Procedures & surgery prices at Peacehealth Cottage Grove Community Medical Center
Cottage Grove, OR · every code in this section with a posted price and a Medicare benchmark.
216 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,237.60 | $1,904 | 1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,136.85–$1,177.80 | $1,749–$1,812 | varies |
| Anoscopy diagnostic (46600) | $253.50 | $390 | 1.7× |
| Application cast elbow finger short arm (29075) | $388.70 | $598 | 1.2× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$83.20–$204.75 | $128–$315 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$349.05–$462.80 | $537–$712 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$319.15–$432.25 | $491–$665 | varies |
| Application Short Arm Splint Dynamic (29126) | $291.20 | $448 | 2.0× |
| Application short arm splint forearm-hand static (29125) | $375.05 | $577 | 2.5× |
| Application short leg splint calf foot (29515) | $329.55 | $507 | 1.8× |
| Apply long arm cast (29065) | $331.50 | $510 | 1.1× |
| Apply Multlay Comprs Lwr Leg (29581) | $98.15 | $151 | 0.5× |
| Apply Short Leg Cast (29405) | $291.20 | $448 | 0.9× |
| Arterial puncture (36600) | $96.85 | $149 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$26–$449.15 | $40–$691 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$35.10–$178.10 | $54–$274 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $663 | $1,020 | 1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $359.45 | $553 | 1.0× |
| Aspirate pleura w/ imaging (32555) | $1,535.30 | $2,362 | 2.2× |
| Aspirate Pleura W/O Imaging (32554) | $1,112.80 | $1,712 | 1.6× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,327.35 | $5,119 | 1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$271.05–$273 | $417–$420 | varies |
| Bladder Irrigation (51700) | $374.40 | $576 | 1.3× |
| Bladder Scan (51798) | $157.95 | $243 | 2.4× |
| Blepharotomy drainage abscess eyelid (67700) | $633.75 | $975 | 1.8× |
| Blood Transfusion Service (36430) | $436.80 | $672 | 0.9× |
| Canthotomy Separate Procedure (67715) | $3,409.90 | $5,246 | 1.3× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$458.90–$471.90 | $706–$726 | varies |
| Chemical Cautery Tissue (17250) | $438.10 | $674 | 2.0× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$715.65–$1,379.95 | $1,101–$2,123 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,179.45 | $3,353 | 1.2× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$91.65–$250.25 | $141–$385 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $574.60 | $884 | 2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $920.40 | $1,416 | 3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,539.85 | $2,369 | 0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $599.30 | $922 | 2.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $540.80 | $832 | 2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,611.35 | $2,479 | 0.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $355.55 | $547 | 1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,736.80 | $2,672 | 1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,203.80–$1,975.35 | $1,852–$3,039 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $589.55 | $907 | 2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $267.15 | $411 | 1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $787.80 | $1,212 | 2.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $600.60 | $924 | 2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,137.85 | $3,289 | 1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $802.10 | $1,234 | 2.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $395.85 | $609 | 1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $636.35 | $979 | 2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $499.20 | $768 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $488.80 | $752 | 1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$372.45–$446.55 | $573–$687 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,956.50–$2,830.75 | $3,010–$4,355 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,605.50 | $2,470 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $540.80 | $832 | 2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,152.80 | $3,312 | 1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $713.70 | $1,098 | 2.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $507.65 | $781 | 1.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,216.80 | $1,872 | 3.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$1,273.35–$2,007.85 | $1,959–$3,089 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,158 | $3,320 | 1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $656.50 | $1,010 | 2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$334.75–$759.20 | $515–$1,168 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $695.50 | $1,070 | 2.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $509.60 | $784 | 1.9× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,071.55 | $3,187 | 1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $428.35 | $659 | 1.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,682.20 | $2,588 | 0.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $3,535.35 | $5,439 | 2.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $523.25 | $805 | 1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,217.15 | $3,411 | 1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $625.30 | $962 | 2.3× |
