Procedures & surgery prices at Vandalia Health Mon Preston Memorial Hospital
Kingwood, WV · every code in this section with a posted price and a Medicare benchmark.
343 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$273.88–$544.62 | $547.75–$1,089.25 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$281.25–$570.38 | $562.50–$1,140.75 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $579.25 | $1,158.50 | 0.2× |
| Anal/Urinary Muscle Study (51784) | $221.88 | $443.75 | 1.8× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$50.25–$51 | $100.50–$102 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 2 matching MRF lines |
$123.75–$126.50 | $247.50–$253 | varies |
| Application cast elbow finger short arm (29075) | $96.62 | $193.25 | 0.4× |
| Application Finger Splint Dynamic (29131) | $63.25 | $126.50 | 1.1× |
| Application finger splint static (29130) | $137 | $274 | 1.1× |
| Application long arm splint shoulder hand (29105) | $134.75 | $269.50 | 0.9× |
| Application Long Leg Splint (29505) | $86.25 | $172.50 | 0.6× |
| Application of rigid total contact leg cast (29445) | $47.12 | $94.25 | 0.2× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$57.12–$86.25 | $114.25–$172.50 | varies |
| Application short leg splint calf foot (29515) | $76.50 | $153 | 0.5× |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$47.88–$74.25 | $95.75–$148.50 | varies |
| Apply long arm cast (29065) | $103.88 | $207.75 | 0.4× |
| Apply Multlay Comprs Lwr Leg (29581) | $126.50 | $253 | 0.8× |
| Apply short leg cast (29425) | $106.50 | $213 | 0.4× |
| Arterial puncture (36600) | $62 | $124 | 0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$31.62–$92.62 | $63.25–$185.25 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$52.12–$97.25 | $104.25–$194.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$36–$95.88 | $72–$191.75 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$17.75–$35.38 | $35.50–$70.75 | varies |
| Aspirate pleura w/ imaging (32555) | $184.62 | $369.25 | 0.3× |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$1,086.25–$1,421.38 | $2,172.50–$2,842.75 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 4 matching MRF lines |
$55.50–$68.12 | $111–$136.25 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $446.75 | $893.50 | 0.7× |
| Aspiration Bladder Needle (51100) | $95.88 | $191.75 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$60.12–$142 | $120.25–$284 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $476.75 | $953.50 | 0.3× |
| Biopsy Vaginal Mucosa Simple (57100) | $37.88 | $75.75 | 0.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $70.38 | $140.75 | 0.1× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$127.62–$215.12 | $255.25–$430.25 | varies |
| Bladder Scan (51798) range across 4 matching MRF lines |
$28.75–$87.25 | $57.50–$174.50 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $313.25 | $626.50 | 1.0× |
| Blood Transfusion Service (36430) | $214.50 | $429 | 0.5× |
| Bone Marrow Biopsy (38221) | $159 | $318 | 0.1× |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$604.25–$1,207.25 | $1,208.50–$2,414.50 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$611.12–$1,220.88 | $1,222.25–$2,441.75 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $156.75 | $313.50 | 0.1× |
| Bx Cervix (57500) | $149.25 | $298.50 | 0.2× |
| Canthotomy Separate Procedure (67715) | $195.50 | $391 | 0.1× |
| Catheter aspiration nasotracheal spx (31720) | $108 | $216 | 0.5× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$67.50–$124.88 | $135–$249.75 | varies |
| Chemical Cautery Tissue (17250) | $92.25 | $184.50 | 0.5× |
| Chemodenerv Musc Migraine (64615) | $56.25 | $112.50 | 0.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $32.62 | $65.25 | 0.1× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$292.38–$584.38 | $584.75–$1,168.75 | varies |
| Clear outer ear canal (69200) | $112.62 | $225.25 | 0.9× |
| Closed Treat Vert Body Fract (22310) | $27.75 | $55.50 | 0.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $52.12 | $104.25 | 0.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $68.38 | $136.75 | 0.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $224.75 | $449.50 | 0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $119.25 | $238.50 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $239.88 | $479.75 | 0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $84 | $168 | 0.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $47.50 | $95 | 0.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$48.25–$218.88 | $96.50–$437.75 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $118.75 | $237.50 | 0.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$68.12–$244 | $136.25–$488 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$52.25–$190.62 | $104.50–$381.25 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $277 | $554 | 0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $232.12 | $464.25 | 1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $73.50 | $147 | 0.3× |
| Closed tx radial head/neck fx w/manipulation (24655) | $292.38 | $584.75 | 0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$60–$203.25 | $120–$406.50 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $464.88 | $929.75 | 0.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $11.38 | $22.75 | 0.0× |
