Procedures & surgery prices at Salina Surgical Hospital

Salina, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablate inf turbinate submuc (30802) $999.14 $1,427.34 0.7×
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) $2,498.35 $3,569.07 0.8×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $1,233.83 $1,762.61 0.7×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $1,233.83 $1,762.61 0.7×
Amputate metacarpal bone (26910) $2,188.52 $3,126.45 0.7×
Amputation metatarsal with toe single (28810) $2,188.52 $3,126.45 0.7×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) $5,183.28 $7,404.68 1.1×
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) $4,818.50 $6,883.57 0.7×
Application of cylinder cast (thigh to ankle) (29365) $179.14 $255.91 0.7×
Arteriovenous Anastomosis Open Direct (36821) $2,123.02 $3,032.88 0.7×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) $3,646.19 $5,208.84 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $442.11 $631.58 1.6×
Arthrodesis ankle open (27870) $8,678.77 $12,398.24 0.7×
Arthrodesis tibiofibular joint proximal or distal (27871) $8,401.53 $12,002.18 0.7×
Arthrodesis, great toe; metatarsophalangeal joint (28750) $4,818.50 $6,883.57 0.7×
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure		 $12,404.23 $17,720.33 0.5×
Arthroplasty glenohumeral joint total shoulder (23472) $12,404.23 $17,720.33 0.8×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $7,848.44 $11,212.06 1.2×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $2,188.52 $3,126.45 0.7×
Arthroscopy of joint (29999) $1,076.60 $1,538 4.7×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $2,188.52 $3,126.45 0.7×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $2,188.52 $3,126.45 0.7×
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) $2,188.52 $3,126.45 0.7×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $2,188.52 $3,126.45 0.7×
Arthroscopy, knee, surgical; with lateral release (29873) $3,703.06 $5,290.08 1.2×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $3,703.06 $5,290.08 1.2×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,848.44 $11,212.06 1.2×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $7,848.44 $11,212.06 1.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,703.06 $5,290.08 1.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,703.06 $5,290.08 1.2×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $3,703.06 $5,290.08 1.2×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,848.44 $11,212.06 1.2×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,703.06 $5,290.08 1.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,848.44 $11,212.06 1.2×
Aspiration Bladder Insert Suprapubic Catheter (51102) $1,381.74 $1,973.91 0.7×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $766.79 $1,095.41 0.7×
Biopsy Breast Open Incisional (19101) $2,582.88 $3,689.83 0.7×
Biopsy external auditory canal (69105) $991.41 $1,416.30 0.7×
Biopsy or excision of lymph node(s); open, superficial (38500) $2,582.88 $3,689.83 0.7×
Biopsy/removal lymph nodes (38525) $2,582.88 $3,689.83 0.7×
Biopsy/removal lymph nodes (38510) $2,582.88 $3,689.83 0.7×
Blepharoplasty upper eyelid (15822) $1,233.83 $1,762.61 0.7×
Bx vulva/perineum 1 lesion (56605) $513.19 $733.13 0.6×
Carpectomy All Bones Proximal Row (25215) $2,188.52 $3,126.45 0.7×
Cataract surgery complex (66982) $1,538.37 $2,197.67 0.7×
Cerclage cervix pregnancy vaginal (59320) $2,144.62 $3,063.74 0.7×
Chromotubation of oviduct, including materials (58350) $4,319.39 $6,170.56 0.9×
Circum 28 days or older (54161) $1,381.74 $1,973.91 0.7×
Claviculectomy; partial (23120) $2,188.52 $3,126.45 0.7×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,079.49 $1,542.13 0.7×
