Procedures & surgery prices at Platte County Hospital
Wheatland, WY · every code in this section with a posted price and a Medicare benchmark.
247 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) range across 3 matching MRF lines |
$137.93–$861.25 | $225–$1,241 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$95.02–$585.74 | $155–$844 | varies |
| Amniocentesis diagnostic (59000) | $741.19 | $1,068 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $847.78 | $1,383 | 0.3× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$38.01–$57.01 | $62–$93 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$53.94–$80.92 | $88–$132 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$64.36–$96.24 | $105–$157 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$127.50–$190.64 | $208–$311 | varies |
| Application of rigid total contact leg cast (29445) range across 6 matching MRF lines |
$577.44–$866.16 | $802–$1,203 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$50.27–$75.40 | $82–$123 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$63.14–$94.40 | $103–$154 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 6 matching MRF lines |
$171.36–$257.04 | $238–$357 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$74.79–$112.18 | $122–$183 | varies |
| Apply short leg cast (29425) range across 3 matching MRF lines |
$70.50–$106.05 | $115–$173 | varies |
| Arterial puncture (36600) | $44.40 | $68 | 0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 12 matching MRF lines |
$105.44–$543.40 | $172–$783 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$655.83–$984.09 | $945–$1,418 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$128.73–$849.46 | $210–$1,224 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 9 matching MRF lines |
$168.57–$1,130.53 | $275–$1,629 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 9 matching MRF lines |
$101.76–$528.13 | $166–$761 | varies |
| Aspirate pleura w/ imaging (32555) range across 9 matching MRF lines |
$142.83–$1,209.64 | $233–$1,743 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 6 matching MRF lines |
$114.63–$885.56 | $187–$1,352 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) | $69.88 | $114 | 0.3× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$1,541.22–$1,632.98 | $2,353 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$223.75–$248.45 | $358 | varies |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
$706.37–$1,059.55 | $1,132–$1,698 | varies |
| Bx breast 1st lesion us imag (19083) | $1,807.18 | $2,604 | 1.1× |
| Change Cystostomy Tube Simple (51705) | $248.45 | $358 | 1.0× |
| Change of Windpipe Airway (31502) | $280.38 | $404 | 1.2× |
| Chemical Cautery Tissue (17250) | $47.81 | $78 | 0.2× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$202.29–$302.82 | $330–$494 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $459.29 | $538 | 0.2× |
| Cl Tx Scapular Fx; W Manip (23575) range across 3 matching MRF lines |
$479.98–$719.66 | $783–$1,174 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$628.32–$942.18 | $1,025–$1,537 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$60.07–$90.11 | $98–$147 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 3 matching MRF lines |
$577.45–$865.56 | $942–$1,412 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$479.98–$719.66 | $783–$1,174 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$540.05–$809.77 | $881–$1,321 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 3 matching MRF lines |
$803.03–$1,203.93 | $1,310–$1,964 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$437.68–$655.91 | $714–$1,070 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$378.22–$567.02 | $617–$925 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$508.18–$761.96 | $829–$1,243 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$584.80–$877.20 | $954–$1,431 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$592.16–$888.24 | $966–$1,449 | varies |
| Closed tx septal&nose fx (21337) | $372.70 | $608 | 0.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$411.94–$617.90 | $672–$1,008 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
$41.07–$61.30 | $67–$100 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 3 matching MRF lines |
$425.42–$638.13 | $694–$1,041 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$285.66–$428.49 | $466–$699 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$515.53–$772.99 | $841–$1,261 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$370.25–$555.38 | $604–$906 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
$628.32–$942.79 | $1,025–$1,538 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $426.65 | $696 | 0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$491.63–$736.83 | $802–$1,202 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $348.80 | $569 | 1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$652.23–$977.74 | $1,064–$1,595 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 3 matching MRF lines |
$869.23–$1,303.85 | $1,418–$2,127 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $180.84 | $295 | 0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$630.78–$945.86 | $1,029–$1,543 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$965.48–$1,448.52 | $1,575–$2,363 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$236–$354.31 | $385–$578 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $116.47 | $190 | 0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $440.75 | $719 | 1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $327.96 | $535 | 1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $373.93 | $610 | 1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $386.80 | $631 | 1.5× |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$743.57–$1,115.05 | $1,213–$1,819 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
$516.15–$774.22 | $842–$1,263 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$100.53–$150.18 | $164–$245 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$723.34–$1,085.01 | $1,180–$1,770 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$555.38–$832.45 | $906–$1,358 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$370.25–$555.38 | $604–$906 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $141.48 | $216 | 1.0× |
| Collection of venous blood by venipuncture (36415) | $45.71 | $70 | 4.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$101.14–$151.41 | $165–$247 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$72.95–$109.11 | $119–$178 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $209.65 | $342 | 0.4× |
