Procedures & surgery prices at PeaceHealth Peace Island Medical Center
Friday Harbor, WA · every code in this section with a posted price and a Medicare benchmark.
234 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) | $1,348.10 | $2,074 | 1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$546–$1,290.25 | $840–$1,985 | varies |
| Anoscopy diagnostic (46600) | $286 | $440 | 1.9× |
| Application Finger Splint Dynamic (29131) | $149.50 | $230 | 2.3× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$70.20–$231.40 | $108–$356 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$182.65–$393.90 | $281–$606 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$360.75–$592.15 | $555–$911 | varies |
| Application short arm splint forearm-hand static (29125) | $148.20 | $228 | 1.0× |
| Application short leg splint calf foot (29515) | $145.60 | $224 | 0.8× |
| Arterial puncture (36600) | $85.15 | $131 | 0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$22.10–$507 | $34–$780 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$29.90–$318.50 | $46–$490 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $406.25 | $625 | 1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $1,464.23 | $2,252.66 | 0.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $7,138.30 | $10,982 | 0.9× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $4,226.30 | $6,502 | 1.2× |
| Aspirate pleura w/ imaging (32555) | $1,570.40 | $2,416 | 2.2× |
| Aspirate Pleura W/O Imaging (32554) | $1,204.45 | $1,853 | 1.7× |
| Aspirate/Inj Ganglion Cyst (20612) | $85.15 | $131 | 0.2× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,663.40 | $5,636 | 1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$306.15–$308.10 | $471–$474 | varies |
| Bladder Irrigation (51700) | $423.15 | $651 | 1.5× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$18.85–$85.80 | $29–$132 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$306.15–$612.30 | $471–$942 | varies |
| Canthotomy Separate Procedure (67715) | $3,719.95 | $5,723 | 1.4× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$2,154.75–$2,737.15 | $3,315–$4,211 | varies |
| Change Cystostomy Tube Simple (51705) | $533 | $820 | 1.9× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$638.95–$1,512.55 | $983–$2,327 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,403.70 | $3,698 | 1.3× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$269.75–$274.30 | $415–$422 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $624 | $960 | 2.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,270.75 | $1,955 | 4.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $599.30 | $922 | 2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,004.90 | $1,546 | 3.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,687.40 | $2,596 | 0.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $389.35 | $599 | 1.4× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $6,325.15 | $9,731 | 3.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,207.70 | $1,858 | 4.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $508.95 | $783 | 1.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $4,157.40 | $6,396 | 1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) | $826.80 | $1,272 | 3.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $598 | $920 | 2.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$484.25–$484.90 | $745–$746 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,820 | $2,800 | 1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,805.05 | $2,777 | 1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,155.40 | $3,316 | 1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $503.75 | $775 | 1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,927.90 | $2,966 | 1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $336.05 | $517 | 1.2× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $1,158.95 | $1,783 | 1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,414.75 | $3,715 | 1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $906.10 | $1,394 | 3.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,432.30 | $3,742 | 1.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $443.30 | $682 | 1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $698.10 | $1,074 | 2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$458.90–$607.75 | $706–$935 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $546.65 | $841 | 2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $528.45 | $813 | 1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$503.75–$533.65 | $775–$821 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$141.05–$2,165.15 | $217–$3,331 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $670.15 | $1,031 | 2.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,805.05 | $2,777 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $570.05 | $877 | 2.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,344.55 | $3,607 | 1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $815.75 | $1,255 | 3.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $520.65 | $801 | 1.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,423.20 | $3,728 | 1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $741.65 | $1,141 | 2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $377.65 | $581 | 1.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,767.35 | $2,719 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $785.20 | $1,208 | 2.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $503.75 | $775 | 1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $636.35 | $979 | 2.3× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,270.45 | $3,493 | 1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,887.95 | $4,443 | 1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $467.35 | $719 | 1.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,241.85 | $3,449 | 1.3× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $530.40 | $816 | 1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$915.20–$2,505.10 | $1,408–$3,854 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $207.35 | $319 | 1.4× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$26–$78 | $40–$120 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$353.76–$731.25 | $544.25–$1,125 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $353.76 | $544.25 | 0.3× |
