Procedures & surgery prices at Saint Alphonsus Medical Center - Baker City
Baker City, OR · every code in this section with a posted price and a Medicare benchmark.
212 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$215.15–$1,329.90 | $331–$2,046 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$180.05–$182.65 | $277–$281 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $6,195.10 | — | 1.7× |
| Application cast elbow finger short arm (29075) range across 6 matching MRF lines |
$123.50–$200.85 | $190–$309 | varies |
| Application long arm splint shoulder hand (29105) range across 12 matching MRF lines |
$148.20–$356.85 | $228–$549 | varies |
| Application Long Leg Splint (29505) range across 6 matching MRF lines |
$224.25–$336.70 | $345–$518 | varies |
| Application short arm splint forearm-hand static (29125) range across 9 matching MRF lines |
$84.50–$251.55 | $130–$387 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$100.10–$150.15 | $154–$231 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 6 matching MRF lines |
$131.30–$196.95 | $202–$303 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$183.30–$274.95 | $282–$423 | varies |
| Apply short leg cast (29425) range across 6 matching MRF lines |
$121.55–$197.60 | $187–$304 | varies |
| Arterial puncture (36600) | $159.90 | $246 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $2,429.28 | — | 7.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$139.75–$468.65 | $215–$721 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$346.45–$503.75 | — | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 5 matching MRF lines |
$254.15–$506.35 | $391–$779 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$378.95–$505.05 | — | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 3 matching MRF lines |
$2,312.05–$3,468.40 | $3,557–$5,336 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) range across 3 matching MRF lines |
$17,132.67–$30,648.72 | — | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 3 matching MRF lines |
$1,886.30–$2,829.45 | $2,902–$4,353 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 3 matching MRF lines |
$1,527.50–$2,291.25 | $2,350–$3,525 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 3 matching MRF lines |
$2,861.30–$4,291.95 | $4,402–$6,603 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 3 matching MRF lines |
$23,446.29–$25,021.28 | — | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$36,997.27–$37,458.64 | — | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 3 matching MRF lines |
$1,835.60–$2,753.40 | $2,824–$4,236 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 3 matching MRF lines |
$1,578.20–$2,367.30 | $2,428–$3,642 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$243.10–$1,733.55 | $374–$2,667 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 6 matching MRF lines |
$176.15–$1,634.75 | $271–$2,515 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$166.40–$446.55 | $256–$687 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $3,006.25 | $4,625 | 1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) | $77.35 | $119 | 0.3× |
| Biopsy Abdominal Mass (49180) | $1,817.40 | $2,796 | 1.0× |
| Biopsy muscle percutaneous needle (20206) | $1,589.25 | $2,445 | 0.9× |
| Bladder Irrigation (51700) | $237.90 | $366 | 0.9× |
| Bladder Scan (51798) | $32,390.29 | — | 494.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) range across 3 matching MRF lines |
$1,166.75–$1,750.45 | $1,795–$2,693 | varies |
| Blood Transfusion Service (36430) | $683.15 | $1,051 | 1.4× |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$2,499.90–$3,749.20 | $3,846–$5,768 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$6,704.35–$8,101.75 | — | varies |
| Cataract surgery complex (66982) range across 3 matching MRF lines |
$1,366.95–$2,050.75 | $2,103–$3,155 | varies |
| Catheter aspiration nasotracheal spx (31720) | $180.05 | $277 | 0.7× |
| Change Cystostomy Tube Complicated (51710) | $143 | $220 | 0.2× |
| Chemical Cautery Tissue (17250) | $145.60 | $224 | 0.7× |
| Chest tube placement (32551) range across 9 matching MRF lines |
$321.75–$482.95 | $495–$743 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$224.90–$337.35 | $346–$519 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$1,231.10–$1,846.65 | $1,894–$2,841 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 3 matching MRF lines |
$1,681.55–$2,522.65 | $2,587–$3,881 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$979.55–$1,469.65 | $1,507–$2,261 | varies |
| Closed tx septal&nose fx (21337) | $800.80 | $1,232 | 0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