| Crd ceramides liq chrom plsm (0119U) | $151.96 | $252 | 1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $136.09 | $222 | 1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $352.47 | $575 | 0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $77.85 | $127 | 0.2× |
| Declot vascular device (36593) range across 2 matching MRF lines |
$274.44–$290.79 | $419 | varies |
| Delivery of placenta (59414) | $1,271.88 | $2,035 | 0.4× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$1,609.34–$2,414.33 | $2,457–$3,686 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,594.92–$2,392.72 | $2,435–$3,653 | varies |
| Destruct B9 Lesion 1-14 (17110) | $84.59 | $138 | 0.4× |
| Destruction Benign Lesions 15/> (17111) | $103.60 | $169 | 0.5× |
| Drain Cerebro Spinal Fluid (62272) | $314.72 | $404 | 0.4× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$457.35–$686.37 | $659–$989 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$153.86–$230.49 | $251–$376 | varies |
| Drainage of finger abscess simple (26010) | $175.93 | $287 | 0.9× |
| Drainage of gum lesion (41800) | $193.71 | $316 | 1.4× |
| Drainage of hematoma/fluid (10140) | $332.25 | $542 | 0.2× |
| Draw Blood Off Venous Device (36591) | $199.78 | $305 | 1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $157.54 | $257 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $170.41 | $278 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $69.27 | $113 | 0.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$539.07–$808.93 | $823–$1,235 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $759.93 | $1,095 | 1.1× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$403.52–$668.32 | $518–$963 | varies |
| Evacuation of subungual hematoma (11740) | $39.84 | $65 | 0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $103.60 | $169 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $103.60 | $169 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $142.83 | $233 | 0.1× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $156.93 | $256 | 0.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $153.25 | $250 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $236.62 | $386 | 0.1× |
| Exploration penetrating wound spx extremity (20103) | $443.20 | $723 | 0.3× |
| External cephalic version (59412) | $665.88 | $780 | 0.2× |
| Fetal Contraction Stress Test (59020) | $687.33 | $752 | 3.3× |
| Fetal non-stress test (59025) | $590.44 | $646 | 2.9× |
| Fluid Pressure Muscle (20950) | $601.88 | $963 | 0.8× |
| Fna bx w/us gdn 1st les (10005) | $1,779.42 | $2,564 | 2.5× |
| I&d abscess peritonsillar (42700) | $171.03 | $279 | 0.7× |
| I&d abscess simple (10060) | $127.50 | $208 | 0.6× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $560.28 | $914 | 0.2× |
| I&d pilonidal cyst simple (10080) | $130.57 | $213 | 0.2× |
| Incise external hemorrhoid (46083) | $138.54 | $226 | 0.5× |
| Incision & drainage abscess complicated/multiple (10061) | $231.10 | $377 | 0.6× |
| Incision & removal foreign body subq tiss simple (10120) | $130.57 | $213 | 0.3× |
| Incision and drainage of bartholin's gland abscess (56420) | $131.79 | $215 | 0.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $152.02 | $248 | 0.5× |
| Incision of rectal abscess (46040) | $538.21 | $878 | 0.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 3 matching MRF lines |
$198–$296.69 | $323–$484 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$1,666.98–$2,500.79 | $2,545–$3,818 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$1,330.31–$1,995.79 | $2,031–$3,047 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$312.44–$468.98 | $477–$716 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$216.56–$324.84 | $278–$417 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 12 matching MRF lines |
$90.36–$1,392.86 | $116–$2,007 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$1,042.76–$1,564.14 | $1,592–$2,388 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 3 matching MRF lines |
$211.89–$317.83 | $272–$408 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$338.64–$508.28 | $517–$776 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,524.84 | $2,328 | 1.7× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$632.73–$949.10 | $966–$1,449 | varies |
| Injection single tendon origin/insertion (20551) | $291.48 | $445 | 0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $108.50 | $177 | 0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$121.99–$455.26 | $199–$656 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $226.69 | $291 | 0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$189.30–$284.34 | $243–$365 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$651.07–$976.60 | $994–$1,491 | varies |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $928.57 | $1,338 | 1.0× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$212.22–$224.86 | $324 | varies |
| Insert cervical dilator (59200) | $436.24 | $511 | 1.4× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$239.68–$304.59 | $391 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 2 matching MRF lines |
$1,264.81–$1,340.11 | $1,931 | varies |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$33.10–$195.01 | $54–$281 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$146.88–$163.09 | $235 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,789.46–$1,896.01 | $2,732 | varies |
| Insj Picc Rs&I <5 Yr (36572) range across 2 matching MRF lines |
$1,259.57–$1,334.56 | $1,923 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,297.56–$1,374.81 | $1,981 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $383.74 | $626 | 0.9× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$403.35–$512.58 | $658 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $252.56 | $412 | 0.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 3 matching MRF lines |
$249.49–$373.93 | $407–$610 | varies |
| N Block Inj Celiac Pelus (64530) | $1,019.18 | $1,556 | 1.1× |
| N block inj intercost sng (64420) range across 12 matching MRF lines |
$213.45–$1,047.25 | $274–$1,509 | varies |
| N Block Lumbar/Thoracic (64520) | $876.39 | $1,338 | 1.0× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,632.98–$2,449.82 | $2,353–$3,530 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $47.89 | $69 | 1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) | $52.05 | $75 | 1.8× |
