Procedures & surgery prices at Bon Secours Rappahannock General Hospital

Kilmarnock, VA · every code in this section with a posted price and a Medicare benchmark.

381 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,011.60 $1,686 1.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $703.80 $1,173 0.8×
Acne surgery (10040) $527.40 $879 2.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,243.20 $2,072 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,143.20 $3,572 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,143.20 $3,572 0.7×
Anoscopy diagnostic (46600) $84 $140 0.6×
Application cast elbow finger short arm (29075) $172.80 $288 0.6×
Application Finger Splint Dynamic (29131) $53.40 $89 0.9×
Application finger splint static (29130) $83.40 $139 0.6×
Application long arm splint shoulder hand (29105) $105 $175 0.7×
Application Long Leg Splint (29505) $105 $175 0.7×
Application of long leg cast (29345) $172.80 $288 0.6×
Application Short Arm Splint Dynamic (29126) $83.40 $139 0.6×
Application short arm splint forearm-hand static (29125) $83.40 $139 0.6×
Application short leg splint calf foot (29515) $105 $175 0.7×
Apply long arm cast (29065) $172.80 $288 0.6×
Apply Short Leg Cast (29405) $172.80 $288 0.6×
Apply short leg cast (29425) $172.80 $288 0.6×
Arterial puncture (36600) $193.20 $322 1.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $406.80 $678 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,948.80 $3,248 2.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $406.80 $678 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,204.80 $2,008 4.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $406.80 $678 1.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,033.20 $1,722 0.7×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,033.20 $1,722 0.7×
Aspirate pleura w/ imaging (32555) $1,426.80 $2,378 2.3×
Aspirate Pleura W/O Imaging (32554) $417 $695 0.7×
Aspiration bladder insert suprapubic catheter (51102) $3,687.60 $6,146 1.8×
Avulsion nail plate partial/complete simple 1 (11730) $307.80 $513 1.6×
Bladder Irrigation (51700) $184.80 $308 0.8×
Bladder Scan (51798)
range across 2 matching MRF lines		 $41.40–$214.80 $69–$358 varies
Blepharotomy drainage abscess eyelid (67700) $465.60 $776 1.5×
Blood Transfusion Service (36430) $661.20 $1,102 1.5×
Bronchoscopy W/Biopsy(S) (31625) $2,074.80 $3,458 1.2×
Canthotomy Separate Procedure (67715) $1,522.80 $2,538 0.7×
Cataract surgery complex (66982)
range across 2 matching MRF lines		 $8,603.50–$8,615.78 $14,339.17–$14,359.63 varies
Catheter aspiration nasotracheal spx (31720) $337.80 $563 1.6×
Change Cystostomy Tube Simple (51705) $154.80 $258 0.6×
Change of Windpipe Airway (31502) $150 $250 0.6×
Chemical Cautery Tissue (17250) $130.20 $217 0.7×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,071.60–$2,143.20 $1,786–$3,572 varies
Circumcision 28 days or older (54161) $1,335.60 $2,226 0.7×
Cl Tx Tib Shft Fx W Manip (27752) $1,033.20 $1,722 0.7×
Clear outer ear canal (69200) $111.60 $186 0.9×
Closed Rx Spontaneous Hip Disloc (27256) $149.40 $249 0.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $149.40 $249 0.6×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,033.20 $1,722 0.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $417.60 $696 1.7×
Closed tx ankle dislocation w/o anesthesia (27840) $149.40 $249 0.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,033.20 $1,722 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $149.40 $249 0.6×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $149.40 $249 0.6×
Closed tx carpal scaphoid fracture w/manj (25624) $1,033.20 $1,722 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $149.40 $249 0.6×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,033.20 $1,722 0.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,033.20 $1,722 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $999.60 $1,666 0.7×
Closed tx patellar dislocation w/anesthesia (27562) $149.40 $249 0.6×
Closed tx patellar dislocation w/o anesthesia (27560) $149.40 $249 0.6×
Closed tx radial head/neck fx w/manipulation (24655) $1,033.20 $1,722 0.7×
Closed tx radial head/neck fx w/o manipulation (24650) $149.40 $249 0.6×
Closed tx radial shaft fracture w/manipulation (25505) $1,033.20 $1,722 0.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,033.20 $1,722 0.7×
Closed tx radial&ulnar shaft fractures w/o man (25560) $149.40 $249 0.6×
Closed tx talotarsal joint dislc w/o anes (28570) $149.40 $249 0.6×
Closed Tx Talus Fracture W/Manipulation (28435) $1,033.20 $1,722 0.7×
Closed tx tarsometatarsal dislocation w/o anes (28600) $149.40 $249 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $149.40 $249 0.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,033.20 $1,722 0.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $432 $720 1.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $150 $250 0.6×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $149.40 $249 0.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,033.20 $1,722 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $432 $720 1.8×