Closure of vagina (57120) $3,329.68 $4,756.68 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,079.49 $1,542.13 0.7×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,079.49 $1,542.13 0.7×
Colonoscopy flex w/rem forcep (45384) $766.79 $1,095.41 0.7×
Colonoscopy stoma w/biopsy (44389) $766.79 $1,095.41 0.7×
Colonoscopy w/band ligation (45398) $766.79 $1,095.41 0.7×
Colonoscopy w/ndl aspir/bx (44407) $753.31 $1,076.15 0.7×
Colonoscopy w/resection (45390) $1,783.45 $2,547.79 0.7×
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) $4,987.86 $7,125.51 0.7×
Colporrhaphy suture injury vagina (57200) $2,144.62 $3,063.74 0.7×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $766.79 $1,095.41 0.7×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $766.79 $1,095.41 0.7×
Colsc flx with directed submucosal njx any sbst (45381) $766.79 $1,095.41 0.7×
Complex Drainage, Wound (10180) $1,930.47 $2,757.82 0.7×
Conization of cervix (57520) $2,144.62 $3,063.74 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $86.95 $124.21 0.7×
Correction hammertoe (28285) $2,188.52 $3,126.45 0.7×
Correction of bunion (28292) $2,188.52 $3,126.45 0.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,188.52 $3,126.45 0.7×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,188.52 $3,126.45 0.7×
Create eardrum opening (69436) $1,296.12 $1,851.60 0.9×
Crtj arven fstl xcp dir arven anast nonautog grf (36830) $3,646.19 $5,208.84 0.7×
Cysto Bladder W/Ureteral Catheterization (52005) $1,381.74 $1,973.91 0.7×
Cysto w fulg of minor lesions <0.5cm (52224) $2,655.71 $3,793.87 0.8×
Cysto w fulgertn lg bladder tumor(s) (52240) $3,914.39 $5,591.98 0.8×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $3,428.94 $4,898.49 0.7×
Cysto w/removal of tumors small (52234) $2,655.71 $3,793.87 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $1,381.74 $1,973.91 0.7×
Cysto w/ureter stricture tx (52341) $2,326.36 $3,323.37 0.7×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,017.85 $4,311.21 0.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,326.36 $3,323.37 0.7×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $5,337.80 $7,625.43 1.1×
Cysto/uretero w/lithotripsy (52356) $5,337.80 $7,625.43 1.1×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) $5,337.80 $7,625.43 1.1×
Cystolithotomy w rem stone wo vn res (51050) $3,428.94 $4,898.49 0.7×
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) $6,237.27 $8,910.39 0.7×
Cystoscopy w/biopsy (52204) $1,381.74 $1,973.91 0.7×
Cystoscopy,Dil Urethral Stricture (52281) $1,381.74 $1,973.91 0.7×
Cystoscopy,insert ureteral stent (52332) $3,621.42 $5,173.46 1.1×
Cystourethro cut ejacul duct (52402) $2,326.36 $3,323.37 0.7×
Cystourethroscopy (52000) $624.96 $892.80 1.0×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $1,381.74 $1,973.91 0.7×
Cystourethroscopy w/dil bladder general anesth (52260) $1,460.20 $2,086 0.8×
Cystourethroscopy w/rmvl ureteral calculus (52320) $2,326.36 $3,323.37 0.7×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $2,326.36 $3,323.37 0.7×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $2,655.71 $3,793.87 0.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,254.58 $4,649.40 1.2×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $412.89 $589.84 0.6×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,092.86 $1,561.23 0.7×
Destr penis lesn,simpl,laser surg (54057) $1,233.83 $1,762.61 0.7×
Destruction Lesions Vulva Simple (56501) $1,233.83 $1,762.61 0.7×
Diagnostic sigmoidoscopy (45330) $670.11 $957.30 0.8×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $609.72 $871.03 0.7×
Dilation of anal sphincter (45905) $766.79 $1,095.41 0.7×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $1,163.17 $1,661.67 0.7×
Drainage of hematoma/fluid (10140) $1,092.86 $1,561.23 0.7×