| Neuro alys b-amyl 1-42&1-40 (0358U) | $473.35 | $785 | 1.8× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $284.01 | $471 | 1.8× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $284.01 | $471 | 1.8× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $754.35 | $1,251 | 1.8× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $3,846.54 | $6,379 | 1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 3 matching MRF lines |
$876.39–$1,314.59 | $1,338–$2,007 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 7 matching MRF lines |
$140.38–$492.50 | $229–$788 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
$2,051.46–$3,260.41 | $3,132–$4,698 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,608.68–$1,704.46 | $2,456 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,125.94 | $1,719 | 1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$354.44–$1,179.11 | $455–$1,699 | varies |
| Nudt15 & tpmt gene analysis common variants (0169U) | $843.60 | $1,399 | 1.8× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$347.80–$522.04 | $531–$797 | varies |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) | $15,295.09 | $25,365 | 1.8× |
| Onc pncrs DNA&mrna seq 74 (0313U) | $6,512.40 | $10,800 | 1.8× |
| Open treatment interphalangeal joint dislocation (28675) | $514.31 | $839 | 0.2× |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$1,251.98–$1,877.96 | $1,804–$2,706 | varies |
| Pericardiocentesis W/Imaging (33016) | $1,038.12 | $1,661 | 0.6× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$140.38–$702.16 | $229–$1,072 | varies |
| Perq dev breast 1st us imag (19285) | $903.59 | $1,302 | 1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,235.32 | $1,780 | 1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 3 matching MRF lines |
$845.94–$1,268.91 | $1,380–$2,070 | varies |
| Placement of needle for intraosseous infusion (36680) | $295 | $472 | 0.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $61.30 | $100 | 0.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $120.15 | $196 | 0.3× |
| Puncture Aspiration Cyst Breast (19000) | $342.14 | $493 | 0.5× |
| Reconstruction Nail Bed W/Graft (11762) | $242.75 | $396 | 0.1× |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$145.28–$218.23 | $237–$356 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$170.41–$255.62 | $278–$417 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $186.96 | $305 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$17.78–$26.97 | $29–$44 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $42.91 | $70 | 0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $93.18 | $152 | 0.5× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$36.78–$55.17 | $60–$90 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$86.43–$290.62 | $141–$465 | varies |
| Remove Nasal Foreign Body (30300) | $143.44 | $234 | 1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $357.99 | $584 | 0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $431.55 | $704 | 0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $312.02 | $509 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $389.87 | $636 | 0.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $296.08 | $483 | 0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $332.25 | $542 | 0.8× |
| Repair extensor tendon finger w/o graft each (26418) | $753.99 | $1,230 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $215.16 | $351 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $254.39 | $415 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $274.62 | $448 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $281.37 | $459 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $186.96 | $305 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $250.10 | $408 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $307.11 | $501 | 0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $193.10 | $315 | 0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $242.14 | $395 | 0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $361.06 | $589 | 0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $261.75 | $427 | 0.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $421.74 | $688 | 0.2× |
| Repair tongue laceration (41252) | $266.04 | $434 | 1.1× |
| Repair tongue laceration (41250) | $196.16 | $320 | 0.4× |
| Respir iadna 18 viral&2 bact (0115U) | $498.68 | $827 | 1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$52.72–$79.08 | $86–$129 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$64.98–$97.47 | $106–$159 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $315.08 | $514 | 0.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $427.72 | $653 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $123.21 | $201 | 0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $72.33 | $118 | 0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $76.62 | $125 | 0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $97.47 | $159 | 0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $57.62 | $94 | 0.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $187.58 | $306 | 0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $95.63 | $156 | 0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $76.62 | $125 | 0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $124.44 | $203 | 0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $152.02 | $248 | 0.4× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$174.70–$575.33 | $285–$829 | varies |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$169.20–$254.16 | $235–$353 | varies |
| Thyroid biopsy (60100) | $714.82 | $1,030 | 1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $429.71 | $701 | 1.8× |
| Treat Dental Ridge Fracture (21440) | $639.36 | $1,043 | 0.2× |
| Treat Hip Socket Fracture (27222) range across 3 matching MRF lines |
$1,245–$1,867.20 | $2,031–$3,046 | varies |
| Treat Humerus Fracture (24505) range across 3 matching MRF lines |
$572.54–$858.81 | $934–$1,401 | varies |
| Treat Knuckle Dislocation (26700) | $392.32 | $640 | 1.6× |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$441.36–$662.04 | $720–$1,080 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$603.80–$905.40 | $985–$1,477 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$429.71–$644.88 | $701–$1,052 | varies |
| Trnsplj Don-Drv Cll-Fr Dna (0118U) | $4,980.78 | $8,260 | 1.8× |
| Tx Gastro Intub W/Asp (43753) | $28.81 | $47 | 0.1× |
| Vaginal delivery only (59409) | $1,041.49 | $1,699 | 0.3× |
| Wedge excision skin nail fold (11765) | $117.08 | $191 | 0.3× |
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.