Clsd tx fx orbit except blowout w/o manipulation (21400) $329.40 $549 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,033.20 $1,722 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $149.40 $249 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,033.20 $1,722 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $149.40 $249 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $149.40 $249 0.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $149.40 $249 0.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $404.40 $674 1.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $149.40 $249 0.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,033.20 $1,722 0.7×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,032.60 $1,721 0.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,033.20 $1,722 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $149.40 $249 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $149.40 $249 0.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,033.20 $1,722 0.7×
Cltx greater humeral tuberosity fx w/o manj (23620) $149.40 $249 0.6×
Cltx Greater Trochanteric Fx W/O Manj (27246) $417.60 $696 1.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $149.40 $249 0.6×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,032.60 $1,721 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,033.20 $1,722 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $149.40 $249 0.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $149.40 $249 0.6×
Cltx Med Ankle Fx W/Mnpj (27762) $1,033.20 $1,722 0.7×
Cltx metacarpal fx w/manipulation each bone (26605) $149.40 $249 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $149.40 $249 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $149.40 $249 0.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $404.40 $674 1.7×
Cltx post hip arthrp dislc req anes (27266) $2,894.40 $4,824 1.8×
Cltx post hip arthrp dislc w/o anes (27265) $149.40 $249 0.6×
Cltx prox fibula/shft fx w/manj (27781) $1,033.20 $1,722 0.7×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,033.20 $1,722 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $149.40 $249 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,033.20 $1,722 0.7×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,033.20 $1,722 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,033.20 $1,722 0.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,033.20 $1,722 0.7×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $149.40 $249 0.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,033.20 $1,722 0.7×
Collect Blood From Catheter Venous Nos (36592) $208.80 $348 1.6×
Collection of venous blood by venipuncture (36415) $15 $25 1.6×
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $3,244.60–$4,585.18 $5,407.67–$7,641.97 varies
Colporrhaphy (57200) $2,035.80 $3,393 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $207.60 $346 1.6×
Control Nasal Hemorrhage Anterior Simple (30901) $270 $450 2.1×
Control oropharyngeal hemorrhage simple (42960) $329.40 $549 0.6×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $2,308.20 $3,847 0.7×
Correction hammertoe (28285)
range across 7 matching MRF lines		 $12,533.80–$31,529.58 $20,889.67–$52,549.30 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $207.60 $346 1.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $150 $250 0.6×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $2,049 $3,415 0.6×
Cysto Bladder W/Ureteral Catheterization (52005) $1,335.60 $2,226 0.7×
Cysto calibration dilat urtl strix/stenosis (52281) $1,335.60 $2,226 0.7×
Cysto w/complex removal stone & stent (52315) $1,335.60 $2,226 0.7×
Cysto W/Simple Removal Stone & Stent (52310) $1,335.60 $2,226 0.7×
Cystourethroscopy (52000) $450.60 $751 0.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $418.80 $698 1.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,860 $3,100 0.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $7,117.59 $11,862.65 9.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,080 $1,800 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $430.20 $717 1.1×
Declot vascular device (36593) $523.20 $872 1.6×
Decompression of tibia nerve (28035) $4,535.33 $7,558.88 2.4×
Destruct B9 Lesion 1-14 (17110) $130.20 $217 0.7×
Dilate Urethra Stricture (53620) $450.60 $751 0.7×
Drain Cerebro Spinal Fluid (62272) $1,159.80 $1,933 1.7×
Drainage external auditory canal abscess (69020) $467.40 $779 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $1,080 $1,800 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $467.40 $779 0.7×
Drainage Finger Abscess Complicated (26011) $1,080 $1,800 0.7×
Drainage Mouth Roof Lesion (42000) $150 $250 0.6×
Drainage of finger abscess simple (26010) $337.80 $563 1.7×
Drainage of gum lesion (41800) $84 $140 0.6×