Egd balloon dilation esophagus <30 mm diam (43249) $1,233.67 $1,762.38 0.7×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $1,233.67 $1,762.38 0.7×
Egd flexible foreign body removal (43247) $721.92 $1,031.32 0.9×
Egd remove lesion snare (43251) $1,233.67 $1,762.38 0.7×
Egd Transoral Control Bleeding Any Method - Egd (43255) $1,233.67 $1,762.38 0.7×
Egd Varices Ligation (43244) $1,233.67 $1,762.38 0.7×
Endometrial abltj thermal w/o hysteroscopic guid (58353) $4,319.39 $6,170.56 0.9×
Ercp Duct Stent Placement (43274) $5,312.88 $7,589.84 1.0×
Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) $2,566.19 $3,665.98 0.7×
Ercp W/Biopsy Single/Multiple (43261) $2,566.19 $3,665.98 0.7×
Ercp w/sphincterotomy/papillotomy (43262) $2,566.19 $3,665.98 0.7×
Esophagogastroduodenoscopy submucosal injection (43236) $721.92 $1,031.32 0.9×
Exc arm/elbow les sc 3 cm/> (24071) $1,930.47 $2,757.82 0.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,092.86 $1,561.23 0.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,092.86 $1,561.23 0.7×
Exc forearm les sc 3 cm/> (25071) $1,092.86 $1,561.23 0.7×
Exc hand les sc < 1.5 cm (26115) $1,887.12 $2,695.88 1.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,429.40 $2,042 1.0×
Exc neck tum deep < 5 cm (21556) $1,930.47 $2,757.82 0.7×
Exc shoulder tum deep 5 cm/> (23073) $1,930.47 $2,757.82 0.7×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $679.28 $970.40 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $731.92 $1,045.60 1.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,930.47 $2,757.82 0.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,092.86 $1,561.23 0.7×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $1,092.86 $1,561.23 0.7×
Exc Skin Malig >4 Cm Face,Facial (11646) $1,930.47 $2,757.82 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,930.47 $2,757.82 0.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,092.86 $1,561.23 0.7×
Exc thigh/knee les sc 3 cm/> (27337) $1,930.47 $2,757.82 0.7×
Exc thigh/knee tum dep 5cm/> (27339) $1,930.47 $2,757.82 0.7×
Exc urethral diverticulum spx female (53230) $3,428.94 $4,898.49 0.7×
Exc varicocele/ligation spermatic veins spx (55530) $2,326.36 $3,323.37 0.7×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,188.52 $3,126.45 0.7×
Exchange intraocular lens (66986) $1,538.37 $2,197.67 0.7×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,889.78 $2,699.68 1.3×
Excise Inferior Turbinate (30130) $2,187.48 $3,124.97 0.7×
Excise oral mucosa for graft (40818) $343.49 $490.70 0.7×
Excision h/p/p/u simple/intermediate repair (11470) $1,930.47 $2,757.82 0.7×
Excision hydrocele bilateral (55041) $2,380.38 $3,400.54 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,092.86 $1,561.23 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $2,170.81 $3,101.16 0.9×
Excision of bartholin's gland or cyst (56740) $2,144.62 $3,063.74 0.7×
Excision of hydrocele; unilateral (55040) $2,380.38 $3,400.54 0.7×
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) $2,188.52 $3,126.45 0.7×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,092.86 $1,561.23 0.7×
Excision of lesion other than skin tag </= 0.5 cm (11420) $1,092.86 $1,561.23 0.7×
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $1,429.40 $2,042 1.0×
Excision of spermatocele, with or without epididymectomy (54840) $1,381.74 $1,973.91 0.7×
Excision of submandibular (submaxillary) gland (42440) $3,990.16 $5,700.23 0.7×
Excision of vaginal cyst or tumor (57135) $2,144.62 $3,063.74 0.7×
Excision pilonidal cyst/sinus complicated (11772) $1,930.47 $2,757.82 0.7×
Excision Prepatellar Bursa (27340) $2,188.52 $3,126.45 0.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,930.47 $2,757.82 0.7×
