Procedures & surgery prices at Pomerene Hospital
Millersburg, OH · every code in this section with a posted price and a Medicare benchmark.
311 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 4 matching MRF lines |
$166.40–$1,136.80 | $208–$1,421 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$116–$963.20 | $145–$1,204 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$66.40–$168 | $83–$210 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) range across 2 matching MRF lines |
$135.20–$1,089.60 | $169–$1,362 | varies |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$100.80–$363.20 | $126–$454 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$46.40–$204 | $58–$255 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$66.40–$209.60 | $83–$262 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$84–$232 | $105–$290 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$158.40–$318.40 | $198–$398 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$64.80–$209.60 | $81–$262 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$80–$240.80 | $100–$301 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$109.60–$345.60 | $137–$432 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$94.40–$359.20 | $118–$449 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$23.20–$120 | $29–$150 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$58.40–$440 | $73–$550 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$72.80–$570.40 | $91–$713 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$56.80–$388 | $71–$485 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $30,323.90 | $37,904.87 | 2.5× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$170.40–$1,121.60 | $213–$1,402 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$139.20–$825.60 | $174–$1,032 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $316.80 | $396 | 1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$85.60–$222.40 | $107–$278 | varies |
| Biopsy Abdominal Mass (49180) | $1,922.40 | $2,403 | 1.2× |
| Biopsy of liver, needle; percutaneous (47000) | $1,335.20 | $1,669 | 0.9× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $2,136 | $2,670 | 1.4× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$47.20–$398.40 | $59–$498 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$18.40–$116 | $23–$145 | varies |
| Blood Transfusion Service (36430) | $616 | $770 | 1.5× |
| Bone Marrow Biopsy (38221) | $1,336.80 | $1,671 | 0.9× |
| Bone Marrow; Aspiration Only (38220) | $1,375.20 | $1,719 | 0.9× |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$2,016–$3,294.40 | $2,520–$4,118 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$3,201.60–$5,016 | $4,002–$6,270 | varies |
| Catheter aspiration nasotracheal spx (31720) | $194.40 | $243 | 0.9× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$127.20–$900.80 | $159–$1,126 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$82.40–$326.40 | $103–$408 | varies |
| Change of Windpipe Airway (31502) | $324 | $405 | 1.4× |
| Chemodenerv musc neck dyston (64616) | $322.40 | $403 | 1.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $388.80 | $486 | 1.3× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$244.80–$960 | $306–$1,200 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $568 | $710 | 0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$804–$1,345.60 | $1,005–$1,682 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$76–$272.80 | $95–$341 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$311.20–$387.20 | $389–$484 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$739.20–$2,120 | $924–$2,650 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$311.20–$756 | $389–$945 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$311.20–$482.40 | $389–$603 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$424–$510.40 | $530–$638 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$363.20–$639.20 | $454–$799 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$706.40–$1,345.60 | $883–$1,682 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$311.20–$509.60 | $389–$637 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$311.20–$784.80 | $389–$981 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$1,033.60–$2,120 | $1,292–$2,650 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$311.20–$772.80 | $389–$966 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$311.20–$340 | $389–$425 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$454.40–$804 | $568–$1,005 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$386.40–$566.40 | $483–$708 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$674.40–$1,345.60 | $843–$1,682 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$311.20–$412 | $389–$515 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$763.20–$1,345.60 | $954–$1,682 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$311.20–$432 | $389–$540 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$767.20–$1,345.60 | $959–$1,682 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$311.20–$434.40 | $389–$543 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$690.40–$2,120 | $863–$2,650 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$311.20–$447.20 | $389–$559 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$311.20–$407.20 | $389–$509 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$555.20–$2,120 | $694–$2,650 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$382.40–$424 | $478–$530 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 2 matching MRF lines |
