Procedures & surgery prices at Rooks County Health Center
Plainville, KS · every code in this section with a posted price and a Medicare benchmark.
336 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$412.50–$1,073.44 | $550–$1,431.25 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $276.75 | $369 | 0.3× |
| Anoscopy diagnostic (46600) | $152.25 | $203 | 1.2× |
| Application long arm splint shoulder hand (29105) | $118.50 | $158 | 0.8× |
| Application of long leg cast (29345) | $350.81 | $467.75 | 1.4× |
| Application short arm splint forearm-hand static (29125) | $81 | $108 | 0.7× |
| Application short leg splint calf foot (29515) | $88.50 | $118 | 0.6× |
| Apply hand/wrist cast (29085) | $474.19 | $632.25 | 3.2× |
| Apply long arm cast (29065) | $118.50 | $158 | 0.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$167.25–$652.88 | $223–$870.50 | varies |
| Arterial puncture (36600) | $27.94 | $37.25 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 8 matching MRF lines |
$90–$1,426.88 | $120–$1,902.50 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$112.50–$713.44 | $150–$951.25 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$120–$1,426.88 | $160–$1,902.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$125.25–$767.81 | $167–$1,023.75 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$66–$1,426.88 | $88–$1,902.50 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$413.25–$1,073.44 | $551–$1,431.25 | varies |
| Aspirate Pleura W/O Imaging (32554) | $304.50 | $406 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$106.88–$326.63 | $142.50–$435.50 | varies |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$166.69–$987.56 | $222.25–$1,316.75 | varies |
| Biopsy bone trocar/needle deep (20225) | $1,279.31 | $1,705.75 | 0.8× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$621.56–$718.13 | $828.75–$957.50 | varies |
| Biopsy nail unit (11755) | $162 | $216 | 0.2× |
| Biopsy of liver, needle; percutaneous (47000) | $2,278.50 | $3,038 | 1.5× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $813.75 | $1,085 | 0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $757.50 | $1,010 | 0.5× |
| Bladder instillation anticarcinogenic agent (51720) | $942 | $1,256 | 1.5× |
| Bladder Irrigation (51700) | $372.56 | $496.75 | 1.6× |
| Bladder Scan (51798) | $87.56 | $116.75 | 1.6× |
| Blepharotomy drainage abscess eyelid (67700) | $371.25 | $495 | 1.3× |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$586.13–$1,281.94 | $781.50–$1,709.25 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$270–$2,278.50 | $360–$3,038 | varies |
| Catheter aspiration nasotracheal spx (31720) | $798.94 | $1,065.25 | 4.0× |
| Change of Windpipe Airway (31502) | $326.63 | $435.50 | 1.5× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$393.56–$583.31 | $524.75–$777.75 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) range across 3 matching MRF lines |
$257.44–$975 | $343.25–$1,300 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 3 matching MRF lines |
$222.94–$975 | $297.25–$1,300 | varies |
| Chemodenerv Musc Migraine (64615) range across 5 matching MRF lines |
$234–$1,284.19 | $312–$1,712.25 | varies |
| Chemodenerv musc neck dyston (64616) range across 4 matching MRF lines |
$259.88–$573 | $346.50–$764 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $973.88 | $1,298.50 | 1.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$483.94–$998.81 | $645.25–$1,331.75 | varies |
| Chest tube placement (32551) | $196.50 | $262 | 0.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $262.50 | $350 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $677.25 | $903 | 0.5× |
| Clear outer ear canal (69200) | $102.75 | $137 | 0.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $562.50 | $750 | 2.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $627.75 | $837 | 2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $477.75 | $637 | 2.1× |
| Closed tx mandibular fracture w/manipulation (21451) | $993 | $1,324 | 0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $276.75 | $369 | 1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $615.75 | $821 | 2.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $474.75 | $633 | 2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $334.50 | $446 | 1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $637.50 | $850 | 0.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $358.50 | $478 | 1.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $297 | $396 | 1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $171.75 | $229 | 0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $334.50 | $446 | 1.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $298.50 | $398 | 1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $280.50 | $374 | 1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $514.50 | $686 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $408 | $544 | 1.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $303.75 | $405 | 0.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,830.50 | $3,774 | 1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $537.75 | $717 | 2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $399 | $532 | 1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $405 | $540 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $236.25 | $315 | 1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $683.25 | $911 | 0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $206.25 | $275 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $153.75 | $205 | 0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $225.75 | $301 | 1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $153 | $204 | 0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $359.25 | $479 | 1.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $604.50 | $806 | 0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $416.25 | $555 | 1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $379.50 | $506 | 1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $258.75 | $345 | 1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $432 | $576 | 1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $594.75 | $793 | 0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $165 | $220 | 0.7× |