Exploration of knee joint (27310) $2,188.52 $3,126.45 0.7×
Explore parathyroid glands (60500) $3,990.16 $5,700.23 0.7×
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) $3,480.27 $4,971.81 0.7×
Eye surgery procedure (66999) $179.20 $256 0.1×
Fasciotomy Iliotibial Open (27305) $2,188.52 $3,126.45 0.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,188.52 $3,126.45 0.7×
Fix ectropion,entensv lid repair (67917) $1,573.60 $2,248 0.7×
Fixation of knee joint (27570) $1,079.49 $1,542.13 0.7×
Fixation of shoulder (23700) $1,889.78 $2,699.68 1.3×
Follow-up surgery of eye (66250) $1,573.60 $2,248 0.7×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $1,233.83 $1,762.61 0.7×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,233.83 $1,762.61 0.7×
Fusion Finger Joint (26860) $2,188.52 $3,126.45 0.7×
Fusion of foot bones (28730) $8,678.77 $12,398.24 0.7×
Fusion of knuckle (26850) $4,818.50 $6,883.57 0.7×
Glaucoma surgery (66170) $1,538.37 $2,197.67 0.7×
Hysteroscopy ablation (58563) $3,329.68 $4,756.68 0.7×
Hysteroscopy biopsy (58558) $2,448.24 $3,497.48 0.8×
I&d abscess simple (10060) $236.50 $337.86 1.3×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $609.72 $871.03 0.7×
Incise finger tendon sheath (26055) $1,889.78 $2,699.68 1.3×
Incise wrist/forearm tendon (25290) $2,188.52 $3,126.45 0.7×
Incision & removal foreign body subq tiss simple (10120) $307.64 $439.48 0.8×
Incision and drainage of bartholin's gland abscess (56420) $135.69 $193.84 0.7×
Incision extensor tendon sheath wrist (25000) $1,232.32 $1,760.45 0.8×
Incision labial frenum frenotomy (40806) $343.49 $490.70 0.7×
Incision of eye (66172) $1,538.37 $2,197.67 0.7×
Incision of heel bone (28300) $4,818.50 $6,883.57 0.7×
Incision of lingual frenum (41010) $999.14 $1,427.34 0.7×
Incision of rectal abscess (46040) $892.50 $1,275 0.8×
Inj tendon sheath/ligament (20550) $199.11 $284.44 0.7×
Inj,Anes Agent,Brachial Plexus,Single (64415) $940.98 $1,344.26 1.2×
Inj,Anes Agent,Femoral Nerve,Single (64447) $467.11 $667.30 0.7×
Inject Nerv Blck,Axillary Nerv (64417) $600.51 $857.87 0.7×
Injection aa&/strd sciatic nerve w/img gdn (64445) $467.11 $667.30 0.7×
Injection anes other peripheral nerve/branch (64450) $760.68 $1,086.68 1.2×
Insert anter drainage dev w/o extraoc reservoir (66183) $2,713.45 $3,876.36 0.7×
Insert Temp Bladder Cath (51702) $86.95 $124.21 0.7×
Insert tun ip cath perc (49418) $2,380.38 $3,400.54 0.7×
Insert tunneled cv cath (36561) $2,123.02 $3,032.88 0.7×
Insertion indwelling tunneled pleural catheter (32550) $2,380.38 $3,400.54 0.7×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) $14,464.41 $20,663.44 0.8×
Insj io lens prosthesis not w/concurrent rmvl (66985) $1,538.37 $2,197.67 0.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,123.02 $3,032.88 0.7×
Keratoplasty (corneal transplant); endothelial (65756) $2,713.45 $3,876.36 0.7×
Knee arthroscopy/surgery (29876) $2,188.52 $3,126.45 0.7×
Lap ing hernia repair init (49650) $3,935.32 $5,621.89 0.7×
Lap insert tunnel ip cath (49324) $4,492.46 $6,417.80 0.8×
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) $7,022.45 $10,032.07 0.7×
Laparoscopy appendectomy (44970) $4,492.46 $6,417.80 0.8×
Laparoscopy biopsy (49321) $3,935.32 $5,621.89 0.7×
Laparoscopy Remove Adnexa (58661) $4,492.46 $6,417.80 0.8×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $7,022.45 $10,032.07 0.7×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $7,022.45 $10,032.07 0.7×
Laparoscopy Tubal Cautery (58670) $4,492.46 $6,417.80 0.8×