$79.95–$120.25 | $123–$185 | varies |
| Closure lacrimal punctum (68760) range across 3 matching MRF lines |
$202.80–$295.75 | $312–$455 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$1,145.30–$1,717.95 | $1,762–$2,643 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$838.50–$1,257.75 | $1,290–$1,935 | varies |
| Clsr Lacrimal Punctum Plug Each (68761) range across 3 matching MRF lines |
$135.85–$198.90 | $209–$306 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$172.25–$258.70 | $265–$398 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,446.25 | $2,225 | 0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$464.75–$697.45 | $715–$1,073 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $216.45 | $333 | 0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$281.45–$422.50 | $433–$650 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
$1,230.45–$1,846 | $1,893–$2,840 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $877.50 | $1,350 | 3.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $227.50 | $350 | 0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 6 matching MRF lines |
$1,032.20–$1,818.05 | $1,588–$2,797 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $172.25 | $265 | 0.6× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$928.20–$1,392.30 | $1,428–$2,142 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$1,267.50–$1,901.25 | $1,950–$2,925 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$187.85–$282.10 | $289–$434 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $113.10 | $174 | 0.8× |
| Collection of venous blood by venipuncture (36415) | $22.10 | $34 | 2.4× |
| Colonoscopy w/submucosal inj (45381) | $4,963.27 | — | 3.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $6,100.93 | — | 4.6× |
| Complex drainage wound (10180) | $248.30 | $382 | 0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$273–$409.50 | $420–$630 | varies |
| Conversion ext bil drg cath (47535) | $4,594.85 | $7,069 | 1.2× |
| Correction of trichiasis; epilation, by forceps only (67820) range across 3 matching MRF lines |
$44.85–$65.65 | $69–$101 | varies |
| Declot vascular device (36593) | $583.70 | $898 | 1.6× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) range across 3 matching MRF lines |
$3,636.10–$5,454.15 | $5,594–$8,391 | varies |
| Deep Muscle Biopsy (20205) | $379.60 | $584 | 0.1× |
| Delivery of placenta (59414) | $2,369.90 | $3,646 | 0.7× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $186.55 | $287 | 0.1× |
| Drainage of finger abscess simple (26010) | $447.20 | $688 | 2.0× |
| Draw Blood Off Venous Device (36591) | $149.50 | $230 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $81.25 | $125 | 0.4× |
| Dx Bronchoscope/Lavage (31624) | $2,174.90 | $3,346 | 1.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,103.05 | $1,697 | 1.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,048.45 | $1,613 | 0.5× |
| Epidural Blood Patch (62273) | $1,235 | $1,900 | 1.6× |
| Evacuation of subungual hematoma (11740) | $53.30 | $82 | 0.4× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 3 matching MRF lines |
$534.95–$802.75 | $823–$1,235 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $225.55 | $347 | 0.1× |
| Exc thigh/knee les sc 3 cm/> (27337) range across 3 matching MRF lines |
$1,162.20–$1,743.30 | $1,788–$2,682 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $331.50 | $510 | 0.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $308.10 | $474 | 0.4× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,961.40 | $4,556 | 1.4× |
| Excision Chalazion Single (67800) | $117.65 | $181 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $251.55 | $387 | 0.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 3 matching MRF lines |
$536.25–$804.05 | $825–$1,237 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 3 matching MRF lines |
$603.20–$904.80 | $928–$1,392 | varies |
| Exploratory elbow surgery (24000) range across 3 matching MRF lines |
$1,336.40–$2,004.60 | $2,056–$3,084 | varies |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $6,514.60 | — | 1.8× |
| Fetal non-stress test (59025) | $220.35 | $339 | 1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,184.30 | $1,822 | 1.5× |
| Fna bx w/us gdn 1st les (10005) | $1,000.35 | $1,539 | 1.3× |
| I&d abscess simple (10060) | $173.55 | $267 | 0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 3 matching MRF lines |
$1,409.85–$2,115.10 | $2,169–$3,254 | varies |
| I&d pilonidal cyst simple (10080) | $318.50 | $490 | 0.4× |
