Procedures & surgery prices at Rolling Plains Memorial Hospital

Sweetwater, TX · 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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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $449 $691 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$731–$804 $1,125–$1,237 varies
Amputation toe metatarsophalangeal joint (28820) $1,021 $1,571 0.3×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines
$83–$155 $128–$239 varies
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $127 $195 0.8×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $164 $253 1.0×
Application cast elbow finger short arm (29075)
range across 5 matching MRF lines
$97–$153 $149–$235 varies
Application Cast Finger (29086) $111 $171 0.7×
Application finger splint static (29130)
range across 4 matching MRF lines
$46–$127 $70–$195 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines
$46–$138 $70–$212 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $127 $195 0.5×
Application Long Leg Splint (29505)
range across 4 matching MRF lines
$112–$215 $172–$330 varies
Application of cylinder cast (thigh to ankle) (29365)
range across 2 matching MRF lines
$98–$174 $150–$268 varies
Application of long leg cast (29345)
range across 4 matching MRF lines
$117–$186 $180–$286 varies
Application Patellar Tendon Bearing Cast (29435) $91 $140 0.3×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines
$46–$146 $70–$225 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines
$46–$149 $70–$229 varies
Apply hand/wrist cast (29085) $156 $240 1.0×
Apply long arm cast (29065)
range across 3 matching MRF lines
$103–$168 $159–$259 varies
Apply Multlay Comprs Lwr Leg (29581) $124 $190 0.8×
Apply Short Leg Cast (29405)
range across 4 matching MRF lines
$103–$168 $159–$259 varies
Apply short leg cast (29425)
range across 4 matching MRF lines
$105–$163 $161–$250 varies
Arterial puncture (36600) $237 $365 1.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines
$104–$159 $160–$245 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines
$69–$512 $106–$787 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $335 $515 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines
$104–$196 $160–$302 varies
Aspirate pleura w/ imaging (32555) $865 $1,331 1.4×
Aspirate Pleura W/O Imaging (32554) $340 $523 0.5×
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines
$54–$210 $83–$323 varies
Aspiration bladder insert suprapubic catheter (51102) $1,732 $2,664 0.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines
$60–$133 $92–$204 varies
Biopsy of lip (40490) $190 $293 0.8×
Biopsy soft tissue forearm&/wrist superficial (25065) $157 $242 0.1×
Biopsy Tongue Anterior Two-Thirds (41100) $395 $608 0.7×
Biopsy Vaginal Mucosa Simple (57100) $216 $332 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $186 $286 0.2×
Bladder Irrigation (51700) $183 $282 0.7×
Bladder Scan (51798) $286 $440 4.8×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines
$227–$297 $349–$457 varies
Blood Transfusion Service (36430) $780 $1,200 1.8×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines
$178–$291 $274–$447 varies
Bronchoscopy W/Removal Foreign Body (31635) $1,037 $1,595 0.6×
Bx Cervix (57500) $184 $283 0.2×
Canthotomy Separate Procedure (67715) $1,544 $2,376 0.6×
Catheter aspiration nasotracheal spx (31720) $140 $215 0.6×
Cautery Cervix Cryocautery Initial/Repeat (57511) $178 $274 0.6×
Change Cystostomy Tube Simple (51705) $238 $366 0.9×
Change of Windpipe Airway (31502) $180 $277 0.8×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
$124–$181 $191–$279 varies
Chest tube placement (32551)
range across 3 matching MRF lines
$439–$562 $675–$864 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines
$575–$1,329 $884–$2,045 varies
Cl Tx Tib Shft Fx W Manip (27752) $961 $1,478 0.6×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$75–$118 $116–$181 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines
$124–$231 $190–$356 varies
Closed tx ankle dislocation w/o anesthesia (27840) $325 $500 1.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $268 $412 0.2×
Closed Tx Knee Dislocation W/Anesthesia (27552) $871 $1,340 0.5×
Closed tx knee dislocation w/o anesthesia (27550) $340 $523 1.4×
Closed tx metatarsal fracture w/o manipulation (28470) $120 $184 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $590 $908 0.4×
Closed tx patellar dislocation w/o anesthesia (27560) $408 $627 1.6×
Closed Tx Patellar Fracture W/O Manipulation (27520) $256 $394 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $701 $1,078 0.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines
$99–$181 $152–$279 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $501 $770 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $105 $162 0.4×
Closed Tx Talus Fracture W/Manipulation (28435) $302 $464 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $212 $326 0.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $205 $316 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $655 $1,008 1.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $346 $533 1.4×
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines
$118–$1,041 $181–$1,601 varies
Clsd tx clavicular fracture w/o manipulation (23500) $239 $367 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $725 $1,116 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $263 $404 1.1×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$124–$233 $191–$359 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $145 $223 0.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines
$105–$168 $161–$259 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$131–$233 $201–$359 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$268–$312 $413–$480 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,037 $1,595 0.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,037 $1,595 0.6×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines
$112–$176 $173–$271 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines
$154–$424 $237–$652 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $168 $259 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,021 $1,571 0.6×
Cltx hip dislocation traumatic req anesthesia (27252) $963 $1,481 0.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $514 $791 2.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $216 $332 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$157–$172 $241–$264 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines
$176–$212 $270–$326 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines
$163–$186 $250–$286 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
$111–$168 $170–$258 varies
Cltx post hip arthrp dislc w/o anes (27265) $257 $396 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $547 $842 0.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $354 $545 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$217–$235 $334–$362 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,062 $1,634 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $125 $192 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $289 $444 0.2×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$4–$5 $6–$7 varies
Colporrhaphy (57200) $1,086 $1,671 0.3×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $243 $374 0.8×
Colposcopy entire vagina w/cervix if present (57420) $183 $282 0.6×
Complex drainage wound (10180) $1,299 $1,999 0.4×
Control Nasal Hemorrhage Anterior Complex (30903) $192 $295 1.4×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$131–$152 $201–$234 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$131–$317 $202–$487 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $296 $455 1.2×
Curette/treat cornea (65435) $211 $324 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines
$105–$112 $162–$172 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $733 $1,127 1.0×
Debride nail 1-5 (11720)
range across 2 matching MRF lines
$53–$62 $81–$95 varies
Debride nail 6 or more (11721) $109 $168 1.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $746 $1,147 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines
$114–$493 $175–$759 varies
Declot vascular device (36593) $186 $286 0.6×
Destr penis lesion(s) (54065) $944 $1,452 0.5×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$49–$66 $75–$102 varies
Destruction Benign Lesions 15/> (17111) $86 $132 0.4×
Destruction Lesions Vulva Simple (56501) $464 $714 0.2×
Destruction Premalignant Lesion 15/> (17004) $119 $183 0.3×
Destruction premalignant lesion 1st (17000) $49 $76 0.2×
Diagnostic sigmoidoscopy (45330) $456 $702 0.5×
Diaphragm or cervical cap fitting with instructions (57170) $111 $170 0.5×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $164 $253 1.3×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $79 $121 0.6×
Dilate Urethra Stricture (53600) $164 $253 0.7×
Dilation & curettage dx&/ther nonobstetric (58120) $1,873 $2,882 0.6×
Drain Cerebro Spinal Fluid (62272) $707 $1,087 1.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $567 $872 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $157 $241 0.2×
Drainage Finger Abscess Complicated (26011) $421 $648 0.3×
Drainage Mouth Roof Lesion (42000)
range across 4 matching MRF lines
$179–$536 $275–$825 varies
Drainage of finger abscess simple (26010) $189 $291 0.9×
Drainage of gum lesion (41800) $172 $264 1.3×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines
$577–$1,235 $888–$1,900 varies
Drainage of scrotal wall abscess (55100) $420 $646 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines
$131–$170 $201–$262 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$134–$144 $206–$222 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$126–$142 $194–$218 varies
Dstrj les/scar vestibule mouth physical meths (40820) $597 $918 0.2×
Dstrj lesion anus simple surg excision (46922) $1,617 $2,488 0.6×
Dstrj Lesion Penis Simple Chemical (54050) $103 $159 0.3×
Endocervical curettage (57505) $213 $327 0.2×
Endometrial Biopsy (58100)
range across 2 matching MRF lines
$137–$142 $211–$218 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$273–$482 $420–$741 varies
Escharotomy; initial incision (16035) $543 $836 1.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $612 $941 0.7×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$55–$74 $84–$114 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $207 $319 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines
$628–$1,062 $966–$1,634 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $352 $541 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines
$496–$768 $763–$1,181 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines
$190–$388 $292–$597 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines
$243–$423 $374–$650 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines
$391–$941 $602–$1,448 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $406 $624 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
$348–$426 $536–$655 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $346 $533 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $470 $723 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$443–$1,174 $682–$1,806 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
$960–$1,613 $1,477–$2,481 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,586 $2,440 1.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $216 $332 0.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $298 $458 0.4×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,200 $1,846 0.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines
$525–$611 $808–$940 varies
Excision Chalazion Single (67800) $293 $450 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $235 $361 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $242 $373 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $289 $444 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $896 $1,378 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $313 $482 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $288 $443 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $302 $464 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $431 $663 0.6×
Excision soft tissue lesion, external auditory canal (69145) $1,698 $2,613 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $1,172 $1,803 0.6×
Explo/Drain Breast Abscess (19020) $927 $1,426 0.6×
Exploration penetrating wound spx chest (20101) $1,172 $1,803 0.6×
Exploration penetrating wound spx extremity (20103) $684 $1,052 0.4×
Exploration Penetrating Wound Spx Neck (20100) $493 $759 0.9×
Fetal Contraction Stress Test (59020) $163 $250 0.8×
Fetal non-stress test (59025)
range across 2 matching MRF lines
$149–$293 $229–$450 varies
Fine needle aspiration without imaging guidance (10021) $236 $363 0.6×
I&d abscess peritonsillar (42700) $545 $839 2.3×
I&d abscess simple (10060)
range across 5 matching MRF lines
$98–$372 $150–$572 varies
I&d perianal abscess superficial (46050) $768 $1,182 0.8×
I&d pilonidal cyst complicated (10081) $698 $1,074 1.0×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$132–$142 $203–$218 varies
Incise external hemorrhoid (46083) $259 $399 1.0×
Incise finger tendon sheath (26055) $1,037 $1,595 0.6×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines
$190–$257 $293–$396 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$559–$911 $860–$1,402 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$177–$254 $273–$391 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines
$144–$264 $222–$406 varies
Incision and drainage of vulva or perineal abscess (56405) $269 $414 0.9×
Incision of lingual frenum (frenotomy) (41010) $930 $1,430 0.6×
Incision of rectal abscess (46040) $1,532 $2,357 1.3×
Initial Tx 1st Degree Burn Local Tx (16000) $133 $205 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,203 $1,850 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$100–$145 $154–$223 varies
Injection single tendon origin/insertion (20551) $197 $303 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines
$124–$193 $190–$297 varies
Injection single/mlt trigger point 3/> muscles (20553) $315 $484 1.0×
Injection therapeutic carpal tunnel (20526) $283 $435 0.9×
Injection, anesthetic agent; brachial plexus, single (64415) $167 $257 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $185 $285 0.3×
Injection, intralesional; up to and including 7 lesions (11900) $157 $242 0.8×
Insert Bladder Cath Complex (51703) $131 $202 1.0×
Insert cath pleura w/o image (32556) $398 $612 0.2×
Insert Drug Implant Device (11981) $20 $30 0.1×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines
$888–$2,109 $1,366–$3,245 varies
Insert pessary/other device (57160) $64 $98 0.3×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$77–$237 $119–$365 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines
$1,860–$2,046 $2,862–$3,148 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$63–$113 $97–$174 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$1,053–$1,138 $1,620–$1,750 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure
$2,795 $4,300 0.3×
Intubation endotracheal emergency procedure (31500) $291 $448 1.2×
Irrigation of corpora cavernosa for priapism (54220) $458 $705 1.8×
Laryngoscopy diagnostic (31505) $156 $240 0.8×
Laryngoscopy W/Foreign Body Removal (31530) $1,095 $1,685 0.6×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $740 $1,138 1.9×
N block inj intercost sng (64420) $433 $666 0.6×
Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) $567 $872 1.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$335–$462 $515–$710 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,203 $1,850 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,056 $1,625 1.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $900 $1,385 1.3×
Occipital Nerve Block (64405) $300 $462 1.0×
Open treatment interphalangeal joint dislocation (28675) $783 $1,205 0.2×
Partical Excision Bone Phalanx Toe (28124) $818 $1,259 0.2×
Penile Injection (54235) $227 $349 0.9×
Peritoneal Lavage (49084) $1,031 $1,586 1.1×
Perq device breast 1st imag (19281) $441 $679 0.3×
Placement of needle for intraosseous infusion (36680) $163 $251 0.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $135 $207 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $692 $1,064 0.6×
Punch biopsy skin single lesion (11104) $170 $261 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$141–$215 $217–$330 varies
Puncture Aspiration Cyst Breast (19000) $787 $1,210 1.1×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines
$135–$142 $208–$219 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$267–$400 $411–$615 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines
$304–$338 $468–$520 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$53–$83 $81–$127 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines
$53–$83 $81–$128 varies
Removal Implant Superficial Separate Procedure (20670) $341 $525 0.2×
Removal implantable contraceptive capsules (11976) $146 $225 0.2×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines
$81–$219 $125–$337 varies
Removal of nail bed (11750)
range across 2 matching MRF lines
$226–$384 $347–$590 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $63 $97 0.3×