Drainage of hematoma/fluid (10140) $1,080 $1,800 0.7×
Drainage of rectal abscess (45005) $846.60 $1,411 0.7×
Drainage of scrotal wall abscess (55100) $1,080 $1,800 0.7×
Drainage of scrotum (54700) $1,335.60 $2,226 0.7×
Draw Blood Off Venous Device (36591) $142.80 $238 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $467.40 $779 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $268.80 $448 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $130.20 $217 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $307.80 $513 1.6×
Dx Bronchoscope/Wash (31622) $3,172.80 $5,288 1.8×
Egd Flexible Foreign Body Removal (43247) $594.60 $991 0.7×
Egd remove lesion snare (43251) $3,567.40 $5,945.67 1.9×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $464.40–$525 $774–$875 varies
Escharotomy; initial incision (16035) $268.80 $448 0.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,254 $2,090 0.7×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,254 $2,090 0.7×
Evacuation of subungual hematoma (11740) $211.80 $353 1.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $467.40 $779 0.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,721.88 $6,203.13 2.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $467.40 $779 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,080 $1,800 0.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $5,839.66 $9,732.77 3.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,018.11 $6,696.85 2.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $268.80 $448 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $4,269.64 $7,116.07 2.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $3,247.15 $5,411.92 4.7×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,522.80 $2,538 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $3,107.80 $5,179.67 7.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $5,839.66 $9,732.77 8.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $3,837.08 $6,395.13 2.4×
Excision of pilonidal cyst or sinus; simple (11770) $1,860 $3,100 0.7×
Explo/Drain Breast Abscess (19020) $1,080 $1,800 0.7×
Exploration penetrating wound spx extremity (20103) $1,080 $1,800 0.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $12,533.80 $20,889.67 3.9×
Fine needle aspiration without imaging guidance (10021) $326.40 $544 0.8×
Fluid Pressure Muscle (20950) $467.40 $779 0.7×
Foreskin manipulation (54450) $154.80 $258 0.6×
Guide Cathet Fluid Drainage (10030) $1,532.40 $2,554 2.2×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $2,049 $3,415 0.6×
I&d abscess peritonsillar (42700) $298.80 $498 1.3×
I&d abscess simple (10060) $2,465.99 $4,109.98 12.6×
I&D Mouth/Tong Intra,Masticator (41009) $916.80 $1,528 1.7×
I&d perianal abscess superficial (46050) $598.80 $998 0.7×
I&d pilonidal cyst complicated (10081) $333.60 $556 0.5×
I&d pilonidal cyst simple (10080) $333.60 $556 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,860 $3,100 0.7×
Incise external hemorrhoid (46083) $534.60 $891 2.2×
Incise finger tendon sheath (26055)
range across 3 matching MRF lines		 $2,949.05–$3,562.21 $4,915.08–$5,937.02 varies
Incision & drainage abscess complicated/multiple (10061) $333.60 $556 0.8×
Incision & removal foreign body subq tiss compl (10121) $1,079.40 $1,799 0.7×
Incision & removal foreign body subq tiss simple (10120) $1,079.40 $1,799 2.7×
Incision and drainage of bartholin's gland abscess (56420) $128.40 $214 0.7×
Incision and drainage of vulva or perineal abscess (56405) $447 $745 1.5×
Incision of rectal abscess (46040) $780 $1,300 0.7×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,080 $1,800 0.7×
Incisional biopsy skin single lesion (11106) $418.80 $698 0.6×
Initial Tx 1st Degree Burn Local Tx (16000) $330.60 $551 1.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,533.60 $2,556 1.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,533.60 $2,556 1.8×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,533.60 $2,556 1.8×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,533.60 $2,556 1.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $892.80 $1,488 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $1,533.60 $2,556 1.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,236 $2,060 1.8×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,533.60 $2,556 1.8×
Injection Anes Agent Sphenopalatine Ganglion (64505) $196.20 $327 0.7×
Injection anesthetic agent suprascapular nerve (64418) $1,159.80 $1,933 1.7×
Injection single/mlt trigger point 1/2 muscles (20552) $196.20 $327 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $196.20 $327 0.7×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $613.80–$1,509 $1,023–$2,515 varies
Injection, anesthetic agent; femoral nerve, single (64447) $585.60 $976 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $421.80–$738 $703–$1,230 varies
Insert and remove bone pin (20650) $2,143.20 $3,572 0.7×
Insert Bladder Cath Complex (51703) $105 $175 0.8×
