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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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $449 $691 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $767.50 $1,181 0.8×
Amputation Toe Metatarsophalangeal Joint (28820) $1,021 $1,571 0.3×
Anoscopy diagnostic (46600) $119 $183.50 0.9×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $124 $190 0.8×
Application cast elbow finger short arm (29075) $145 $223 0.5×
Application Cast Finger (29086) $111 $171 0.7×
Application Cast Hand & Lower Forearm Gauntlet (29085) $156 $240 1.0×
Application cast shoulder hand long arm (29065) $107 $164 0.4×
Application finger splint static (29130) $76 $116.50 0.6×
Application long arm splint shoulder hand (29105) $120.50 $185.50 0.7×
Application Long Leg Cast Walker/Ambulatory Type (29355) $127 $195 0.5×
Application long leg splint thigh ankle/toes (29505) $147 $226 0.9×
Application of cylinder cast (thigh to ankle) (29365) $136 $209 0.5×
Application of long leg cast (29345) $131 $201 0.5×
Application short arm splint forearm-hand static (29125) $114 $175.50 0.9×
Application short leg splint calf foot (29515) $122.50 $188.50 0.8×
Apply multlay comprs arm/hand (29584) $164 $253 1.0×
Apply of clubfoot cast (29450) $127 $195 0.8×
Apply patella tendon bearing cast (29435) $91 $140 0.3×
Apply short leg cast (29405) $111 $170.50 0.4×
Apply short leg cast (29425) $132 $203 0.5×
Arterial puncture (36600) $237 $365 1.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $149 $229 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $149 $229 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $335 $515 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $118 $182 0.4×
Aspirat/Injection Ganglion Cyst(S) (20612) $164 $253 0.5×
Aspiration Bladder Insert Suprapubic Catheter (51102) $1,732 $2,664 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $88 $135.50 0.4×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $184 $283 0.2×
Biopsy of lip (40490) $190 $293 0.8×
Biopsy of tongue (41100) $395 $608 0.7×
Biopsy of uterus lining (58100) $139.50 $214.50 0.7×
Biopsy Vaginal Mucosa Simple (57100) $216 $332 0.2×
Biopsy, soft tissue of forearm and/or wrist; superficial (25065) $157 $242 0.1×
Bladder Irrigation Simple (51700) $183 $282 0.7×
Bladder Scan (51798) $286 $440 4.8×
Blood patch (62273) $377.50 $580.50 0.5×
Blood transfusion service (36430) $780 $1,200 1.8×
Bone Marrow Biopsy (38221) $234.50 $360.50 0.1×
Bronchoscopy W/Removal Foreign Body (31635) $1,037 $1,595 0.6×
Bx vulva/perineum 1 lesion (56605) $186 $286 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 or Repeat (57511) $178 $274 0.6×
Change Cystostomy Tube Simple (51705) $238 $366 0.9×
Chemical Cautery Tissue (17250) $152.50 $235 0.8×
Chest tube placement (32551) $511 $786 0.3×
Circumcision (54150) $952 $1,464.50 0.5×
Closed Rx Humeral Supracondylar Fx (24530) $125 $192 0.5×
Closed rx prox/neck femur fx,manip (27232) $1,037 $1,595 0.6×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $501 $770 0.3×
Closed Rx Radial Shaft Fx (25500) $140 $215.50 0.6×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $1,062 $1,634 0.7×
Closed Rx Trauma Hip Disloc,Anesth (27252) $963 $1,481 0.6×
Closed treat wrist dislocation (25660) $354 $545 1.4×
Closed Treatment Ulnar Styloid Fracture (25650) $177.50 $273 0.7×
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 fracture 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 Talus Fracture W/Manipulation (28435) $302 $464 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $212 $326 0.9×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $205 $316 0.9×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $655 $1,008 1.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $346 $533 1.4×
Clsd tx clavicular fracture w/manipulation (23505) $579.50 $891 0.4×
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 Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $354 $545 1.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $178.50 $275 0.7×
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) $136.50 $210 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $182 $280 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $290 $446.50 0.2×
