27,800 0.7×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $11,508 $28,770 1.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $9,588 $23,970 0.9×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $5,944 $14,860 1.1×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $4,952 $12,380 0.9×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 2 matching MRF lines
$7,992–$9,592 $19,980–$23,980 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $6,252 $15,630 0.6×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
unusually low: confirm this is the full procedure
$5,208 $13,020 0.5×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
unusually low: confirm this is the full procedure
$7,816 $19,540 0.5×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)
unusually low: confirm this is the full procedure
$6,512 $16,280 0.4×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $10,460 $26,150 0.6×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $8,716 $21,790 0.5×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
unusually low: confirm this is the full procedure
$7,264 $18,160 0.4×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
unusually low: confirm this is the full procedure
$6,052 $15,130 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $280 $700 0.7×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,668 $4,170 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $152.80 $382 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines
$90.80–$812 $227–$2,030 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$296–$340 $740–$850 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,296 $3,240 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $300 $750 1.6×
Shave skin lesion 0.5 cm/< (11300) $54 $135 0.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $56 $140 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $66.40 $166 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $296 $740 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$228–$268 $570–$670 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$224–$280 $560–$700 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $288 $720 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $216 $540 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $276 $690 1.5×
Skin sub graft face/nk/hf/g (15275) $1,332 $3,330 2.0×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines
$1,224–$1,348 $3,060–$3,370 varies
Skin sub grft t/arm/lg child (15273) $1,388 $3,470 0.7×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $2,812 $7,030 0.5×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,872 $7,180 1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $3,116 $7,790 0.6×
Slitting of prepuce (54001) $96.40 $241 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$232–$256 $580–$640 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $452 $1,130 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $360 $900 1.0×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$80.40–$480 $201–$1,200 varies
Subcutaneous Hormone Pellet Implantation (11980) $60 $150 0.1×
Tangential biopsy skin single lesion (11102) $55.60 $139 0.1×
Tcat Insj/Rpl Perm Ldls Pm (33274) $10,772 $26,930 0.6×
Thrmbc/Nfs Dialysis Circuit (36906) $9,924 $24,810 0.6×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$1,368 $3,420 0.3×
Treat humerus fracture (24500) $126 $315 0.6×
Treat Humerus Fracture (24505) $278.40 $696 0.2×
Treat humerus fracture (23600) $182.80 $457 0.8×
Treat Thumb Dislocation (26641) $396 $990 1.7×
Treatment closed elbow dislocation w/o anes (24600) $432 $1,080 1.9×
Trim skin lesion (11055)
range across 2 matching MRF lines
$20–$140 $50–$350 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines
$29.60–$152 $74–$380 varies
Trimming Nondystrophic Nails Any Number (11719) $8 $20 0.1×
Tx Gastro Intub W/Asp (43753) $204 $510 1.0×
Unlisted Cardiac Surgery (33999) $1,020 $2,550 1.8×
Unlisted procedure foot or toes (28899) $43.60 $109 0.2×
Unlisted Procedure Muscskeletal System General (20999) $40 $100 0.2×
Unlisted procedure nervous system (64999) $896 $2,240 3.2×
Unlisted Procedure Vascular Surgery (37799) $712 $1,780 1.2×
Vaginal delivery only (59409)
range across 2 matching MRF lines
$2,104–$3,824 $5,260–$9,560 varies
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure
$5,336 $13,340 0.3×
Vasc embolize/occlude venous (37241) $6,372 $15,930 0.6×
Vasectomy uni/bi spx w/postop semen exams (55250) $210 $525 0.1×
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure
$2,800 $7,000 0.3×
Wedge excision skin nail fold (11765) $106 $265 0.3×
Wedging of cast (29740) $53.60 $134 0.2×

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.