Procedures & surgery prices at Plains Memorial Hospital
Dimmitt, TX · every code in this section with a posted price and a Medicare benchmark.
320 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,619 | $2,159 | 1.8× |
| Acne surgery (10040) | $68 | $91 | 0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,239 | $1,652 | 0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,608 | $3,477 | 0.8× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$59–$234 | $78–$312 | varies |
| Application Cast Finger (29086) | $134 | $178 | 0.8× |
| Application Finger Splint Dynamic (29131) | $173 | $231 | 2.9× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$49–$228 | $65–$304 | varies |
| Application long arm splint shoulder hand (29105) | $281 | $375 | 1.7× |
| Application Long Leg Splint (29505) | $281 | $375 | 1.7× |
| Application Short Arm Splint Dynamic (29126) | $173 | $231 | 1.3× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$49–$228 | $65–$304 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$59–$281 | $78–$375 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$78–$234 | $104–$312 | varies |
| Arterial puncture (36600) | $228 | $304 | 1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$62–$1,058 | $82–$1,411 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$1,415–$2,651 | $1,887–$3,535 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$74–$1,058 | $99–$1,411 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$710–$1,238 | $946–$1,651 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$50–$530 | $66–$706 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,122 | $1,496 | 1.8× |
| Aspirate/Inj Ganglion Cyst (20612) | $74 | $99 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$98–$358 | $130–$477 | varies |
| Bladder Irrigation (51700) | $442 | $589 | 1.8× |
| Bladder Scan (51798) | $110 | $146 | 1.9× |
| Blepharotomy drainage abscess eyelid (67700) | $254 | $338 | 0.8× |
| Blood Transfusion Service (36430) | $776 | $1,034 | 1.8× |
| Bx breast needle core w/o imaging guidance spx (19100) | $801 | $1,068 | 0.5× |
| Chemical exfoliation for acne (17360) | $146 | $195 | 0.7× |
| Chemodenerv Musc Migraine (64615) | $554 | $738 | 1.8× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$530–$1,058 | $706–$1,411 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $1,058 | $1,411 | 3.4× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,331 | $1,774 | 0.8× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$228–$239 | $304–$318 | varies |
| Closed Treat Vert Body Fract (22310) | $444 | $592 | 1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $761 | $1,014 | 3.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $507 | $676 | 2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $735 | $980 | 3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $422 | $562 | 1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $757 | $1,009 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $380 | $507 | 1.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$254–$329 | $338–$439 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$380–$494 | $507–$659 | varies |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $454 | $605 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$234–$305 | $312–$406 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,122 | $1,496 | 0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $329 | $439 | 1.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$283–$368 | $377–$490 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,331 | $1,774 | 0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$215–$279 | $286–$372 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,331 | $1,774 | 0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$296–$305 | $395–$406 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,331 | $1,774 | 0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$395–$406 | $527–$541 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $203 | $270 | 0.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $422 | $562 | 1.7× |
| Closed tx talus fracture w/o manipulation (28430) | $342 | $456 | 1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $272 | $362 | 1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$351–$456 | $468–$608 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $249 | $332 | 1.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $555 | $740 | 1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $215 | $287 | 0.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,331 | $1,774 | 0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$358–$368 | $477–$490 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $554 | $739 | 1.0× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $926 | $1,234 | 3.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $422 | $562 | 1.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $380 | $507 | 1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $356 | $474 | 1.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$494–$567 | $659–$756 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $228 | $304 | 0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$293–$380 | $390–$507 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$212–$315 | $283–$420 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$176–$212 | $234–$283 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$407–$422 | $543–$562 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $2,871 | $3,828 | 1.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $761 | $1,014 | 3.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $165 | $220 | 0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$117–$212 | $156–$283 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $165 | $220 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$114–$422 | $152–$562 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $422 | $562 | 1.7× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $330 | $440 | 1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $494 | $659 | 2.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $290 | $387 | 1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$169–$308 | $225–$410 | varies |