Remove drug implant device (11982)
range across 2 matching MRF lines
$20–$111 $30–$170 varies
Remove foreign body from eye (65235) $950 $1,462 0.4×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$91–$110 $140–$169 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines
$81–$193 $125–$297 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$77–$120 $119–$184 varies
Repair Blood Vessel Direct Hand Finger (35207) $2,163 $3,328 0.7×
Repair Blood Vessel Direct Upper Extremity (35206) $1,617 $2,488 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $390 $600 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $493 $758 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines
$181–$354 $279–$545 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$290–$679 $446–$1,045 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines
$216–$300 $332–$462 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$270–$461 $416–$709 varies
Repair complex trunk 1.1-2.5 cm (13100) $493 $758 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $421 $648 0.6×
Repair extensor tendon finger w/o graft each (26418) $1,444 $2,221 0.9×
Repair Finger/Hand Tendon (26350) $188 $289 0.1×
Repair Hand Tendon (26410) $960 $1,477 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$192–$254 $295–$391 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$205–$261 $315–$401 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $345 $530 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $448 $689 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $354 $544 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$164–$181 $252–$278 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$180–$226 $277–$347 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines
$184–$270 $283–$415 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$233–$317 $359–$488 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$184–$191 $283–$294 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$202–$254 $311–$391 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $285 $439 0.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$218–$234 $335–$360 varies
Repair of nail bed (11760) $337 $519 0.5×
Repair tongue laceration (41252) $585 $900 2.5×
Repair tongue laceration (41250) $183 $281 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines
$105–$174 $161–$267 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $110 $169 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,429 $2,198 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
$417–$1,177 $642–$1,810 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $657 $1,011 1.0×
Rplc Gtube No Revj Trc (43762) $252 $387 1.0×
Rpr blood vessel direct lower extremity (35226) $710 $1,093 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$150–$278 $231–$428 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,511 $2,325 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $609 $937 0.7×
Simple Cystometrogram (51725) $204 $314 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines
$156–$346 $240–$532 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines
$139–$164 $214–$253 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$149–$211 $229–$324 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $690 $1,061 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$150–$217 $230–$334 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$139–$164 $214–$253 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$152–$223 $234–$343 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines
$112–$120 $173–$185 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$147–$171 $226–$263 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $229 $352 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $252 $388 0.6×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines
$267–$472 $411–$726 varies
Strapping ankle (29540) $105 $162 0.6×
Strapping elbow or wrist (29260) $118 $182 2.0×
Strapping hand/finger (29280) $107 $164 1.8×
Strapping Hip (29520) $93 $143 0.7×
Strapping knee (29530)
range across 2 matching MRF lines
$127–$184 $195–$283 varies
Strapping shoulder (29240)
range across 2 matching MRF lines
$135–$148 $208–$228 varies
Strapping toes (29550)
range across 3 matching MRF lines
$103–$184 $159–$283 varies
Strapping Unna Boot (29580) $153 $235 0.9×
Tangential biopsy skin single lesion (11102) $143 $220 0.4×
Thrombolytic Therapy Stroke (37195) $571 $879 1.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $540 $830 2.3×
Treat humerus fracture (24500) $135 $207 0.5×
Treat Knuckle Dislocation (26700) $223 $343 0.9×
Treat Thumb Dislocation (26641) $354 $545 1.4×
Treat toe dislocation (28630) $174 $267 0.7×
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines
$179–$197 $275–$303 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $807 $1,241 0.5×
Treatment closed elbow dislocation w/o anes (24600) $324 $498 1.3×
Trim skin lesion (11055) $127 $195 0.6×
Trim skin lesions 2 to 4 (11056) $166 $255 0.8×
Trimming Nondystrophic Nails Any Number (11719) $61 $94 1.0×
Tx Gastro Intub W/Asp (43753) $213 $327 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $690 $1,061 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $367 $565 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $267 $411 1.1×
Unlisted procedure anus (46999) $495 $761 0.5×
Unlisted Procedure Casting/Strapping (29799) $135 $208 0.8×
Unlisted Procedure Male Genital System (55899) $300 $462 1.2×
Unlisted Procedure Rectum (45999) $466 $717 0.5×
Unlisted Procedure Tongue Floor Mouth (41599) $113 $174 0.5×
Unlisted Procedure Vascular Surgery (37799) $1,297 $1,995 2.1×
Unlisted procedure, vestibule of mouth (40899) $85 $130 0.4×

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.