Insert cath pleura w/ image (32557) $1,344.60 $2,241 0.9×
Insert cath pleura w/o image (32556) $1,254 $2,090 0.7×
Insert non-tunnel cv cath (36556) $2,145 $3,575 0.7×
Insert Temp Bladder Cath (51702) $204.60 $341 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $205.20 $342 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,071.60 $1,786 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,279.40 $3,799 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $5,243.40 $8,739 3.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,877.60 $9,796 0.7×
Interdental fixation (21110) $999.60 $1,666 0.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $399.60 $666 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $399.60 $666 1.0×
Intraoral i&d tongue/floor lingual (41000) $822 $1,370 1.6×
Intubation endotracheal emergency procedure (31500) $630 $1,050 2.7×
Irrigation of corpora cavernosa for priapism (54220) $489.60 $816 2.0×
Laryngoscopy flexible diagnostic (31575) $129 $215 0.7×
Late closure of wound (13160) $3,127.80 $5,213 0.9×
Ligation Internal/Common Carotid Artery (37605) $2,145 $3,575 0.7×
Lip Surgery Procedure (40799) $150 $250 0.6×
N Block Inj Ilio-Ing/Hypogi (64425) $1,159.80 $1,933 1.7×
N block inj intercost sng (64420) $1,159.80 $1,933 1.7×
N Block Inj Plantar Digit (64455) $310.80 $518 1.0×
N Block Lumbar/Thoracic (64520) $821.40 $1,369 1.0×
Nasal Endoscopy Dx (31231) $129 $215 0.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,151.40 $1,919 0.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $493.80 $823 1.2×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $6,378.60 $10,631 3.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $549.60 $916 1.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,533.60 $2,556 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,533.60 $2,556 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,159.80 $1,933 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,533.60 $2,556 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,159.80 $1,933 1.7×
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) $270 $450 2.1×
Occipital Nerve Block (64405) $549.60 $916 1.8×
Open Treatment Bimalleolar Ankle Fracture (27814) $17,398.50 $28,997.50 2.5×
Part remv talus or calcaneus (28120) $7,321.57 $12,202.62 2.3×
Partial Excision Distal Phalanx Finger (26236) $1,033.20 $1,722 0.7×
Pericardiocentesis W/Imaging (33016) $1,071.60 $1,786 0.7×
Placement of needle for intraosseous infusion (36680) $357.60 $596 0.8×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,850.40 $3,084 0.7×
Punch biopsy skin single lesion (11104) $268.80 $448 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $333.60 $556 0.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,159.80 $1,933 1.7×
Reduction of rectal prolapse (45900) $598.80 $998 0.7×
Removal Embedded Foreign Body Eyelid (67938) $190.80 $318 0.6×
Removal Foreign Body Foot Subcutaneous (28190) $1,335.60 $2,226 1.9×
Removal foreign body jawbone (41806) $999.60 $1,666 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,079.40 $1,799 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $114.60 $191 2.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $41.40 $69 0.7×
Removal of foreign body from pharynx (42809) $271.80 $453 0.6×
Removal of nail bed (11750) $268.80 $448 0.7×
Removal of sesamoid bone (28315) $7,117.59 $11,862.65 2.2×
Removal of tunneled intraperitoneal catheter (49422) $5,911.80 $9,853 1.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $130.20 $217 0.7×
Remove foreign body from eye (65235) $1,555.20 $2,592 0.7×
Remove foreign body from eye (65205) $84 $140 0.6×
Remove Intrauterine Device (58301) $210.60 $351 0.7×
Remove Nasal Foreign Body (30300) $84 $140 0.6×
Repair Blood Vessel Direct Upper Extremity (35206) $2,145 $3,575 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $450 $750 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,098 $1,830 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,045.80 $1,743 2.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $450 $750 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $450 $750 1.1×
Repair complex trunk 1.1-2.5 cm (13100) $450 $750 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $450 $750 0.6×
Repair extensor tendon finger w/o graft each (26418) $1,033.20 $1,722 0.7×
Repair Eyelid Wound (67935) $1,522.80 $2,538 0.7×
Repair Finger/Hand Tendon (26350) $2,143.20 $3,572 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $399.60 $666 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $399.60 $666 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $399.60 $666 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $399.60 $666 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $399.60 $666 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $3,721.88 $6,203.13 9.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $3,837.08–$5,839.66 $6,395.13–$9,732.77 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $399.60 $666 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $399.60 $666 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $399.60 $666 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $3,671.41 $6,119.02 9.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $399.60 $666 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $399.60 $666 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,106.80 $5,178 1.5×