Laparoscopy w/lysis of adhesions (58660) $4,492.46 $6,417.80 0.8×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $3,935.32 $5,621.89 0.7×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $7,022.45 $10,032.07 0.7×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $7,022.45 $10,032.07 0.7×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $4,492.46 $6,417.80 0.8×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $3,935.32 $5,621.89 0.7×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $4,492.46 $6,417.80 0.8×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) $4,492.46 $6,417.80 0.8×
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) $7,022.45 $10,032.07 0.7×
Laps vaginal hysterectomy uterus 250 gm/< (58550) $3,935.32 $5,621.89 0.7×
Late closure of wound (13160) $1,233.83 $1,762.61 0.4×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $4,818.50 $6,883.57 0.7×
Ligate/strip short leg vein (37718) $2,123.02 $3,032.88 0.7×
Ligation or biopsy temporal artery (37609) $1,092.86 $1,561.23 0.7×
Litholapaxy smpl/sm <2.5 cm (52317) $2,326.36 $3,323.37 0.7×
Lithotripsy (50590) $2,906.38 $4,151.97 0.9×
Lysis/excision penile postcircumcision adhesions (54162) $1,381.74 $1,973.91 0.7×
Manipulation, hip joint, requiring general anesthesia (27275) $1,079.49 $1,542.13 0.7×
Mastectomy partial (19301) $2,582.88 $3,689.83 0.7×
Mastectomy simple complete (19303) $4,398.77 $6,283.96 0.7×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $618.43 $883.47 0.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,079.49 $1,542.13 0.7×
Open rx carpal bone fx,each bone (25645) $2,188.52 $3,126.45 0.7×
Open rx distal radius fx, intra-articular, 2 frag (25608) $7,848.40 $11,212 1.2×
Open Treatment Bimalleolar Ankle Fracture (27814) $4,818.50 $6,883.57 0.7×
Open Treatment Humeral Condylar Fracture (24579) $8,678.77 $12,398.24 0.7×
Open Treatment Medial Malleolus Fracture (27766) $4,818.50 $6,883.57 0.7×
Open treatment metatarsal fracture each (28485) $4,818.50 $6,883.57 0.7×
Open treatment of acromioclavicular dislocation, acute or chronic; (23550) $4,818.50 $6,883.57 0.7×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,848.44 $11,212.06 1.2×
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) $7,505.72 $10,722.46 1.1×
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) $8,678.77 $12,398.24 0.7×
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) $7,848.44 $11,212.06 1.2×
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) $4,088.70 $5,841 0.6×
Open Treatment Radial Shaft Fracture (25515) $4,818.50 $6,883.57 0.7×
Open treatment talus fracture (28445) $4,818.50 $6,883.57 0.7×
Open tx carpal scaphoid navicular fracture (25628) $4,818.50 $6,883.57 0.7×
Open Tx Distal Phalangeal Fracture Each (26765) $3,703.06 $5,290.08 1.2×
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) $7,848.40 $11,212 1.2×
Open Tx Humeral Epicondylar Fracture (24575) $8,678.77 $12,398.24 0.7×
Open tx interphalangeal joint dislocation (26785) $2,188.52 $3,126.45 0.7×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,703.06 $5,290.08 1.2×
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) $7,848.44 $11,212.06 1.2×
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) $8,678.77 $12,398.24 0.7×
Orchiectomy radical tumor inguinal approach (54530) $2,380.38 $3,400.54 0.7×
Part Remv Femur/Prox Tib/Fib (27360) $2,188.52 $3,126.45 0.7×
Partial Excision Distal Phalanx Finger (26236) $1,889.78 $2,699.68 1.3×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $2,188.52 $3,126.45 0.7×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,079.49 $1,542.13 0.7×
Partial hymenectomy or revision of hymenal ring (56700) $2,144.62 $3,063.74 0.7×
Partial removal of thyroid (60220) $3,935.32 $5,621.89 0.7×
Partical Excision Bone Phalanx Toe (28124) $2,188.52 $3,126.45 0.7×
Penis plastic surgery (54360) $2,326.36 $3,323.37 0.7×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $2,188.52 $3,126.45 0.7×