| Complex drainage wound (10180) | $4,232.15 | $6,511 | 1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $540.80 | $832 | 3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$185.25–$299 | $285–$460 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$315.25–$373.75 | $485–$575 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $609.70 | $938 | 2.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $6,156.15 | $9,471 | 1.9× |
| Declot vascular device (36593) | $193.70 | $298 | 0.5× |
| Destruct B9 Lesion 1-14 (17110) | $74.75 | $115 | 0.3× |
| Destruction premalignant lesion 1st (17000) | $57.20 | $88 | 0.3× |
| Diagnostic sigmoidoscopy (45330) | $1,381.90 | $2,126 | 1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $895.70 | $1,378 | 1.1× |
| Drainage Finger Abscess Complicated (26011) | $2,066.35 | $3,179 | 1.1× |
| Drainage Mouth Roof Lesion (42000) | $488.80 | $752 | 1.9× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$182.65–$375.70 | $281–$578 | varies |
| Drainage of gum lesion (41800) | $776.75 | $1,195 | 5.2× |
| Drainage of hematoma/fluid (10140) | $2,921.10 | $4,494 | 1.6× |
| Drainage of scrotal wall abscess (55100) | $2,161.25 | $3,325 | 1.2× |
| Drainage of scrotum (54700) | $3,173.95 | $4,883 | 1.4× |
| Draw Blood Off Venous Device (36591) | $207.35 | $319 | 1.4× |
| Dressing Change Under Anesthesia (15852) | $1,246.70 | $1,918 | 1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $716.30 | $1,102 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $393.90 | $606 | 1.8× |
| Dx gastr intub w/asp spec (43754) | $468.65 | $721 | 1.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $643.18 | $989.50 | 0.3× |
| Egd control bleeding any (43255) | $617.50 | $950 | 0.3× |
| Egd remove lesion snare (43251) | $1,235 | $1,900 | 0.6× |
| Evacuation of subungual hematoma (11740) | $221 | $340 | 1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,464.24 | $2,252.67 | 1.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,295.45 | $1,993 | 1.6× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $732.11 | $1,126.33 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,697.15 | $2,611 | 0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$704.38–$1,741.57 | $1,083.66–$2,679.34 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $870.78 | $1,339.66 | 0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $2,487.55 | $3,827 | 1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $2,113.15 | $3,251 | 0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $2,362.75 | $3,635 | 0.7× |
| Excision of single external papilla or tag, anus (46220) | $1,655.55 | $2,547 | 1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,362.75 | $3,635 | 1.3× |
| Explo/Drain Breast Abscess (19020) | $4,107.35 | $6,319 | 2.2× |
| Fine needle aspiration without imaging guidance (10021) | $508.95 | $783 | 1.1× |
| Fusion Finger Joint (26860) | $5,682.30 | $8,742 | 1.6× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,572.35 | $2,419 | 0.5× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$652.60–$696.80 | $1,004–$1,072 | varies |
| I&d abscess simple (10060) | $229.45 | $353 | 1.0× |
| I&d perianal abscess superficial (46050) | $2,015 | $3,100 | 1.9× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$735.80–$1,738.75 | $1,132–$2,675 | varies |
| Incise external hemorrhoid (46083) | $621.40 | $956 | 2.2× |
| Incise finger tendon sheath (26055) range across 5 matching MRF lines |
$843.05–$1,988.35 | $1,297–$3,059 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$217.75–$746.20 | $335–$1,148 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$308.10–$647.40 | $474–$996 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $555.75 | $855 | 2.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $730.60 | $1,124 | 2.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,173.95 | $4,883 | 1.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $313.30 | $482 | 1.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $648.91 | $998.33 | 1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$159.25–$468.65 | $245–$721 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,498.90 | $2,306 | 1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,152.45 | $1,773 | 1.5× |
| Insert Bladder Cath Complex (51703) | $312 | $480 | 2.2× |
| Insert non-tunnel cv cath (36556) | $638.95 | $983 | 0.2× |
| Insert pessary/other device (57160) | $72.80 | $112 | 0.3× |
| Insert Temp Bladder Cath (51702) | $231.40 | $356 | 1.6× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$2,853.50–$3,103.10 | $4,390–$4,774 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$120.25–$226.20 | $185–$348 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,105.65 | $1,701 | 2.4× |
| Intubation endotracheal emergency procedure (31500) | $116.35 | $179 | 0.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 3 matching MRF lines |
$3,016.87–$6,761.95 | $4,641.34–$10,403 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $4,102.15 | $6,311 | 0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $5,734.30 | $8,822 | 0.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$1,508.43–$4,464.85 | $2,320.66–$6,869 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) unusually low: confirm this is the full procedure |
$3,014.05 | $4,637 | 0.4× |