$215.20–$311.20 | $269–$389 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$671.20–$1,340 | $839–$1,675 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$323.20–$500.80 | $404–$626 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$804.80–$1,363.20 | $1,006–$1,704 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$409.60–$636.80 | $512–$796 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$311.20–$477.60 | $389–$597 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$327.20–$456.80 | $409–$571 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$319.20–$327.20 | $399–$409 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$311.20–$542.40 | $389–$678 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$842.40–$1,345.60 | $1,053–$1,682 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,105.60–$2,120 | $1,382–$2,650 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$311.20–$816.80 | $389–$1,021 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,216.80–$2,120 | $1,521–$2,650 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$246.40–$311.20 | $308–$389 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$206.40–$311.20 | $258–$389 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$236.80–$428 | $296–$535 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$200–$311.20 | $250–$389 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$805.60–$2,120 | $1,007–$2,650 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$311.20–$506.40 | $389–$633 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,208.80–$1,345.60 | $1,511–$1,682 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$286.40–$363.20 | $358–$454 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$204.80–$353.60 | $256–$442 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$153.60–$340.80 | $192–$426 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$463.20–$590.40 | $579–$738 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$340.80–$439.20 | $426–$549 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$727.20–$2,120 | $909–$2,650 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$311.20–$512 | $389–$640 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$391.20–$496 | $489–$620 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$311.20–$480.80 | $389–$601 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$657.60–$2,120 | $822–$2,650 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$211.20–$1,345.60 | $264–$1,682 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$363.20–$507.20 | $454–$634 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$311.20–$317.60 | $389–$397 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$947.20–$1,363.20 | $1,184–$1,704 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$454.40–$687.20 | $568–$859 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$668–$1,363.20 | $835–$1,704 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$311.20–$475.20 | $389–$594 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$706.40–$1,816.80 | $883–$2,271 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$128.80–$454.40 | $161–$568 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$941.60–$1,345.60 | $1,177–$1,682 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$311.20–$585.60 | $389–$732 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$1,292.80–$1,349.60 | $1,616–$1,687 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$311.20–$812 | $389–$1,015 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$311.20–$537.60 | $389–$672 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$725.60–$1,345.60 | $907–$1,682 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$311.20–$490.40 | $389–$613 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $109.60 | $137 | 0.9× |
| Collection of venous blood by venipuncture (36415) | $20.80 | $26 | 2.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$122.40–$318.40 | $153–$398 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$90.40–$318.40 | $113–$398 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,136 | $2,670 | 1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$168–$318.40 | $210–$398 | varies |
| Curette/treat cornea (65435) range across 2 matching MRF lines |
$110.40–$1,335.20 | $138–$1,669 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$244–$796 | $305–$995 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$22.40–$80.80 | $28–$101 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$357.60–$2,139.20 | $447–$2,674 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$96.80–$458.40 | $121–$573 | varies |
| Declot vascular device (36593) | $416.80 | $521 | 1.3× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$144.80–$1,782.40 | $181–$2,228 | varies |
| Destroy lumb/sac facet jnt (64635) | $2,548.80 | $3,186 | 1.4× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$108–$264.80 | $135–$331 | varies |
| Drain Cerebro Spinal Fluid (62272) | $779.20 | $974 | 1.2× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$228.80–$258.40 | $286–$323 | varies |
| Drainage of hematoma/fluid (10140) | $1,295.20 | $1,619 | 0.8× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$270.40–$2,139.20 | $338–$2,674 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$210.40–$454.40 | $263–$568 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$177.60–$272.80 | $222–$341 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$89.60–$266.40 | $112–$333 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,659.44 | $4,574.30 | 2.0× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$1,013.60–$1,097.60 | $1,267–$1,372 | varies |
| Epidural lysis mult sessions (62263) range across 2 matching MRF lines |
$1,199.20–$1,904.80 | $1,499–$2,381 | varies |
| Episiotomy or vaginal repair (59300) | $1,079.20 | $1,349 | 0.4× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$52–$172.80 | $65–$216 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$182.40–$1,556.80 | $228–$1,946 | varies |
| Excision Lingual Frenum Frenectomy (41115) | $887.20 | $1,109 | 0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) | $5,844.01 | $7,305.01 | 2.1× |
| Excision of vaginal cyst or tumor (57135) | $2,228 | $2,785 | 0.7× |
| External cephalic version (59412) | $989.60 | $1,237 | 0.3× |
| Fetal non-stress test (59025) | $356.80 | $446 | 1.9× |
| Fna bx w/us gdn 1st les (10005) | $1,000 | $1,250 | 1.5× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$219.20–$321.60 | $274–$402 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$171.20–$325.60 | $214–$407 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$163.20–$800 | $204–$1,000 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$274.40–$928.80 | $343–$1,161 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$169.60–$318.40 | $212–$398 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$296–$367.20 | $370–$459 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$293.60–$2,139.20 | $367–$2,674 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$169.60–$480 | $212–$600 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$178.40–$318.40 | $223–$398 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$204.80–$664 | $256–$830 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$687.20–$1,204 | $859–$1,505 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$72.80–$266.40 | $91–$333 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$167.20–$1,203.20 | $209–$1,504 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 3 matching MRF lines |