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) $144 $222 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $289 $444.50 1.2×
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 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) $164.50 $252.50 0.7×
Cltx metacarpal fx w/manipulation each bone (26605) $194 $298 0.8×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $223 $343 0.9×
Cltx metatarsophlngl jt dislc w/o anes (28630) $174 $267 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $174 $267 0.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $139.50 $214 0.6×
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 rdl head sublxtj chld nursemaid elbw w/manj (24640) $226 $348 0.9×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $961 $1,478 0.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $289 $444 0.2×
Colporrhaphy suture injury vagina (57200) $1,086 $1,671 0.3×
Colposcopy entire vagina w/cervix if present (57420) $183 $282 0.6×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $243 $374 0.8×
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) $141.50 $217.50 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $224 $344.50 1.7×
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) $108.50 $167 0.3×
Debride nail 1-5 (11720) $57.50 $88 1.0×
Debride nail 6 or more (11721) $109 $168 1.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $375.50 $577 0.9×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $733 $1,127 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $746 $1,147 0.4×
Declot vascular device (36593) $186 $286 0.6×
Destruc Benign/Premal,15+ Lesions (17004) $119 $183 0.3×
Destruction benign lesions 15 or more (17111) $86 $132 0.4×
Destruction Benign Lesions Up To 14 (17110) $57.50 $88.50 0.3×
Destruction Lesions Vulva Simple (56501) $464 $714 0.2×
Destruction of lesion(s), penis, simple; chemicall (54050) $103 $159 0.3×
Destruction of multiple growths of penis (54065) $944 $1,452 0.5×
Destruction premalignant lesion 1st (17000) $49 $76 0.2×
Diagnostic sigmoidoscopy (45330) $456 $702 0.5×
Dil urethra,female,subsequent (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×
Dilation of female urethra including suppository and/or instillation; initial (53660) $164 $253 1.3×
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 Finger Abscess Simple (26010) $189 $291 0.9×
Drainage mouth roof lesion (42000) $248.50 $382.50 1.0×
Drainage of eyelid abscess (67700) $262 $403 0.8×
Drainage of gum lesion (41800) $172 $264 1.3×
Drainage of hematoma/fluid (10140) $965 $1,485 0.6×
Drainage of scrotal wall abscess (55100) $420 $646 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $150.50 $231.50 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $139 $214 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $134 $206 0.7×
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×
Endocervical Curettage (57505) $213 $327 0.2×
Escharotomy initial incision (16035) $543 $836 1.3×
Esophagoscopy flexible transoral diagnostic (43200) $612 $941 0.7×
Evacuation of subungual hematoma (11740) $64.50 $99 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $845 $1,300 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $289 $444.50 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $406 $624 0.2×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $346 $533 0.5×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $216 $332 0.5×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $298 $458 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $808.50 $1,244 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,286.50 $1,979 0.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,586 $2,440 1.0×
Exc tr-ext b9+marg 0.5 cm or less (11400) $207 $319 0.3×
Exchng absc/cst drg cath rad gid spx (49423) $1,200 $1,846 0.6×
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 2.1-3.0 Cm (11603) $568 $874 0.8×
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 f/e/e/n/l 0.6-1.0 cm (11641) $352 $541 0.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $731 $1,124 1.0×
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 of benign lesion other than skin tag 0.6-1.0 cm (11441) $333 $512 0.5×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $666 $1,025 0.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $470 $723 0.3×