Perq replacement gtube not req revj gstrst trc (43762) $164.05 $234.35 0.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $504.83 $721.18 0.8×
Pin finger fracture each (26756) $2,188.52 $3,126.45 0.7×
Pin hand dislocation (26676) $2,188.52 $3,126.45 0.7×
Placement of seton (46020) $1,849.76 $2,642.52 0.7×
Plmt interstitial dev radiat tx prostate 1/mult (55876) $922.90 $1,318.43 0.7×
Probe nasolacrimal duct (68811) $1,573.60 $2,248 0.7×
Prostatectomy (turp) (52601) $3,914.39 $5,591.98 0.8×
Prq skel fixj sprcndylr/transcndylr humeral fx (24538) $4,818.50 $6,883.57 0.7×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $2,188.52 $3,126.45 0.7×
Realignment extensor tendon hand each tendon (26437) $2,188.52 $3,126.45 0.7×
Reconstruc Ant Male Urethra (53410) $3,428.94 $4,898.49 0.7×
Reconstruct Shoulder Joint (23470) $8,678.77 $12,398.24 0.7×
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) $8,678.77 $12,398.24 0.7×
Reconstruction of mandibular ramus, sagittal split; in internal rigid fixation (21196) $3,990.16 $5,700.23 0.7×
Reconstruction of urethra (54324) $2,326.36 $3,323.37 0.7×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) $7,848.44 $11,212.06 1.2×
Release palm contracture (26121) $2,188.52 $3,126.45 0.7×
Release wrist/forearm tendon (25295) $2,188.52 $3,126.45 0.7×
Relieve inner eye pressure (65820) $2,713.45 $3,876.36 0.7×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,187.48 $3,124.97 0.7×
Removal impacted vag fb spx w/anes oth/thn local (57415) $2,144.62 $3,063.74 0.7×
Removal Implant Deep (20680) $3,254.82 $4,649.74 1.2×
Removal of adenoids (42831) $2,187.48 $3,124.97 0.7×
Removal of adenoids (42830) $2,187.48 $3,124.97 0.7×
Removal of finger lesion (26210) $1,079.49 $1,542.13 0.7×
Removal of heel bone (28118) $2,188.52 $3,126.45 0.7×
Removal of heel spur (28119) $2,188.52 $3,126.45 0.7×
Removal of implanted material, anterior segment of eye (65920) $1,538.37 $2,197.67 0.7×
Removal of intrauterine device (iud) (58301) $204.79 $292.56 0.7×
Removal of kneecap (27350) $4,818.50 $6,883.57 0.7×
Removal of nail bed (11750) $269.49 $384.98 0.7×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $154 $220 0.8×
Removal of sperm cord lesion (55520) $2,326.36 $3,323.37 0.7×
Removal of testis (54520) $2,326.36 $3,323.37 0.7×
Removal of tonsils (42825) $3,990.16 $5,700.23 0.7×
Removal of tonsils (42826) $2,187.48 $3,124.97 0.7×
Removal of wrist bone (25210) $2,188.52 $3,126.45 0.7×
Removal or relocation of corneal conjunctiva (65420) $1,573.60 $2,248 0.7×
Removal or relocation of corneal conjunctiva with graft (65426) $1,573.60 $2,248 0.7×
Remove anal fist subq (46270) $1,849.76 $2,642.52 0.7×
Remove bladder stone (52318) $2,326.36 $3,323.37 0.7×
Remove drug implant device (11982) $269.16 $384.51 0.7×
Remove femur lesion (27355) $2,188.52 $3,126.45 0.7×
Remove femur lesion/bursa (27062) $2,188.52 $3,126.45 0.7×
Remove Pilonidal Cyst Exten (11771) $1,930.47 $2,757.82 0.7×
Remove prostate regrowth (52630) $3,914.39 $5,591.98 0.8×
Remove wrist tendon lesion (25111) $1,003.90 $1,434.14 0.7×
Remove/graft forearm lesion (25125) $1,079.49 $1,542.13 0.7×
Remv Ext Canal F.B.,Gen Anesth (69205) $1,092.86 $1,561.23 0.7×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $3,428.94 $4,898.49 0.7×
Repair achilles tendon (27650) $4,818.50 $6,883.57 0.7×
Repair anal fistula (46288) $1,849.76 $2,642.52 0.7×
Repair anorectal fistula w/plug (46707) $1,849.76 $2,642.52 0.7×
Repair arm tendon/muscle (24341) $4,818.50 $6,883.57 0.7×
Repair blood vessel direct neck (35201) $3,646.19 $5,208.84 0.7×
Repair brow defect (67900) $1,573.60 $2,248 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $412.89 $589.84 1.1×
Repair extensor tendon finger w/o graft each (26418) $1,889.78 $2,699.68 1.3×
Repair eyelid defect (67908) $1,573.60 $2,248 0.7×