$1,080–$1,507.20 | $1,350–$1,884 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $446.40 | $558 | 1.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$1,080–$1,110.40 | $1,350–$1,388 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,080 | $1,350 | 1.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$878.40–$1,496 | $1,098–$1,870 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $1,080 | $1,350 | 1.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$809.60–$872.80 | $1,012–$1,091 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,080 | $1,350 | 1.3× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$719.20–$984 | $899–$1,230 | varies |
| Injection for identification of sentinel node (38792) | $532 | $665 | 1.4× |
| Injection single tendon origin/insertion (20551) | $314.40 | $393 | 1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $444.80 | $556 | 1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) | $449.60 | $562 | 1.5× |
| Injection therapeutic carpal tunnel (20526) | $334.40 | $418 | 1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$1,111.20–$1,343.20 | $1,389–$1,679 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$792–$835.20 | $990–$1,044 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$66.40–$754.40 | $83–$943 | varies |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $1,026.40 | $1,283 | 1.2× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) | $1,027.20 | $1,284 | 1.2× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$120–$168 | $150–$210 | varies |
| Insert cervical dilator (59200) | $392 | $490 | 1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,565.60 | $1,957 | 0.9× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$132.80–$2,389.60 | $166–$2,987 | varies |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$40–$172.80 | $50–$216 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 5 matching MRF lines |
$40.80–$169.60 | $51–$212 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,136 | $2,670 | 1.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$4,204 | $165–$5,255 | 1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,796.80 | $2,246 | 1.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$336.80–$482.40 | $421–$603 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$336–$613.60 | $420–$767 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$222.40–$518.40 | $278–$648 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $14,525.62 | $18,157.03 | 2.5× |
| N Block Inj Celiac Pelus (64530) | $1,080 | $1,350 | 1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$809.60–$894.40 | $1,012–$1,118 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$722.40–$1,216 | $903–$1,520 | varies |
| N Block Lumbar/Thoracic (64520) | $1,080 | $1,350 | 1.3× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$63.20–$524.80 | $79–$656 | varies |
| Needle Biopsy Lymph Nodes (38505) | $1,922.40 | $2,403 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 5 matching MRF lines |
$82.40–$858.40 | $103–$1,073 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $792 | $990 | 0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,973.68 | $2,467.10 | 3.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,967.39 | $2,459.24 | 2.9× |
| Occipital Nerve Block (64405) range across 5 matching MRF lines |
$84–$595.20 | $105–$744 | varies |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$365.60–$2,112.80 | $457–$2,641 | varies |
| Peritoneal Lavage (49084) range across 3 matching MRF lines |
$168.80–$1,195.20 | $211–$1,494 | varies |
| Perq dev breast 1st us imag (19285) range across 5 matching MRF lines |
$900–$1,800 | $1,125–$2,250 | varies |
| Perq device breast 1st imag (19281) range across 6 matching MRF lines |
$1,309.60–$1,964.80 | $1,637–$2,456 | varies |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$94.40–$331.20 | $118–$414 | varies |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) range across 2 matching MRF lines |
$1,123.20–$1,829.60 | $1,404–$2,287 | varies |
| Puncture Aspiration Cyst Breast (19000) | $928 | $1,160 | 1.4× |
| Push Transfusion Blood 2 Yr/Under (36440) | $604 | $755 | 1.4× |
| Reconstruct extra finger (26587) | $2,356.80 | $2,946 | 0.8× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$187.20–$454.40 | $234–$568 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$588–$2,139.20 | $735–$2,674 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$499.20–$2,139.20 | $624–$2,674 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$212.80–$590.40 | $266–$738 | varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) range across 2 matching MRF lines |
$995.20–$4,268.80 | $1,244–$5,336 | varies |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$653.60–$3,748 | $817–$4,685 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$25.60–$100.80 | $32–$126 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$52–$100.80 | $65–$126 | varies |
| Removal of adenoids (42830) | $3,495.20 | $4,369 | 1.1× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$204.80–$454.40 | $256–$568 | varies |
| Removal of tonsils (42826) | $5,940.14 | $7,425.17 | 1.9× |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$772–$3,748 | $965–$4,685 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $279.20 | $349 | 1.5× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$45.60–$428 | $57–$535 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$145.60–$198.40 | $182–$248 | varies |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$272–$2,139.20 | $340–$2,674 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$440.80–$828 | $551–$1,035 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$531.20–$828 | $664–$1,035 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$384–$485.60 | $480–$607 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$479.20–$510.40 | $599–$638 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$368–$828 | $460–$1,035 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$408.80–$814.40 | $511–$1,018 