Repair of nail bed (11760) $418.80 $698 0.6×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,143.20 $3,572 0.7×
Repair tongue laceration (41252) $150 $250 0.6×
Repair tongue laceration (41250) $272.40 $454 0.6×
Replace duodenostomy/jejunostomy tube perq (49451) $594.60 $991 0.7×
Replace g/c tube perc (49450) $594.60 $991 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $594.60 $991 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $271.80 $453 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $209.40 $349 1.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $272.40 $454 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,785.38 $6,308.97 2.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,444.20 $2,407 2.4×
Rplc Gtube No Revj Trc (43762) $383.40 $639 1.6×
Rpr blood vessel direct lower extremity (35226) $467.40 $779 0.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $304.80 $508 1.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $150 $250 0.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $329.40 $549 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $329.40 $549 0.6×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,143.20 $3,572 0.7×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $417 $695 0.7×
Shave skin lesion 0.5 cm/< (11300) $268.80 $448 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $304.80 $508 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $304.80 $508 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $304.80 $508 1.6×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $304.80 $508 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $304.80 $508 1.6×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $304.80 $508 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $304.80 $508 1.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $304.80 $508 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $304.80 $508 1.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $304.80 $508 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $304.80 $508 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $304.80 $508 0.8×
Spinal puncture lumbar diagnostic (62270) $786.60 $1,311 1.1×
Strapping ankle (29540) $105 $175 0.7×
Strapping elbow or wrist (29260) $41.40 $69 0.7×
Strapping hand/finger (29280) $41.40 $69 0.7×
Strapping knee (29530) $84 $140 0.6×
Strapping shoulder (29240) $83.40 $139 0.6×
Strapping Unna Boot (29580) $105 $175 0.7×
Tangential biopsy skin single lesion (11102) $130.20 $217 0.3×
Thrombolytic Therapy Stroke (37195) $5,526 $9,210 17.1×
Thrombolytic Venous Therapy (37212) $2,145 $3,575 0.7×
Tooth extraction (41899) $351.60 $586 1.5×
Total Knee Arthroplasty (27447) $31,736.64 $52,894.40 2.5×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,035.80 $3,393 0.6×
Tracheobrnchsc Thru Est Trachs Inc (31615) $329.40 $549 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $150 $250 0.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $999.60 $1,666 0.7×
Treat humerus fracture (24500) $432 $720 1.8×
Treat Humerus Fracture (24505) $1,033.20 $1,722 0.7×
Treat knee fracture (27532) $2,123.40 $3,539 0.7×
Treat Knuckle Dislocation (26700) $149.40 $249 0.6×
Treat Metatarsal Fracture (28475) $149.40 $249 0.6×
Treat Tail Bone Fracture (27200) $149.40 $249 0.6×
Treat Thumb Dislocation (26641) $149.40 $249 0.6×
Treat Thumb Fracture (26645) $1,033.20 $1,722 0.7×
Treat toe dislocation (28630) $149.40 $249 0.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,033.20 $1,722 0.7×
Treatment closed elbow dislocation w/o anes (24600) $149.40 $249 0.6×
Trim skin lesion (11055) $105.60 $176 0.5×
Tx Gastro Intub W/Asp (43753) $173.40 $289 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,035.80 $3,393 0.6×
Tx Missed Abortion First Trimester Surgical (59820) $2,035.80 $3,393 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $418.80 $698 0.6×
Unlisted Procedure Hands/Fingers (26989) $432 $720 1.8×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $519–$549.60 $865–$916 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $150 $250 0.6×
Unlisted Procedure Tongue Floor Mouth (41599) $150 $250 0.6×
Unlisted Procedure Vascular Surgery (37799) $417.60 $696 0.7×
Unlisted procedure, vestibule of mouth (40899) $418.20 $697 1.8×
Vaginal delivery only (59409) $2,338.20 $3,897 0.7×
Vitrectomy mechanical pars plana (67036) $10,659.61 $17,766.02 2.6×
Wedge excision skin nail fold (11765) $268.80 $448 0.7×

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.