| Cltx tibial fx proximal w/o manipulation (27530) | $387.75 | $517 | 1.7× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$112.13–$163.13 | $149.50–$217.50 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$11.25–$27.94 | $15–$37.25 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $281.25 | $375 | 1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $198 | $264 | 1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $451.50 | $602 | 3.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$282.19–$1,050.38 | $376.25–$1,400.50 | varies |
| Debride nail 1-5 (11720) range across 4 matching MRF lines |
$42–$246.19 | $56–$328.25 | varies |
| Debride nail 6 or more (11721) range across 4 matching MRF lines |
$56.25–$377.25 | $75–$503 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$430.31–$2,708.25 | $573.75–$3,611 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$164.25–$676.88 | $219–$902.50 | varies |
| Declot vascular device (36593) | $465.94 | $621.25 | 1.5× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$1,459.88–$4,851.38 | $1,946.50–$6,468.50 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,459.88–$4,280.63 | $1,946.50–$5,707.50 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$1,459.88–$4,280.63 | $1,946.50–$5,707.50 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $247.50 | $330 | 0.7× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$101.25–$391.88 | $135–$522.50 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$102.75–$597.38 | $137–$796.50 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $239.25 | $319 | 0.4× |
| Drainage Finger Abscess Complicated (26011) | $605.25 | $807 | 0.4× |
| Drainage of finger abscess simple (26010) | $425.25 | $567 | 2.3× |
| Drainage of gum lesion (41800) | $385.50 | $514 | 3.2× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$216.75–$2,278.50 | $289–$3,038 | varies |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$112.13–$142.50 | $149.50–$190 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$244.50–$376.13 | $326–$501.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$196.50–$376.13 | $262–$501.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$106.50–$376.13 | $142–$501.50 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$730.13–$2,853.75 | $973.50–$3,805 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$219–$686.63 | $292–$915.50 | varies |
| Evacuation of subungual hematoma (11740) | $71.25 | $95 | 0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $162.75 | $217 | 0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $416.25 | $555 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $303 | $404 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $342 | $456 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $494.25 | $659 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $182.25 | $243 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $221.25 | $295 | 0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $245.25 | $327 | 0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $290.25 | $387 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $361.50 | $482 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $168.75 | $225 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $225 | $300 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $285 | $380 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$318.75–$881.81 | $425–$1,175.75 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $298.50 | $398 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $429 | $572 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $402 | $536 | 0.3× |
| Exc Skin Benig >4cm Face,Facial (11446) | $493.50 | $658 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $378 | $504 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $515.25 | $687 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $564.75 | $753 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $198 | $264 | 0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $228.75 | $305 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$274.50–$2,278.50 | $366–$3,038 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $359.25 | $479 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $254.25 | $339 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $293.25 | $391 | 0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $315.75 | $421 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $396 | $528 | 0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $260.25 | $347 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $402 | $536 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $642 | $856 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $255 | $340 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $294 | $392 | 0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $323.25 | $431 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $428.25 | $571 | 0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $438.75 | $585 | 0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $970.50 | $1,294 | 0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$786–$904.13 | $1,048–$1,205.50 | varies |
| Expl penetrating wound spx abdomen/flank/back (20102) | $790.50 | $1,054 | 0.4× |
| Exploration penetrating wound spx chest (20101) | $761.25 | $1,015 | 0.4× |
| Exploration penetrating wound spx extremity (20103) | $730.50 | $974 | 0.5× |
| Fetal Contraction Stress Test (59020) | $404.81 | $539.75 | 2.2× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$60.75–$404.81 | $81–$539.75 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$107.06–$768.38 | $142.75–$1,024.50 | varies |
| Fna bx w/us gdn 1st les (10005) | $1,139.06 | $1,518.75 | 1.7× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$221.25–$905.81 | $295–$1,207.75 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$299.25–$544.13 | $399–$725.50 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$315–$426.75 | $420–$569 | varies |
| I&d pilonidal cyst simple (10080) | $309 | $412 | 0.5× |
| Incise external hemorrhoid (46083) | $264.75 | $353 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$313.69–$1,843.50 | $418.25–$2,458 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $342.75 | $457 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$195–$1,246.50 | $260–$1,662 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $222 | $296 | 1.2× |
| Incision and drainage of vulva or perineal abscess (56405) | $178.50 | $238 | 0.6× |
| Incision of rectal abscess (46040) | $707.25 | $943 | 0.6× |