| Image Cath Fluid Colxn Visc (49405) | $3,053.05 | $4,697 | 1.7× |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$7,643.92–$10,428.81 | — | varies |
| Incision & drainage abscess complicated/multiple (10061) | $330.85 | $509 | 0.7× |
| Incision & removal foreign body subq tiss simple (10120) | $189.80 | $292 | 0.4× |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$6,774.81–$8,375.20 | — | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 3 matching MRF lines |
$429.65–$644.80 | $661–$992 | varies |
| Inject Intravitreal Pharmcologic (67028) range across 3 matching MRF lines |
$135.85–$151.45 | $209–$233 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 18 matching MRF lines |
$83.85–$652.60 | $129–$1,004 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 6 matching MRF lines |
$171.60–$1,532.70 | $264–$2,358 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$1,021.80–$1,532.70 | $1,572–$2,358 | varies |
| Injection single tendon origin/insertion (20551) | $126.10 | $194 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $158.60 | $244 | 0.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$189.15–$284.05 | $291–$437 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$170.95–$256.75 | $263–$395 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $4,153.21 | — | 5.3× |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$2,611.70–$3,917.55 | $4,018–$6,027 | varies |
| Insert non-tunnel cv cath (36556) | $232.05 | $357 | 0.1× |
| Insert Temp Bladder Cath (51702) | $193.70 | $298 | 1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $193.70 | $298 | 1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$230.75–$3,851.90 | $355–$5,926 | varies |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) likely a partial charge, not the full procedure |
$525.85 | $809 | 0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$541.45–$812.50 | $833–$1,250 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $282.10 | $434 | 0.6× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$253.50–$412.75 | $390–$635 | varies |
| Iridotomy/irridectomy laser surg per session (66761) range across 3 matching MRF lines |
$555.75–$833.95 | $855–$1,283 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $306.80 | $472 | 1.1× |
| Knee Arthroscopy/Surgery (29874) range across 3 matching MRF lines |
$1,489.15–$2,234.05 | $2,291–$3,437 | varies |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$553.80 | $852 | 0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) | $386.75 | $595 | 0.2× |
| Lyse Chest Fibrin Subq Day (32562) | $1,051.70 | $1,618 | 1.5× |
| Manipulation knee joint under general anesthesia (27570) | $4,153.21 | — | 2.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 3 matching MRF lines |
$544.70–$817.05 | $838–$1,257 | varies |
| Myelography Lumbar Injection (62305) | $1,151.15 | $1,771 | 1.3× |
| Myelography Lumbar Injection (62304) | $1,200.55 | $1,847 | 1.4× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,200.55 | $1,847 | 1.4× |
| N Block Inj Celiac Pelus (64530) | $1,517.10 | $2,334 | 1.5× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,623.70–$2,436.20 | $2,498–$3,748 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $22.10 | $34 | 0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) | $25.35 | $39 | 0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $858.65 | $1,321 | 2.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,671.15 | $2,571 | 0.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 3 matching MRF lines |
$2,080–$3,120 | $3,200–$4,800 | varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) range across 3 matching MRF lines |
$3,489.20–$5,233.80 | $5,368–$8,052 | varies |
| Open treatment metatarsal fracture each (28485) | $29,528.51 | — | 3.7× |
| Open Treatment of Ulnar Shaft Fracture (25545) likely a partial charge, not the full procedure |
$1,673.10 | $2,574 | 0.2× |
| Open tx ulnar fx proximal end (24685) range across 3 matching MRF lines |
$1,820.65–$2,731.30 | $2,801–$4,202 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 3 matching MRF lines |
$2,195.05–$3,292.90 | $3,377–$5,066 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $25,289.37 | — | 3.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,324.05 | $2,037 | 1.7× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$6,764.55–$10,147.15 | $10,407–$15,611 | varies |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) range across 3 matching MRF lines |
$969.80–$1,454.70 | $1,492–$2,238 | varies |
| Punch biopsy skin single lesion (11104) | $193.70 | $298 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $98.80 | $152 | 0.2× |