Excision of lesion other than skin tag </= 0.5 cm (11420) $387 $595.50 0.2×
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) $221 $339.50 1.1×
Fine needle aspiration without imaging guidance (10021) $236 $363 0.6×
Fitting of diaphragm/cap (57170) $111 $170 0.5×
Gastric Intubation/Aspiration, Therapeutic (43753) $213 $327 1.0×
I&D Abscess Peritonsillar (42700) $545 $839 2.3×
I&d abscess simple (10060) $196 $302 1.0×
I&d perianal abscess superficial (46050) $768 $1,182 0.8×
I&d pilonidal cyst simple (10080) $137 $210.50 0.2×
Incise finger tendon sheath (26055) $1,037 $1,595 0.6×
Incision & drainage abscess complicated/multiple (10061) $193 $297 0.5×
Incision & drainage pilonidal cyst complicated (10081) $698 $1,074 1.0×
Incision & removal foreign body subq tiss compl (10121) $735 $1,131 0.4×
Incision & removal foreign body subq tiss simple (10120) $215.50 $332 0.5×
Incision and drainage of bartholin's gland abscess (56420) $204 $314 1.0×
Incision and drainage of vulva or perineal abscess (56405) $269 $414 0.9×
Incision of lingual frenum (41010) $930 $1,430 0.6×
Incision of rectal abscess (46040) $1,532 $2,357 1.3×
Incision thrombosed hemorrhoid external (46083) $259 $399 1.0×
Initial tx 1st degree burn local tx (16000) $133 $205 0.7×
Inj paravert f jnt c/t 1 lev (64490) $1,203 $1,850 1.4×
Inj tendon sheath/ligament (20550) $122.50 $188.50 0.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $167 $257 0.2×
Inject Nerv Blck,Intercostal,One (64420) $433 $666 0.6×
Inject Tendon Origin/Insert (20551) $197 $303 0.6×
Injection aa&/strd trigeminal nerve each branch (64400) $398.50 $612.50 1.3×
Injection anes other peripheral nerve/branch (64450) $185 $285 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $156.50 $240.50 0.5×
Injection single/mlt trigger point 3/> muscles (20553) $315 $484 1.0×
Injection therapeutic carpal tunnel (20526) $283 $435 0.9×
Injection, anesthetic agent; greater occipital nerve (64405) $300 $462 1.0×
Injection, intralesional; up to and including 7 lesions (11900) $157 $242 0.8×
Insert Bladder Cath Complex (51703) $131 $202 1.0×
Insert Drug Implant Device (11981) $20 $30 0.1×
Insert non-tunnel cv cath (36556) $976 $1,502 0.3×
Insert pessary/other device (57160) $64 $98 0.3×
Insert picc cath (36569) $1,095.50 $1,685 0.7×
Insert Temp Bladder Cath (51702) $111 $170 0.8×
Insert tunneled cv cath (36561) $1,953 $3,005 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $88 $135.50 0.7×
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×
Irrigate corpora cavernosa for priapism (54220) $458 $705 1.8×
Laryngoscopy Direct Aspiration (31515) $740 $1,138 1.9×
Laryngoscopy Indirect Diagnostic Spx (31505) $156 $240 0.8×
Laryngoscopy W/Foreign Body Removal (31530) $1,095 $1,685 0.6×
Nfct ds 22 trgt sars-cov-2 (0223U) $567 $872 1.4×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $227 $349 0.9×
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×
Open treatment interphalangeal joint dislocation (28675) $783 $1,205 0.2×
Partical Excision Bone Phalanx Toe (28124) $818 $1,259 0.2×
Peritoneal Lavage (49084) $1,031 $1,586 1.1×
Perq device breast 1st imag (19281) $441 $679 0.3×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $398 $612 0.2×
Perq replacement gtube not req revj gstrst trc (43762) $252 $387 1.0×
Placement of needle for intraosseous infusion (36680) $163 $251 0.4×
Proctosigmoidoscopy w/bx (45305) $692 $1,064 0.6×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $135 $207 0.1×
Punch biopsy skin single lesion (11104) $170 $261 0.4×
Puncture Aspiration (10160) $178 $273.50 0.4×
Puncture Aspiration Cyst Breast (19000) $787 $1,210 1.1×
Removal fb intranasal (30300) $98.50 $151.50 0.7×
Removal foreign body foot subcutaneous (28190) $333.50 $513 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $321 $494 0.2×
Removal foreign body pharynx (42809) $150 $231 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $68 $104 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $57 $88 1.0×
Removal Implant Superficial Separate Procedure (20670) $341 $525 0.2×
Removal Implantable Contraceptive Capsules (11976) $146 $225 0.2×
Removal of intrauterine device (iud) (58301) $137 $211 0.4×