| Incision&drainage bursa foot (28001) | $251.44 | $335.25 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $200.25 | $267 | 0.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$980.44–$4,280.63 | $1,307.25–$5,707.50 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,085.63–$1,086 | $1,447.50–$1,448 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$71.25–$713.44 | $95–$951.25 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 4 matching MRF lines |
$179.25–$1,459.88 | $239–$1,946.50 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$1,110.94–$4,280.63 | $1,481.25–$5,707.50 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $470.44 | $627.25 | 0.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 4 matching MRF lines |
$162.75–$998.81 | $217–$1,331.75 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$170.25–$1,258.13 | $227–$1,677.50 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 5 matching MRF lines |
$113.25–$2,853.75 | $151–$3,805 | varies |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$72.75–$713.44 | $97–$951.25 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$138.75–$713.44 | $185–$951.25 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$165–$713.44 | $220–$951.25 | varies |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$119.44–$713.44 | $159.25–$951.25 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $146.25 | $195 | 0.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$115.50–$814.88 | $154–$1,086.50 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$99–$1,089.19 | $132–$1,452.25 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $89.25 | $119 | 0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$71.25–$281.25 | $95–$375 | varies |
| Insert Bladder Cath Complex (51703) | $188.25 | $251 | 1.6× |
| Insert cath pleura w/ image (32557) | $849 | $1,132 | 0.6× |
| Insert cath pleura w/o image (32556) | $942.75 | $1,257 | 0.5× |
| Insert Drug Implant Device (11981) range across 3 matching MRF lines |
$150–$375 | $200–$500 | varies |
| Insert non-tunnel cv cath (36556) | $282 | $376 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$81–$173.06 | $108–$230.75 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$57.75–$173.06 | $77–$230.75 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $1,050.75 | $1,401 | 0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $119.25 | $159 | 0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,090.50 | $1,454 | 0.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $639.75 | $853 | 1.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $736.50 | $982 | 2.0× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$142.69–$180 | $190.25–$240 | varies |
| Laryngoscopy diagnostic (31505) | $114.75 | $153 | 0.6× |
| Laryngoscopy flexible diagnostic (31575) | $161.25 | $215 | 0.9× |
| Late closure of wound (13160) | $1,001.25 | $1,335 | 0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $393.19 | $524.25 | 0.6× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$127.50–$470.44 | $170–$627.25 | varies |
| N Block Inj Plantar Digit (64455) | $63 | $84 | 0.2× |
| N Block Inj Pudendal (64430) range across 4 matching MRF lines |
$998.81–$2,906.81 | $1,331.75–$3,875.75 | varies |
| N Block Lumbar/Thoracic (64520) | $779.63 | $1,039.50 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $51.75 | $69 | 0.1× |
| Needle Biopsy Lymph Nodes (38505) | $887.44 | $1,183.25 | 0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $37.50 | $50 | 1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) | $37.50 | $50 | 1.4× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) | $1,287.56 | $1,716.75 | 3.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $937.13 | $1,249.50 | 2.2× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $393.75 | $525 | 0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$870.75–$2,853.75 | $1,161–$3,805 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$141–$2,853.75 | $188–$3,805 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$980.44–$4,280.63 | $1,307.25–$5,707.50 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$1,242.38–$1,712.25 | $1,656.50–$2,283 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,242.38–$1,426.88 | $1,656.50–$1,902.50 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $852.19 | $1,136.25 | 1.0× |
| Occipital Nerve Block (64405) range across 6 matching MRF lines |
$93–$1,997.63 | $124–$2,663.50 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,202.63 | $1,603.50 | 0.2× |
| Open bone biopsy (20251) range across 2 matching MRF lines |
$633.94–$1,287.38 | $845.25–$1,716.50 | varies |
| Peritoneal Lavage (49084) | $134.25 | $179 | 0.2× |
| Perq Cervicothoracic Inject (22510) | $1,280.63 | $1,707.50 | 0.4× |
| Perq Lumbosacral Injection (22511) | $1,256.06 | $1,674.75 | 0.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) unusually low: confirm this is the full procedure |
$2,731.13 | $3,641.50 | 0.4× |
| Perq Vertebral Augmentation (22513) unusually low: confirm this is the full procedure |
$2,731.13 | $3,641.50 | 0.4× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$74.25–$561.19 | $99–$748.25 | varies |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,130.25 | $1,507 | 1.7× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$164.25–$759 | $219–$1,012 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$165–$1,421.25 | $220–$1,895 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) | $320.25 | $427 | 0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $737.81 | $983.75 | 0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $18.75 | $25 | 0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$60–$116.25 | $80–$155 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$175.31–$616.13 | $233.75–$821.50 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $80.25 | $107 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$120–$810 | $160–$1,080 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $77.25 | $103 | 0.3× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$168.75–$561 | $225–$748 | varies |
| Remove foreign body from eye (65205) | $56.25 | $75 | 0.5× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$137.25–$427.88 | $183–$570.50 | varies |
| Remove lung catheter (32552) | $233.25 | $311 | 0.4× |
| Remove Nasal Foreign Body (30300) | $258.75 | $345 | 2.1× |
| Remove/Insert Drug Implant (11983) range across 3 matching MRF lines |