| Closed tx talus fracture w/o manipulation (28430) | $62 | $124 | 0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $228.88 | $457.75 | 1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$71.38–$244 | $142.75–$488 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$62–$224.75 | $124–$449.50 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $150.75 | $301.50 | 0.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$10.75–$86.25 | $21.50–$172.50 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$293.75 | $22.75–$587.50 | 1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $487.38 | $974.75 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $161.25 | $322.50 | 0.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $11 | $22 | 0.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $203.12 | $406.25 | 0.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $34.50 | $69 | 0.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $237.12 | $474.25 | 0.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $71.38 | $142.75 | 0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $74.12 | $148.25 | 0.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$76–$275.38 | $152–$550.75 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $64 | $128 | 0.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $11.62 | $23.25 | 0.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$68.38–$252.75 | $136.75–$505.50 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$82.25–$533.62 | $164.50–$1,067.25 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $71.50 | $143 | 0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $34.12 | $68.25 | 0.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$42.12–$147.88 | $84.25–$295.75 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$53.88–$162.25 | $107.75–$324.50 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$11.38–$126.38 | $22.75–$252.75 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $102.12 | $204.25 | 0.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$27.38–$270.12 | $54.75–$540.25 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $36 | $72 | 0.2× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $13 | $26 | 0.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $324.62 | $649.25 | 1.4× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $76.38 | $152.75 | 0.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $243.12 | $486.25 | 0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $83.62 | $167.25 | 0.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $166.88 | $333.75 | 0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$33.88–$195.25 | $67.75–$390.50 | varies |
| Cltx Medial Ankle Fx (27760) | $75 | $150 | 0.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$67.38–$219.62 | $134.75–$439.25 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$50.50–$229.38 | $101–$458.75 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$82.50–$195.25 | $165–$390.50 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $41.12 | $82.25 | 0.2× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$68.38–$219.62 | $136.75–$439.25 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $137.88 | $275.75 | 0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $620.12 | $1,240.25 | 0.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$83.62–$292.38 | $167.25–$584.75 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $17.62 | $35.25 | 0.1× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$67.38–$244 | $134.75–$488 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $68.38 | $136.75 | 0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $134.12 | $268.25 | 0.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $94.88 | $189.75 | 0.4× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$14.25–$42.50 | $28.50–$85 | varies |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$7.88–$16.62 | $15.75–$33.25 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $33.50 | $67 | 0.1× |
| Colposcopy Cervix Endocervical Curettage (57456) | $96.75 | $193.50 | 0.3× |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$31.12–$106.75 | $62.25–$213.50 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $61.38 | $122.75 | 0.2× |
| Complex Cystometrogram (51726) range across 2 matching MRF lines |
$444.62–$959.88 | $889.25–$1,919.75 | varies |
| Complex drainage wound (10180) | $40.88 | $81.75 | 0.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $40.50 | $81 | 0.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $171.12 | $342.25 | 1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$118–$120.38 | $236–$240.75 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $175.88 | $351.75 | 1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $195.25 | $390.50 | 0.9× |
| Cystourethroscopy (52000) | $375.88 | $751.75 | 0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $87.25 | $174.50 | 0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,513 | $3,026 | 0.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $428.75 | $857.50 | 0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$88.62–$244 | $177.25–$488 | varies |