| Collect Blood From Catheter Venous Nos (36592) | $105.95 | $163 | 0.7× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$39.65–$79.30 | $61–$122 | varies |
| Complex drainage wound (10180) | $3,745.95 | $5,763 | 1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $534.30 | $822 | 3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$264.55–$504.40 | $407–$776 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$330.85–$1,266.20 | $509–$1,948 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $556.40 | $856 | 2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $355.55 | $547 | 0.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $4,924.40 | $7,576 | 1.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,261 | $1,940 | 1.6× |
| Debride nail 1-5 (11720) | $40.95 | $63 | 0.6× |
| Debride nail 6 or more (11721) | $55.25 | $85 | 0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $878.15 | $1,351 | 1.9× |
| Declot vascular device (36593) | $776.75 | $1,195 | 2.1× |
| Delivery of placenta (59414) | $3,101.15 | $4,771 | 0.9× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$89.70–$321.10 | $138–$494 | varies |
| Destruction premalignant lesion 1st (17000) | $68.90 | $106 | 0.3× |
| Drainage external auditory canal abscess (69020) | $886.60 | $1,364 | 1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $793.65 | $1,221 | 1.0× |
| Drainage Finger Abscess Complicated (26011) | $1,954.55 | $3,007 | 1.1× |
| Drainage Mouth Roof Lesion (42000) | $432.90 | $666 | 1.6× |
| Drainage of finger abscess simple (26010) | $332.15 | $511 | 1.5× |
| Drainage of gum lesion (41800) | $934.05 | $1,437 | 6.3× |
| Drainage of hematoma/fluid (10140) | $2,600 | $4,000 | 1.4× |
| Drainage of scrotal wall abscess (55100) | $1,912.95 | $2,943 | 1.0× |
| Drainage of scrotum (54700) | $2,668.90 | $4,106 | 1.1× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$128.70–$257.40 | $198–$396 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $634.40 | $976 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $410.15 | $631 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $349.05 | $537 | 1.6× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$169.65–$195.65 | $261–$301 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $2,278.90 | $3,506 | 1.7× |
| Fine needle aspiration without imaging guidance (10021) | $450.45 | $693 | 1.0× |
| Fluoro exam of g/colon tube (49465) | $584.35 | $899 | 2.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,132.30 | $1,742 | 1.1× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$486.85–$577.85 | $749–$889 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$170.95–$449.15 | $263–$691 | varies |
| I&d perianal abscess superficial (46050) | $1,784.25 | $2,745 | 1.7× |
| I&d pilonidal cyst complicated (10081) | $1,335.75 | $2,055 | 1.7× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$417.30–$651.30 | $642–$1,002 | varies |
| Incise external hemorrhoid (46083) | $551.20 | $848 | 2.0× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$260.65–$716.95 | $401–$1,103 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,398.50 | $3,690 | 1.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$573.30–$789.75 | $882–$1,215 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$492.05–$837.85 | $757–$1,289 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$462.80–$646.75 | $712–$995 | varies |
| Incision of rectal abscess (46040) | $3,560.70 | $5,478 | 2.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$276.90–$277.55 | $426–$427 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,113.80 | $3,252 | 2.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $560.95 | $863 | 1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$414.70–$484.25 | $638–$745 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$68.90–$656.50 | $106–$1,010 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,019.85 | $1,569 | 1.3× |
| Insert Bladder Cath Complex (51703) | $276.25 | $425 | 1.9× |
| Insert non-tunnel cv cath (36556) | $1,336.40 | $2,056 | 0.4× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$48.75–$709.15 | $75–$1,091 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$200.20–$555.75 | $308–$855 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,652.95 | $2,543 | 0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,921.40 | $2,956 | 1.1× |
| Intubation endotracheal emergency procedure (31500) | $247.65 | $381 | 0.9× |
| Irrigation of corpora cavernosa for priapism (54220) | $517.40 | $796 | 1.9× |
| Laryngoscopy flexible diagnostic (31575) | $374.40 | $576 | 1.7× |
| Lyse chest fibrin init day (32561) | $1,549.60 | $2,384 | 2.2× |
| Lyse Chest Fibrin Subq Day (32562) | $1,549.60 | $2,384 | 2.2× |
| Marsupialization of bartholin's gland cyst (56440) | $3,480.10 | $5,354 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $417.95 | $643 | 0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $620.75 | $955 | 1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $518.05 | $797 | 1.5× |
| Occipital Nerve Block (64405) | $608.40 | $936 | 1.8× |
| Penile Injection (54235) | $332.15 | $511 | 1.2× |