$251.25–$561 | $335–$748 | varies |
| Repair Blood Vessel Direct Upper Extremity (35206) | $1,836.19 | $2,448.25 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $544.50 | $726 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $642 | $856 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $500.25 | $667 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $608.25 | $811 | 1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $457.50 | $610 | 1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $550.50 | $734 | 1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) | $440.25 | $587 | 0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $513.75 | $685 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $359.25 | $479 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $400.50 | $534 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $466.50 | $622 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $491.25 | $655 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $780.75 | $1,041 | 2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $515.25 | $687 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $336 | $448 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $393.75 | $525 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $484.50 | $646 | 0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $693 | $924 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $499.50 | $666 | 1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $334.50 | $446 | 0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $390 | $520 | 1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $549.75 | $733 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $425.25 | $567 | 1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $614.25 | $819 | 0.3× |
| Repair of nail bed (11760) | $246.75 | $329 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $76.50 | $102 | 0.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$50.25–$63.75 | $67–$85 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $453.75 | $605 | 0.4× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $151.50 | $202 | 0.6× |
| Rplc Gtube No Revj Trc (43762) | $302.25 | $403 | 1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $267.75 | $357 | 0.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $450 | $600 | 0.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $1,054.50 | $1,406 | 0.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$771 | $1,028 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $453.75 | $605 | 2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $633.75 | $845 | 0.9× |
| Shave skin lesion 0.5 cm/< (11300) | $130.50 | $174 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $150 | $200 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $235.50 | $314 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $137.25 | $183 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $159 | $212 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $183.75 | $245 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $195.75 | $261 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $177 | $236 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $202.50 | $270 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $157.50 | $210 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $198 | $264 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $180 | $240 | 1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $276.75 | $369 | 0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $300 | $400 | 1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $356.25 | $475 | 1.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$191.25–$281.25 | $255–$375 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $412.50 | $550 | 2.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$216–$292.50 | $288–$390 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $247.50 | $330 | 1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $525 | $700 | 2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $371.25 | $495 | 2.0× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$288.94–$5,791.50 | $385.25–$7,722 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$288.94–$3,598.50 | $385.25–$4,798 | varies |
| Skin sub grft t/arm/lg child (15273) | $288.94 | $385.25 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $300 | $400 | 1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $405 | $540 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $450 | $600 | 1.2× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$187.50–$855.19 | $250–$1,140.25 | varies |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$281.25–$663 | $375–$884 | varies |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$131.25–$710.25 | $175–$947 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $271.69 | $362.25 | 0.2× |
| Thyroid biopsy (60100) | $989.44 | $1,319.25 | 1.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $414 | $552 | 1.9× |
| Treat Finger Fracture Each (26727) | $600 | $800 | 0.2× |
| Treat knee fracture (27532) | $778.50 | $1,038 | 0.3× |
| Treat Knuckle Dislocation (26700) | $423 | $564 | 1.9× |
| Treat Metatarsal Fracture (28475) | $327 | $436 | 1.4× |
| Treatment closed elbow dislocation w/o anes (24600) | $469.50 | $626 | 2.1× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$87.75–$326.63 | $117–$435.50 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$101.25–$326.63 | $135–$435.50 | varies |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
$111.75–$326.63 | $149–$435.50 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$18–$112.50 | $24–$150 | varies |
| Tx Gastro Intub W/Asp (43753) | $124.31 | $165.75 | 0.6× |
| Tx superficial wound dehiscence w/packing (12021) | $346.88 | $462.50 | 0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $267.75 | $357 | 1.2× |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
$440.63–$881.25 | $587.50–$1,175 | varies |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$750–$779.63 | $1,000–$1,039.50 | varies |
| Vaginal delivery only (59409) | $1,200 | $1,600 | 0.4× |
| Wedge excision skin nail fold (11765) | $215.25 | $287 | 0.6× |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$542.25–$1,537.88 | $723–$2,050.50 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$471–$1,213.69 | $628–$1,618.25 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.