| Cltx Medial Ankle Fx (27760) | $342 | $456 | 1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $355 | $473 | 1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$215–$254 | $287–$338 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $422 | $562 | 1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$210–$422 | $280–$562 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $254 | $338 | 1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $422 | $562 | 1.7× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$293–$380 | $390–$507 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $710 | $946 | 2.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $380 | $507 | 1.5× |
| Collect Blood From Catheter Venous Nos (36592) | $78 | $104 | 0.6× |
| Collection of venous blood by venipuncture (36415) | $17 | $22 | 1.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $191 | $254 | 1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$98–$228 | $130–$304 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $368 | $490 | 2.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $292 | $389 | 1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$99–$482 | $132–$642 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $494 | $659 | 0.7× |
| Debride nail 1-5 (11720) | $49 | $65 | 0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,329 | $1,772 | 0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$272–$279 | $362–$372 | varies |
| Delivery of placenta (59414) | $317 | $422 | 0.1× |
| Dermabrasion superficial any site (15783) | $75 | $100 | 0.2× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$3,922–$7,371 | $5,229–$9,828 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$3,922–$7,371 | $5,229–$9,828 | varies |
| Destruct B9 Lesion 1-14 (17110) | $78 | $104 | 0.4× |
| Destruction Benign Lesions 15/> (17111) | $127 | $169 | 0.6× |
| Destruction by neurolytic agent; pudendal nerve (64630) range across 2 matching MRF lines |
$1,628–$3,257 | $2,171–$4,342 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$3,922–$7,369 | $5,229–$9,825 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$117–$152 | $156–$203 | varies |
| Dilate Esophagus 1/Mult Pass (43450) | $454 | $605 | 0.5× |
| Drain/inj small joint/bursa w/us (20604) | $710 | $946 | 2.3× |
| Drainage Mouth Roof Lesion (42000) | $127 | $169 | 0.5× |
| Drainage of gum lesion (41800) | $152 | $203 | 1.1× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$124–$1,329 | $165–$1,772 | varies |
| Drainage of scrotal wall abscess (55100) | $801 | $1,068 | 0.5× |
| Draw Blood Off Venous Device (36591) | $122 | $162 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $254 | $338 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$98–$167 | $130–$222 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$59–$358 | $78–$477 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$1,628–$3,257 | $2,171–$4,342 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,235 | $1,647 | 1.7× |
| Endometrial Biopsy (58100) | $98 | $130 | 0.5× |
| Epidural Blood Patch (62273) | $1,235 | $1,647 | 1.7× |
| Episiotomy or vaginal repair (59300) | $266 | $354 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$59–$104 | $78–$138 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $136 | $181 | 0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $224 | $299 | 0.1× |
| Exc Back Les Sc < 3 Cm (21930) | $407 | $543 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $361 | $481 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $146 | $195 | 0.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$185–$565 | $247–$753 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $215 | $286 | 0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $263 | $351 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $312 | $416 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $117 | $156 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$137–$596 | $182–$795 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $176 | $234 | 0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $156 | $208 | 0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $273 | $364 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $312 | $416 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $234 | $312 | 0.1× |
| Exc Skin Benig >4cm Face,Facial (11446) | $341 | $455 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$156–$203 | $208–$270 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $161 | $214 | 0.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $137 | $182 | 0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $195 | $260 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $231 | $308 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $162 | $216 | 0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $195 | $260 | 0.5× |
| Exploration penetrating wound spx chest (20101) | $1,546 | $2,061 | 0.7× |