Repair eyelid defect (67904) $1,573.60 $2,248 0.7×
Repair eyelid defect (67924) $1,573.60 $2,248 0.7×
Repair finger/hand tendon (26350) $3,703.06 $5,290.08 1.2×
Repair flex tendon,zone 2,secon,hand,ea (26357) $2,188.52 $3,126.45 0.7×
Repair forearm tendon/muscle (25260) $2,188.52 $3,126.45 0.7×
Repair hallux rigidus (28289) $2,188.52 $3,126.45 0.7×
Repair hand tendon (26410) $1,079.49 $1,542.13 0.7×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $767.20 $1,096 2.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $269.49 $384.98 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $404.60 $578 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $269.49 $384.98 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $404.60 $578 1.1×
Repair lower leg tendons (27676) $4,566.86 $6,524.08 0.7×
Repair of eardrum structures (69631) $3,990.16 $5,700.23 0.7×
Repair of hydrocele (55060) $2,326.36 $3,323.37 0.7×
Repair of knee ligament (27407) $4,818.50 $6,883.57 0.7×
Repair of nail bed (11760) $683.44 $976.34 1.0×
Repair of nasal septum (30520) $2,187.48 $3,124.97 0.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) $4,818.50 $6,883.57 0.7×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) $7,849.10 $11,213 1.2×
Repair of thigh musc (27385) $4,818.50 $6,883.57 0.7×
Repair of urethra defect (53520) $3,428.94 $4,898.49 0.7×
Repair of vagina (57260) $5,183.28 $7,404.68 1.1×
Repair rectum & vagina (57250) $5,183.28 $7,404.68 1.1×
Repair rotator cuff acute (23410) $7,849.10 $11,213 1.2×
Repair secondary achilles tendon w/wo graft (27654) $4,818.50 $6,883.57 0.7×
Repair tympanic membrane (69610) $1,296.12 $1,851.60 0.9×
Repair wrist joints (25447) $2,188.52 $3,126.45 0.7×
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $2,188.52 $3,126.45 0.7×
Repair/graft achilles tendon (27652) $4,818.50 $6,883.57 0.7×
Repair/revise wrist joint (25320) $4,818.50 $6,883.57 0.7×
Repositioning io lens prosthesis req inc spx (66825) $1,538.37 $2,197.67 0.7×
Rerepair ing hernia reduce (49520) $2,380.38 $3,400.54 0.7×
Resect Inferior Turbinate (30140) $2,187.48 $3,124.97 0.7×
Revise arm/leg nerve (64708) $2,254.55 $3,220.78 1.3×
Revise knuckle joint (26530) $4,818.50 $6,883.57 0.7×
Revise median n/carpal tunnel surg (64721) $2,254.55 $3,220.78 1.3×
Revise ulnar nerve at elbow (64718) $2,254.55 $3,220.78 1.3×
Revise ulnar nerve at wrist (64719) $2,254.55 $3,220.78 1.3×
Revision of penis (54304) $2,326.36 $3,323.37 0.7×
Revision of scrotum (55175) $2,326.36 $3,323.37 0.7×
Revision of upper eyelid (15823) $1,920.70 $2,743.85 1.0×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $2,319.64 $3,313.77 0.7×
Rhinoplasty, Primary; Including Major Septal Repair (30420) $3,990.16 $5,700.23 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,047.81 $1,496.87 0.7×
Rplcmt compl tun ctr vad w/subq port (36582) $2,123.02 $3,032.88 0.7×
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) $4,208.76 $6,012.51 0.7×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,935.32 $5,621.89 0.7×
Rpr aa hernia 1st 3-10 cm reducible (49593) $4,208.76 $6,012.51 0.7×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $3,935.32 $5,621.89 0.7×
Rpr aa hernia 1st < 3 cm reducible (49591) $2,380.38 $3,400.54 0.7×
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) $4,208.76 $6,012.51 0.7×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,380.38 $3,400.54 0.7×
Rpr flexor tendon leg secondary w/o graft each (27659) $4,818.50 $6,883.57 0.7×
Rpr non/malunion metarsal w/wo bone graft (28322) $4,818.50 $6,883.57 0.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,703.06 $5,290.08 1.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $670.11 $957.30 0.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $766.79 $1,095.41 0.7×