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$318.40–$828 | $398–$1,035 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$392–$510.40 | $490–$638 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,014.40–$1,317.60 | $1,268–$1,647 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$975.20–$1,317.60 | $1,219–$1,647 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$270.40–$336 | $338–$420 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$317.60–$336 | $397–$420 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$336–$343.20 | $420–$429 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$336–$351.20 | $420–$439 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$525.60–$669.60 | $657–$837 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$437.60–$828 | $547–$1,035 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$232–$336 | $290–$420 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$312–$336 | $390–$420 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$341.60–$514.40 | $427–$643 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$565.60–$2,405.60 | $707–$3,007 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$336.80–$385.60 | $421–$482 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$241.60–$336.80 | $302–$421 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$303.20–$336.80 | $379–$421 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$451.20–$514.40 | $564–$643 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$327.20–$336.80 | $409–$421 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$524–$2,405.60 | $655–$3,007 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$175.20–$508.80 | $219–$636 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$335.20–$817.60 | $419–$1,022 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$247.20–$363.20 | $309–$454 | varies |
| Rmvl embedded fb vestibule mouth comp (40805) range across 2 matching MRF lines |
$316–$726.40 | $395–$908 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$185.60–$1,108 | $232–$1,385 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$65.60–$436 | $82–$545 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$79.20–$340.80 | $99–$426 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$56.80–$524.80 | $71–$656 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 2 matching MRF lines |
$274.40–$3,748 | $343–$4,685 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$228.80–$2,139.20 | $286–$2,674 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,110.40 | $1,388 | 1.9× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$59.20–$476.80 | $74–$596 | varies |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $3,779.20 | $4,724 | 1.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $9,462.70 | $11,828.37 | 2.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$149.60–$240.80 | $187–$301 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$510.40–$828 | $638–$1,035 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) range across 2 matching MRF lines |
$295.20–$321.60 | $369–$402 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$203.20–$525.60 | $254–$657 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$88.80–$240.80 | $111–$301 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$92–$240.80 | $115–$301 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$244.80–$525.60 | $306–$657 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$119.20–$240.80 | $149–$301 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$264–$276 | $330–$345 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$71.20–$240.80 | $89–$301 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$228.80–$264 | $286–$330 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$116.80–$240.80 | $146–$301 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$93.60–$240.80 | $117–$301 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$150.40–$532 | $188–$665 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$184–$525.60 | $230–$657 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$100.80–$858.40 | $126–$1,073 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$27.20–$204 | $34–$255 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$29.60–$181.60 | $37–$227 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$32–$181.60 | $40–$227 | varies |
| Strapping Hip (29520) range across 2 matching MRF lines |
$28.80–$181.60 | $36–$227 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$28–$228 | $35–$285 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$28–$204 | $35–$255 | varies |
| Strapping thorax (29200) range across 2 matching MRF lines |
$28.80–$208 | $36–$260 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$17.60–$181.60 | $22–$227 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$41.60–$164 | $52–$205 | varies |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$64.80–$432 | $81–$540 | varies |
| Thyroid biopsy (60100) | $584.80 | $731 | 0.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $5,172 | $6,465 | 1.6× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$25,577.56–$40,446.40 | $31,971.95–$50,558 | varies |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $256.80 | $321 | 0.9× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$311.20–$558.40 | $389–$698 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$747.20–$2,120 | $934–$2,650 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$311.20–$528 | $389–$660 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$363.20–$521.60 | $454–$652 | varies |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$311.20–$376.80 | $389–$471 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$179.20–$327.20 | $224–$409 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$784.80–$1,340 | $981–$1,675 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$363.20–$568 | $454–$710 | varies |
| Tx Gastro Intub W/Asp (43753) range across 3 matching MRF lines |
$34.40–$318.40 | $43–$398 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$581.60–$1,345.60 | $727–$1,682 | varies |
| Tympanostomy general anesthesia (69436) | $2,734.20 | $3,417.75 | 1.9× |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$22.40–$208 | $28–$260 | varies |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,278.40–$2,559.20 | $1,598–$3,199 | varies |
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.