| Debride nail 1-5 (11720) | $34.50 | $69 | 0.6× |
| Debride nail 6 or more (11721) | $40.62 | $81.25 | 0.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$111.62–$926 | $223.25–$1,852 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
$42.62–$199.62 | $85.25–$399.25 | varies |
| Declot vascular device (36593) | $364.62 | $729.25 | 1.2× |
| Delivery of placenta (59414) | $94.50 | $189 | 0.0× |
| Destruct B9 Lesion 1-14 (17110) | $64 | $128 | 0.3× |
| Destruction Benign Lesions 15/> (17111) | $100 | $200 | 0.5× |
| Destruction Lesions Vulva Simple (56501) | $43.25 | $86.50 | 0.0× |
| Destruction premalignant lesion 1st (17000) | $28.38 | $56.75 | 0.1× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $64.88 | $129.75 | 0.5× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $62.50 | $125 | 0.5× |
| Dilation Cervical Canal (57800) | $56.75 | $113.50 | 0.0× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$89.88–$124.38 | $179.75–$248.75 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$95.38–$195.25 | $190.75–$390.50 | varies |
| Drainage of finger abscess simple (26010) | $195.25 | $390.50 | 1.0× |
| Drainage of gum lesion (41800) | $186.38 | $372.75 | 1.5× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$53.62–$127.88 | $107.25–$255.75 | varies |
| Drainage of scrotal wall abscess (55100) | $637 | $1,274 | 0.4× |
| Drainage of scrotum (54700) | $237 | $474 | 0.1× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$41.50–$68.25 | $83–$136.50 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $86.25 | $172.50 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$165.50–$170.50 | $331–$341 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$91.38–$199.62 | $182.75–$399.25 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$26.38–$108 | $52.75–$216 | varies |
| Dstrj lesion anus simple surg excision (46922) | $271.38 | $542.75 | 0.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $210.25 | $420.50 | 0.1× |
| Dstrj lesion penis simple surg excision (54060) | $63.38 | $126.75 | 0.0× |
| Dx Bone Marrow Bx & Aspir (38222) | $216.62 | $433.25 | 0.1× |
| Egd Flexible Foreign Body Removal (43247) | $341.12 | $682.25 | 0.4× |
| Electro-Uroflowmetry First (51741) | $153.25 | $306.50 | 0.7× |
| Endometrial Biopsy (58100) | $40.88 | $81.75 | 0.2× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $2,209.75 | $4,419.50 | 0.7× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $2,599.12 | $5,198.25 | 0.9× |
| Endoven ther chem adhes 1st (36482) | $4,860 | $9,720 | 0.9× |
| Evacuation of subungual hematoma (11740) | $45.62 | $91.25 | 0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 4 matching MRF lines |
$63.75–$65.75 | $127.50–$131.50 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $118 | $236 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $50.25 | $100.50 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
$53.62–$128.62 | $107.25–$257.25 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$63.38–$64.25 | $126.75–$128.50 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $59.12 | $118.25 | 0.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $123.62 | $247.25 | 0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $144.75 | $289.50 | 0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $126.50 | $253 | 0.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $129.88 | $259.75 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $252.75 | $505.50 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 5 matching MRF lines |
$68–$68.75 | $136–$137.50 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$75.38–$77.62 | $150.75–$155.25 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $152.75 | $305.50 | 0.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $232 | $464 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $185.75 | $371.50 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $229.50 | $459 | 0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $190 | $380 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $116.62 | $233.25 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $252.88 | $505.75 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $194.25 | $388.50 | 0.1× |
| Excision of single external papilla or tag, anus (46220) | $212.38 | $424.75 | 0.2× |
| Excision of vaginal cyst or tumor (57135) | $51.62 | $103.25 | 0.0× |
| Fine needle aspiration without imaging guidance (10021) range across 5 matching MRF lines |
$110.88–$203.25 | $221.75–$406.50 | varies |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$115–$496.88 | $230–$993.75 | varies |
| Guide Cathet Fluid Drainage (10030) | $1,162.38 | $2,324.75 | 1.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$94.12–$103.50 | $188.25–$207 | varies |
| I&d abscess simple (10060) range across 7 matching MRF lines |
$25.38–$136.12 | $50.75–$272.25 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$200.25–$247.12 | $400.50–$494.25 | varies |