| Exploration penetrating wound spx extremity (20103) | $917 | $1,223 | 0.6× |
| Fine needle aspiration without imaging guidance (10021) | $173 | $230 | 0.4× |
| Foreskin manipulation (54450) | $442 | $589 | 1.8× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $1,623 | $2,164 | 0.8× |
| I&d abscess peritonsillar (42700) | $216 | $288 | 0.9× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$124–$358 | $165–$477 | varies |
| I&d perianal abscess superficial (46050) | $433 | $577 | 0.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$124–$1,257 | $165–$1,676 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $5,076 | $6,768 | 1.7× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$98–$147 | $130–$196 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$260–$713 | $346–$950 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $536 | $715 | 0.2× |
| Incision & removal foreign body subq tiss compl (10121) | $1,329 | $1,772 | 0.8× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$161–$713 | $214–$950 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$127–$165 | $169–$220 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $329 | $439 | 1.1× |
| Incision of rectal abscess (46040) | $524 | $698 | 0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$49–$358 | $65–$477 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,101–$3,729 | $2,801–$4,972 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$39–$530 | $52–$706 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,708–$2,944 | $2,277–$3,925 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$524–$1,808 | $698–$2,411 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,708 | $2,277 | 2.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,235 | $1,647 | 1.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $530 | $706 | 1.7× |
| Injection single tendon origin/insertion (20551) | $59 | $78 | 0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$74–$530 | $99–$706 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$222–$530 | $296–$706 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$59–$529 | $78–$705 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,235 | $1,647 | 1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$1,235–$2,471 | $1,647–$3,295 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $59 | $78 | 0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$49–$215 | $65–$286 | varies |
| Insert Bladder Cath Complex (51703) | $279 | $372 | 2.2× |
| Insert Drug Implant Device (11981) | $137 | $182 | 1.0× |
| Insert non-tunnel cv cath (36556) | $1,106 | $1,475 | 0.3× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$29–$228 | $39–$304 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $228 | $304 | 1.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $812 | $1,082 | 0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,861 | $3,815 | 1.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $533 | $710 | 1.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $608 | $811 | 1.5× |
| Intubation endotracheal emergency procedure (31500) | $437 | $582 | 1.8× |
| Irrigation of corpora cavernosa for priapism (54220) | $442 | $589 | 1.8× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) | $61 | $81 | 2.1× |
| Marsupialization of bartholin's gland cyst (56440) | $1,457 | $1,942 | 0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,415 | $1,887 | 2.0× |
| N block inj intercost sng (64420) | $1,415 | $1,887 | 2.0× |
| N Block Lumbar/Thoracic (64520) | $1,628 | $2,171 | 1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,628 | $2,171 | 1.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $244 | $325 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$524–$3,729 | $698–$4,972 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,708 | $2,277 | 2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,708 | $2,277 | 2.4× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$197–$710 | $262–$946 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $6,084 | $8,112 | 1.9× |
| Partial Excision Distal Phalanx Finger (26236) | $1,700 | $2,266 | 1.1× |
| Partical Excision Bone Phalanx Toe (28124) | $1,700 | $2,266 | 0.5× |
| Placement of needle for intraosseous infusion (36680) | $712 | $949 | 1.6× |
| Punch biopsy skin single lesion (11104) | $75 | $100 | 0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$99–$307 | $132–$409 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $1,235 | $1,647 | 0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $2,292 | $3,056 | 0.8× |
| Removal foreign body foot deep (28192) | $1,329 | $1,772 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$166–$565 | $221–$753 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,897 | $3,862 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$35–$112 | $47–$149 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$75–$95 | $100–$127 | varies |
| Removal of foreign body from pharynx (42809) | $171 | $228 | 0.4× |
| Removal of nail bed (11750) | $322 | $429 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$111–$167 | $148–$222 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $480 | $640 | 1.7× |
| Remove drug implant device (11982) | $166 | $221 | 0.4× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$68–$89 | $91–$118 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$49–$64 | $65–$85 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$127–$165 | $169–$220 | varies |