| Placement of needle for intraosseous infusion (36680) | $429 | $660 | 0.9× |
| Punch biopsy skin single lesion (11104) | $35.10 | $54 | 0.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $482.30 | $742 | 1.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,337.70 | $2,058 | 1.7× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,495 | $2,300 | 1.9× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,251.25 | $1,925 | 1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$15.93–$120.90 | $24.50–$186 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$22.10–$130.65 | $34–$201 | varies |
| Removal of foreign body from pharynx (42809) | $911.95 | $1,403 | 1.8× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$651.30–$713.70 | $1,002–$1,098 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $404.30 | $622 | 1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $251.55 | $387 | 1.1× |
| Removal/bivalving gauntlet boot/body cast (29700) | $576.55 | $887 | 1.8× |
| Remove foreign body from eye (65205) | $244.40 | $376 | 1.6× |
| Remove Intrauterine Device (58301) | $395.20 | $608 | 1.2× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$271.05–$685.10 | $417–$1,054 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $631.80 | $972 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,302.60 | $2,004 | 2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $635.05 | $977 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $648.70 | $998 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $703.30 | $1,082 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $839.15 | $1,291 | 1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $530.40 | $816 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $642.20 | $988 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $850.85 | $1,309 | 1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $774.15 | $1,191 | 1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $560.95 | $863 | 1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $624 | $960 | 1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,004.90 | $1,546 | 1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $681.85 | $1,049 | 1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,041.65 | $3,141 | 0.9× |
| Repair of nail bed (11760) | $865.15 | $1,331 | 1.0× |
| Repair tongue laceration (41250) | $677.95 | $1,043 | 1.4× |
| Reposition Gastrostomy Tube (43761) | $1,031.55 | $1,587 | 3.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $813.80 | $1,252 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $401.70 | $618 | 0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $303.55 | $467 | 2.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $3,017.30 | $4,642 | 1.6× |
| Rplc Gtube No Revj Trc (43762) | $336.05 | $517 | 1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $638.95 | $983 | 2.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,655.55 | $2,547 | 2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$1,134.25–$1,305.20 | $1,745–$2,008 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,871.35 | $2,879 | 1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $704.60 | $1,084 | 1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $789.75 | $1,215 | 3.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $844.35 | $1,299 | 3.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $628.55 | $967 | 2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$734.50–$1,524.25 | $1,130–$2,345 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $644.15 | $991 | 2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$466.70–$872.30 | $718–$1,342 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $762.45 | $1,173 | 3.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$621.40–$679.25 | $956–$1,045 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $791.05 | $1,217 | 1.7× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$716.30–$1,231.75 | $1,102–$1,895 | varies |
| Strapping ankle (29540) | $275.60 | $424 | 1.5× |
| Strapping elbow or wrist (29260) | $141.05 | $217 | 2.1× |
| Strapping hand/finger (29280) | $83.85 | $129 | 1.3× |
| Strapping shoulder (29240) | $262.60 | $404 | 1.8× |
| Strapping Unna Boot (29580) | $186.55 | $287 | 1.0× |
| Tangential biopsy skin single lesion (11102) | $155.35 | $239 | 0.3× |
| Thrombolytic Therapy Stroke (37195) | $700.70 | $1,078 | 1.9× |
| Treat Humerus Fracture (24505) | $1,888.25 | $2,905 | 1.1× |
| Treat Knuckle Dislocation (26700) | $492.05 | $757 | 1.8× |
| Treat Thumb Dislocation (26641) | $785.20 | $1,208 | 2.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,688.05 | $2,597 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$593.45–$1,842.75 | $913–$2,835 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$118.30–$193.05 | $182–$297 | varies |
| Trim skin lesions 2 to 4 (11056) | $122.85 | $189 | 0.5× |
| Trim skin lesions over 4 (11057) | $122.85 | $189 | 0.5× |
| Trimming Nondystrophic Nails Any Number (11719) | $92.95 | $143 | 1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,093.30 | $1,682 | 1.3× |
| Unlisted procedure nervous system (64999) | $1,235 | $1,900 | 3.6× |
| Vaginal delivery only (59409) | $2,936.05 | $4,517 | 0.8× |
| Wedge excision skin nail fold (11765) | $360.10 | $554 | 0.8× |
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.