| I&d pilonidal cyst complicated (10081) | $144.50 | $289 | 0.2× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$75.38–$190.62 | $150.75–$381.25 | varies |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$78.62–$268.75 | $157.25–$537.50 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$49.12–$219.62 | $98.25–$439.25 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$64.25–$359.25 | $128.50–$718.50 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$68.38–$161.25 | $136.75–$322.50 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$105.25–$140.62 | $210.50–$281.25 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$25.38–$259.88 | $50.75–$519.75 | varies |
| Incision of rectal abscess (46040) | $341.12 | $682.25 | 0.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $342.75 | $685.50 | 0.2× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$186–$236.25 | $372–$472.50 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $94.62 | $189.25 | 0.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$18.88–$97.25 | $37.75–$194.50 | varies |
| Injection for identification of sentinel node (38792) | $23.50 | $47 | 0.1× |
| Injection single tendon origin/insertion (20551) | $22.75 | $45.50 | 0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$24.50–$67 | $49–$134 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $28.12 | $56.25 | 0.1× |
| Injection therapeutic carpal tunnel (20526) | $27.25 | $54.50 | 0.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $92.12 | $184.25 | 0.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$96.88–$232.25 | $193.75–$464.50 | varies |
| Insert Bladder Cath Complex (51703) | $150.12 | $300.25 | 1.2× |
| Insert cath pleura w/o image (32556) | $282.38 | $564.75 | 0.2× |
| Insert Drug Implant Device (11981) | $89.75 | $179.50 | 0.7× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$346.88–$348.38 | $693.75–$696.75 | varies |
| Insert pessary/other device (57160) | $52 | $104 | 0.3× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$85.38–$90.50 | $170.75–$181 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 5 matching MRF lines |
$51.12–$83.75 | $102.25–$167.50 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $117 | $234 | 0.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 5 matching MRF lines |
$857–$1,152.88 | $1,714–$2,305.75 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$316.25–$819.88 | $632.50–$1,639.75 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $344.38 | $688.75 | 0.9× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$130.12–$308.50 | $260.25–$617 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $236.75 | $473.50 | 1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $195.25 | $390.50 | 0.5× |
| Laser Surgery Anal Lesions (46917) | $404.25 | $808.50 | 0.2× |
| Late closure of wound (13160) | $426.25 | $852.50 | 0.1× |
| N Block Inj Pudendal (64430) | $148.38 | $296.75 | 0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) | $103.25 | $206.50 | 0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $68.88 | $137.75 | 2.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $80.88 | $161.75 | 2.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,019.88 | $2,039.75 | 2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $140.38 | $280.75 | 0.5× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $3,581 | $7,162 | 1.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $103.88 | $207.75 | 0.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $346.38 | $692.75 | 0.9× |
| Njx Sclrsnt Spider Veins (36468) | $18 | $36 | 0.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $390.38 | $780.75 | 0.1× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$387.75–$460.12 | $775.50–$920.25 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$178.12–$355.88 | $356.25–$711.75 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $323.88 | $647.75 | 0.1× |
| Placement of needle for intraosseous infusion (36680) | $80.88 | $161.75 | 0.2× |
| Punch biopsy skin single lesion (11104) | $192.50 | $385 | 0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 6 matching MRF lines |
$45.75–$137.88 | $91.50–$275.75 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$165.75–$254.88 | $331.50–$509.75 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $156.75 | $313.50 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$212.75–$269.25 | $425.50–$538.50 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$173.50–$368.62 | $347–$737.25 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 10 matching MRF lines |
$6.12–$15.50 | $12.25–$31 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$19.62–$45.62 | $39.25–$91.25 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$86.25–$219.62 | $172.50–$439.25 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $75 | $150 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 5 matching MRF lines |
$20.88–$108 | $41.75–$216 | varies |
| Remove drug implant device (11982) | $81 | $162 | 0.2× |
| Remove foreign body from eye (65205) | $131 | $262 | 1.0× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$47.50–$99.62 | $95–$199.25 | varies |
| Remove Nasal Foreign Body (30300) | $146.75 | $293.50 | 1.1× |
| Remove/Insert Drug Implant (11983) | $78.38 | $156.75 | 0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $462.25 | $924.50 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $265 | $530 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $463.75 | $927.50 | 1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $219.12 | $438.25 | 0.6× |