| Remove/Insert Drug Implant (11983) | $283 | $377 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $469 | $625 | 0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $786 | $1,048 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $368 | $490 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $621 | $828 | 1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $482 | $642 | 1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,122 | $1,496 | 2.7× |
| Repair complex trunk 1.1-2.5 cm (13100) | $482 | $642 | 0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $482 | $642 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $292 | $389 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $305 | $406 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $380 | $507 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $456 | $608 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $685 | $913 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $406 | $541 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$223–$279 | $297–$372 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $292 | $389 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $482 | $642 | 0.6× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,546 | $2,061 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $713 | $950 | 1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $307 | $409 | 0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$215–$279 | $286–$372 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $431 | $575 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $713 | $950 | 1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,623 | $2,164 | 0.8× |
| Repair of nail bed (11760) | $406 | $541 | 0.5× |
| Repair tongue laceration (41252) | $554 | $739 | 2.3× |
| Repair tongue laceration (41250) | $178 | $237 | 0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $171 | $228 | 0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$78–$712 | $104–$949 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $326 | $434 | 0.7× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $2,897 | $3,862 | 1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $358 | $477 | 1.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $469 | $625 | 0.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $254 | $338 | 1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $287 | $383 | 0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $456 | $608 | 0.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $913 | $1,217 | 0.6× |
| Shave skin lesion 0.5 cm/< (11300) | $124 | $165 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $161 | $214 | 0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $222 | $296 | 1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $342 | $456 | 0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$137–$358 | $182–$477 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$166–$358 | $221–$477 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $393 | $524 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$195–$358 | $260–$477 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $444 | $592 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$127–$358 | $169–$477 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $380 | $507 | 1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$205–$358 | $273–$477 | varies |
| Slitting of prepuce (54001) | $1,478 | $1,971 | 0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$176–$358 | $234–$477 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$234–$713 | $312–$950 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $329 | $439 | 0.8× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$329–$1,235 | $439–$1,647 | varies |
| Strapping ankle (29540) | $134 | $178 | 0.8× |
| Strapping elbow or wrist (29260) | $38 | $51 | 0.6× |
| Strapping hand/finger (29280) | $38 | $51 | 0.6× |
| Strapping Hip (29520) | $64 | $85 | 0.5× |
| Strapping knee (29530) | $104 | $138 | 0.8× |
| Strapping shoulder (29240) | $104 | $138 | 0.8× |
| Strapping thorax (29200) | $134 | $178 | 0.8× |
| Strapping toes (29550) | $56 | $74 | 0.9× |
| Strapping Unna Boot (29580) | $134 | $178 | 0.8× |
| Tangential biopsy skin single lesion (11102) | $358 | $477 | 0.9× |
| Thrombolytic Therapy Stroke (37195) | $887 | $1,183 | 2.7× |
| Tooth extraction (41899) | $127 | $169 | 0.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $583 | $777 | 2.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,122 | $1,496 | 0.7× |
| Treat humerus fracture (24500) | $165 | $220 | 0.7× |
| Treat humerus fracture (23600) | $247 | $329 | 1.0× |
| Treat Knuckle Dislocation (26700) | $292 | $389 | 1.2× |
| Treat Metatarsal Fracture (28475) | $355 | $473 | 1.4× |
| Treat Tail Bone Fracture (27200) | $228 | $304 | 0.9× |
| Treat Thumb Dislocation (26641) | $279 | $372 | 1.1× |
| Treat Thumb Fracture (26645) | $1,331 | $1,774 | 0.8× |
| Treat toe dislocation (28630) | $422 | $562 | 1.7× |
| Treat Vaginal Bleeding (57180) | $356 | $475 | 1.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $355 | $473 | 1.4× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$62–$167 | $82–$222 | varies |
| Trim skin lesions 2 to 4 (11056) | $86 | $115 | 0.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $56 | $74 | 0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$156–$482 | $208–$642 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$254–$329 | $338–$439 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $134 | $178 | 0.8× |
| Unlisted procedure nervous system (64999) | $530 | $706 | 1.7× |
| Wound Prep Trk/Arm/Leg (15002) | $925 | $1,233 | 1.2× |
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.