| Lyse chest fibrin init day (32561) | $2,367.95 | $3,643 | 3.4× |
| Lyse Chest Fibrin Subq Day (32562) | $2,367.95 | $3,643 | 3.4× |
| N block inj intercost sng (64420) | $1,072.50 | $1,650 | 1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$472.55–$550.55 | $727–$847 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $620.75 | $955 | 1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $584.35 | $899 | 1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,119 | $3,260 | 0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $5,299.45 | $8,153 | 1.3× |
| Occipital Nerve Block (64405) | $663 | $1,020 | 1.9× |
| Placement of needle for intraosseous infusion (36680) | $484.90 | $746 | 1.0× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$160.55–$547.30 | $247–$842 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$528.45–$1,902.34 | $813–$2,926.67 | varies |
| Puncture Aspiration Cyst Breast (19000) | $870.35 | $1,339 | 1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,413.75 | $2,175 | 1.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 5 matching MRF lines |
$19.99–$113.75 | $30.75–$175 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $143 | $220 | 2.2× |
| Removal Implant Deep (20680) | $4,059.90 | $6,246 | 1.3× |
| Removal of foreign body from pharynx (42809) | $592.15 | $911 | 1.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$735.80–$806.65 | $1,132–$1,241 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $81.25 | $125 | 0.4× |
| Remove foreign body from eye (65205) | $276.25 | $425 | 1.9× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$273.65–$306.15 | $421–$471 | varies |
| Remove Tendon Sheath Lesion (26160) | $3,236.35 | $4,979 | 1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,414.40 | $2,176 | 3.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $5,371.60 | $8,264 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $689 | $1,060 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$733.20–$1,435.85 | $1,128–$2,209 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $795.60 | $1,224 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $920.40 | $1,416 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,049.10 | $1,614 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $575.25 | $885 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $693.55 | $1,067 | 1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $961.35 | $1,479 | 1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $843.05 | $1,297 | 1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $633.75 | $975 | 1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $702.65 | $1,081 | 1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $770.90 | $1,186 | 1.7× |
| Repair of nail bed (11760) | $976.95 | $1,503 | 1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $887.25 | $1,365 | 0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $453.05 | $697 | 0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $343.20 | $528 | 2.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,612.35 | $4,019 | 0.8× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $3,409.25 | $5,245 | 1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,063.10 | $3,174 | 1.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $4,283.50 | $6,590 | 0.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $4,525.30 | $6,962 | 1.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $3,920.80 | $6,032 | 0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $722.15 | $1,111 | 3.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,814.15 | $2,791 | 3.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$879.45–$1,475.50 | $1,353–$2,270 | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $460.63 | $708.66 | 0.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $2,359.50 | $3,630 | 0.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,381.90 | $2,126 | 1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $768.30 | $1,182 | 1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $223.60 | $344 | 1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $238.55 | $367 | 1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $697.45 | $1,073 | 3.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$187.20–$374.40 | $288–$576 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $705.90 | $1,086 | 3.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$242.45–$527.15 | $373–$811 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $215.15 | $331 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$679.90–$767 | $1,046–$1,180 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $859.95 | $1,323 | 1.9× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$352.95–$1,391.65 | $543–$2,141 | varies |
| Strapping shoulder (29240) | $296.40 | $456 | 2.0× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$538.20–$791.70 | $828–$1,218 | varies |
| Treat humerus fracture (24500) | $538.85 | $829 | 2.0× |
| Treat Humerus Fracture (24505) | $2,079.35 | $3,199 | 1.2× |
| Treat humerus fracture (23600) | $403.65 | $621 | 1.5× |
| Treat Knuckle Dislocation (26700) | $572.65 | $881 | 2.1× |
| Treat Metatarsal Fracture (28475) | $678.60 | $1,044 | 2.5× |
| Treat Thumb Fracture (26645) | $1,767.35 | $2,719 | 1.0× |
| Treat toe dislocation (28630) | $565.50 | $870 | 2.1× |
| Treatment closed elbow dislocation w/o anes (24600) | $650 | $1,000 | 2.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,235 | $1,900 | 1.5× |
| Unlisted procedure anus (46999) | $1,572.35 | $2,419 | 1.5× |
| Unlisted procedure nervous system (64999) | $1,235 | $1,900 | 3.6× |
| Vaginal delivery only (59409) | $3,177.85 | $4,889 | 0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,023.75 | $1,575 | 0.4× |
| Wedge excision skin nail fold (11765) | $406.90 | $626 | 0.9× |
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.