| Repair extensor tendon finger w/o graft each (26418) | $584.38 | $1,168.75 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $218.88 | $437.75 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $234.25 | $468.50 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $251.50 | $503 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $275.38 | $550.75 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $143.38 | $286.75 | 0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $195.25 | $390.50 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$154.50–$230.62 | $309–$461.25 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $510.50 | $1,021 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $320.88 | $641.75 | 0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$125.62–$178.12 | $251.25–$356.25 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$209.88–$244 | $419.75–$488 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $351.62 | $703.25 | 0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $238.75 | $477.50 | 0.6× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$204.25–$204.75 | $408.50–$409.50 | varies |
| Repair tongue laceration (41252) | $258.50 | $517 | 1.1× |
| Repair tongue laceration (41250) | $181.75 | $363.50 | 0.4× |
| Replace g/c tube perc (49450) | $1,147.62 | $2,295.25 | 1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $133.38 | $266.75 | 0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $25.38 | $50.75 | 0.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $161.25 | $322.50 | 0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) | $99.62 | $199.25 | 0.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$68.12–$349.50 | $136.25–$699 | varies |
| Rplc Gtube No Revj Trc (43762) | $356.88 | $713.75 | 1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $287.88 | $575.75 | 1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $237.38 | $474.75 | 0.5× |
| Shave skin lesion 0.5 cm/< (11300) | $60.88 | $121.75 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $64.25 | $128.50 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $49.50 | $99 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$60.88–$61.50 | $121.75–$123 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $25.38 | $50.75 | 0.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $66.38 | $132.75 | 0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $68 | $136 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $75.38 | $150.75 | 0.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $166.50 | $333 | 0.1× |
| Simple Cystometrogram (51725) | $306.12 | $612.25 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $177.38 | $354.75 | 0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $195.25 | $390.50 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $229.38 | $458.75 | 1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$76.50–$166.88 | $153–$333.75 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $209.38 | $418.75 | 1.1× |
| Skin sub graft face/nk/hf/g (15275) | $103.88 | $207.75 | 0.1× |
| Skin sub graft trnk/arm/leg (15271) | $111 | $222 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$109–$179 | $218–$358 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $259.88 | $519.75 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $257.62 | $515.25 | 0.7× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$45.75–$1,007.62 | $91.50–$2,015.25 | varies |
| Strapping shoulder (29240) | $189.38 | $378.75 | 1.5× |
| Strapping Unna Boot (29580) | $23.25 | $46.50 | 0.1× |
| Tangential biopsy skin single lesion (11102) | $150.25 | $300.50 | 0.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $173.75 | $347.50 | 0.8× |
| Treat humerus fracture (24500) | $80 | $160 | 0.3× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$60–$396.50 | $120–$793 | varies |
| Treat Knee Fracture(S) (27538) | $63.38 | $126.75 | 0.3× |
| Treat Knuckle Dislocation (26700) | $219.62 | $439.25 | 0.9× |
| Treat Thumb Dislocation (26641) | $311.88 | $623.75 | 1.3× |
| Treat Thumb Fracture (26645) | $273.38 | $546.75 | 0.2× |
| Treat toe dislocation (28630) | $54.25 | $108.50 | 0.2× |
| Treat Vaginal Bleeding (57180) | $120.50 | $241 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $195.25 | $390.50 | 0.8× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$39.62–$50.38 | $79.25–$100.75 | varies |
| Trim skin lesions 2 to 4 (11056) | $41.75 | $83.50 | 0.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $12.25 | $24.50 | 0.2× |
| Tx Gastro Intub W/Asp (43753) | $21.88 | $43.75 | 0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $239.25 | $478.50 | 0.3× |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$31.62–$344.88 | $63.25–$689.75 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $276.88 | $553.75 | 0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $54.50 | $109 | 0.2× |
| Unlisted Procedure Vascular Surgery (37799) | $185.75 | $371.50 | 0.3× |
| Vaginal delivery only (59409) | $1,433 | $2,866 | 0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $375.88 | $751.75 | 0.2× |
| Wedge excision skin nail fold (11765) | $216.50 | $433 | 0.6× |
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.