Removal of nail bed (11750) $305 $468.50 0.7×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $63 $97 0.3×
Remove drug implant device (11982) $65.50 $100 0.1×
Remove Eyelid Foreign Body (67938) $138.50 $213.50 0.4×
Remove foreign body from eye (65235) $950 $1,462 0.4×
Remv Ext Canal Foreign Body (69200) $96.50 $148.50 0.7×
Remv F.B.,Eye,Superf Conjunc (65205) $100.50 $154.50 0.8×
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) $267.50 $412 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $484.50 $745.50 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $258 $397 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $365.50 $562.50 0.9×
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 forearm tendon/muscle (25270) $1,511 $2,325 0.5×
Repair hand tendon (26410) $960 $1,477 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $223 $343 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $233 $358 0.6×
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) $172.50 $265 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $203 $312 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $227 $349 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $275 $423.50 0.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $187.50 $288.50 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $228 $351 0.6×
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) $226 $347.50 0.6×
Repair of nail bed (11760) $337 $519 0.5×
Repair Tongue Laceration (41250) $183 $281 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $127 $195 0.3×
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) $797 $1,226 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $657 $1,011 1.0×
Rpr blood vessel direct lower extremity (35226) $710 $1,093 1.0×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $585 $900 2.5×
Sigmoidoscopy flx w/biopsy single/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) $251 $386 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $147 $226 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $180 $276.50 0.9×
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) $183.50 $282 0.9×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $214 $329.50 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $151.50 $233.50 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $187.50 $288.50 0.9×
Skin Tissue Procedure (17999) $116 $179 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $159 $244.50 0.8×
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) $410 $630 0.6×
Spinal Puncture Therapeutic (62272) $707 $1,087 1.0×
Strapping ankle (29540) $105 $162 0.6×
Strapping elbow/wrist (29260) $118 $182 2.0×
Strapping hand/finger (29280) $107 $164 1.8×
Strapping Hip (29520) $93 $143 0.7×
Strapping knee (29530) $155.50 $239 1.2×
Strapping shoulder (29240) $141.50 $218 1.1×
Strapping toes (29550) $184 $283 3.1×
Strapping unna boot (29580) $153 $235 0.9×
Tangential biopsy skin single lesion (11102) $143 $220 0.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $865 $1,331 1.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $340 $523 0.5×
Thrombolytic Therapy, Stroke (37195) $571 $879 1.7×
Tongue and mouth surg unlisted (41599) $113 $174 0.5×
Trach Tube Change (31502) $180 $277 0.8×
Tracheostomy emergency cricothyroid membrane (31605) $540 $830 2.3×
Treat Fracture Radius & Ulna (25560) $105 $162 0.4×
Treat humerus fracture (24500) $135 $207 0.5×
Treat Vaginal Bleeding (57180) $188 $289 0.9×
Treatment closed elbow dislocation req anes (24605) $807 $1,241 0.5×
Treatment closed elbow dislocation w/o anes (24600) $324 $498 1.3×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $267 $411 1.1×
Trim skin lesion (11055) $127 $195 0.6×
Trim skin lesions 2 to 4 (11056) $166 $255 0.8×
Trimming Of Nondystrophic Nails, Any Number (11719) $61 $94 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×
Unlisted procedure anus (46999) $495 $761 0.5×
Unlisted Procedure Casting/Strapping (29799) $135 $208 0.8×
Unlisted Procedure Rectum (45999) $466 $717 0.5×
Unlisted Procedure Vascular Surgery (37799) $1,297 $1,995 2.1×
Unlisted procedure, male genital system (55899) $300 $462 1.2×
Unlisted procedure, vestibule of mouth (40899) $85 $130 0.4×
Venipuncture (36415) $4.50 $6.50 0.5×