| Puncture Aspiration Cyst Breast (19000) | $653.25 | $1,005 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$364–$546 | $560–$840 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$22.10–$48.10 | $34–$74 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$11,532.71–$18,027.70 | — | varies |
| Remove intrvas foreign body (37197) | $3,515.20 | $5,408 | 1.0× |
| Remove renal tube w/fluoro (50389) range across 3 matching MRF lines |
$1,319.50–$1,979.25 | $2,030–$3,045 | varies |
| Remove/Insert Drug Implant (11983) | $286.65 | $441 | 0.6× |
| Repair brow ptosis (67900) range across 3 matching MRF lines |
$1,208.35–$1,812.85 | $1,859–$2,789 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $606.45 | $933 | 1.3× |
| Repair Ectropion Suture (67914) range across 3 matching MRF lines |
$919.10–$1,378.65 | $1,414–$2,121 | varies |
| Repair Entropion Extensive (67924) range across 3 matching MRF lines |
$1,219.40–$1,829.10 | $1,876–$2,814 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $386.75 | $595 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $222.95 | $343 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $295.10 | $454 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $559 | $860 | 1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$322.40–$450.45 | $496–$693 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $620.75 | $955 | 0.8× |
| Reposition Gastrostomy Tube (43761) | $798.85 | $1,229 | 2.9× |
| Revision of knee joint (27442) range across 3 matching MRF lines |
$2,338.70–$3,508.05 | $3,598–$5,397 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 6 matching MRF lines |
$53.30–$163.15 | $82–$251 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$64.35–$96.85 | $99–$149 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$268.45–$2,007.20 | $413–$3,088 | varies |
| Rplc Gtube No Revj Trc (43762) | $215.80 | $332 | 0.8× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) range across 3 matching MRF lines |
$1,379.95–$2,070.25 | $2,123–$3,185 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $162.50 | $250 | 0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $230.10 | $354 | 1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $249.60 | $384 | 1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $129.35 | $199 | 0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $188.50 | $290 | 0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $122.20 | $188 | 0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $200.85 | $309 | 0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $282.10 | $434 | 0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $275.60 | $424 | 0.6× |
| Snip Incision Lacrimal Punctum (68440) range across 3 matching MRF lines |
$94.25–$137.80 | $145–$212 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$210.60–$1,008.80 | $324–$1,552 | varies |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) range across 3 matching MRF lines |
$1,094.60–$1,641.90 | $1,684–$2,526 | varies |
| Strapping Hip (29520) range across 3 matching MRF lines |
$130.65–$196.30 | $201–$302 | varies |
| Strapping Unna Boot (29580) range across 18 matching MRF lines |
$104.65–$176.80 | $161–$272 | varies |
| Subconjunctival injection (68200) range across 3 matching MRF lines |
$38.35–$55.90 | $59–$86 | varies |
| Suture of quadriceps or hamstring muscle rupture primary (27385) range across 3 matching MRF lines |
$1,656.85–$2,485.60 | $2,549–$3,824 | varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,063.40 | $1,636 | 1.4× |
| Thyroid biopsy (60100) | $945.10 | $1,454 | 1.2× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$33,086.57–$35,726.63 | — | varies |
| Treat fracture radius/ulna (25575) range across 3 matching MRF lines |
$2,510.30–$3,765.45 | $3,862–$5,793 | varies |
| Treat Fx Rad Extra-Articul (25607) | $21,960.91 | — | 2.7× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$195.65–$293.80 | $301–$452 | varies |
| Treat Kneecap Fracture (27524) range across 3 matching MRF lines |
$2,091.70–$3,137.55 | $3,218–$4,827 | varies |
| Treat thumb fracture (26665) | $18,358.19 | — | 5.0× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$968.50–$1,452.75 | $1,490–$2,235 | varies |
| Treatment extensive retinopathy photocoagulation (67228) range across 3 matching MRF lines |
$918.45–$939.90 | $1,413–$1,446 | varies |
| Treatment of ankle fracture (27823) range across 3 matching MRF lines |
$2,730.65–$4,096.30 | $4,201–$6,302 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $265.85 | $409 | 0.3× |
| Unlisted procedure nervous system (64999) | $209.95 | $323 | 0.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.