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $766.79 $1,095.41 0.7×
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $766.79 $1,095.41 0.7×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $670.11 $957.30 0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $154 $220 0.8×
Skin tissue rearrangement (14040) $2,195.65 $3,136.64 1.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $5,183.07 $7,404.38 1.1×
Suspension of testis (54640) $2,380.38 $3,400.54 0.7×
Tendon excision palm/finger (26145) $1,079.49 $1,542.13 0.7×
Tenodesis long tendon biceps (23430) $7,848.44 $11,212.06 1.2×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,889.78 $2,699.68 1.3×
Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) $2,188.52 $3,126.45 0.7×
Tenotomy, flexor, finger, open, each tendon (26455) $1,079.49 $1,542.13 0.7×
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) $3,990.16 $5,700.23 0.7×
Thyroidectomy, total or complete (60240) $3,935.32 $5,621.89 0.7×
Tis trnfr trunk 10.1-30sqcm (14001) $1,233.83 $1,762.61 0.7×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,187.48 $3,124.97 0.7×
Total hip arthroplasty (27130) $12,600 $18,000 1.1×
Total knee arthroplasty (27447) $8,678.77 $12,398.24 0.7×
Total thyroid lobectomy unilateral (60225) $3,935.32 $5,621.89 0.7×
Transection or avulsion of other spinal nerve, extradural (64772) $1,317.16 $1,881.65 0.7×
Transfer tendon to pelvis (27098) $2,066.26 $2,951.80 0.7×
Transperineal plmt biodegradable matrl 1/mlt njx (55874) $3,428.94 $4,898.49 0.7×
Transplant forearm tendon (25310) $2,188.52 $3,126.45 0.7×
Treat dislocation/fracture (23680) $8,678.77 $12,398.24 0.7×
Treat ectopic pregnancy (59151) $3,935.32 $5,621.89 0.7×
Treat Finger Fracture Each (26727) $3,703.06 $5,290.08 1.2×
Treat fracture radius/ulna (25575) $4,818.50 $6,883.57 0.7×
Treat fx distal radial (25606) $2,188.52 $3,126.45 0.7×
Treat fx rad extra-articul (25607) $7,848.40 $11,212 1.2×
Treat kneecap dislocation (27566) $4,818.50 $6,883.57 0.7×
Treat thumb fracture (26650) $2,188.52 $3,126.45 0.7×
Treat ulnar fracture (24685) $4,818.50 $6,883.57 0.7×
Treatment of ankle fracture (27822) $7,848.44 $11,212.06 1.2×
Treatment of ankle fracture (27792) $7,848.44 $11,212.06 1.2×
Treatment of missed abortion, completed surgically; second trimester (59821) $4,813.20 $6,876 1.6×
Trurl rescj postop bladder neck contracture (52640) $2,326.36 $3,323.37 0.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,144.62 $3,063.74 0.7×
Tx Missed Abortion First Trimester Surgical (59820) $2,144.62 $3,063.74 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $412.89 $589.84 0.6×
Unlisted laparoscopic procedure liver (47379) $3,935.32 $5,621.89 0.7×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $3,935.32 $5,621.89 0.7×
Unlisted laparoscopy px abd pertoneum & omentum (49329) $4,492.46 $6,417.80 0.8×
Unlisted Procedure Dentoalveolar Structures (41899) $725.20 $1,036 3.3×
Unlisted procedure femur or knee (27599) $161.80 $231.14 0.7×
Ureteral endoscopy via ureterost w/wo dil ureter (50953) $2,326.36 $3,323.37 0.7×
Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) $4,319.39 $6,170.56 0.9×
Vag hyst complex (58290) $4,987.86 $7,125.51 0.7×
Vag hyst w/enterocele repair (58270) $5,183.28 $7,404.68 1.1×
Vaginal hysterectomy (58260) $5,183.07 $7,404.38 1.1×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $5,183.07 $7,404.38 1.1×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) $5,183.07 $7,404.38 1.1×
Vasectomy (55250) $1,381.74 $1,973.91 0.7×
Ventilating tube removal requiring general anesthesia (69424) $2,187.48 $3,124.97 0.7×
Vulvectomy simple partial (56620) $2,144.62 $3,063.74 0.7×
Wrist arthroscop,excis triang cart (29846) $3,703.06 $5,290.08 1.2×
Wrist arthroscopy/surgery (29845) $2,188.52 $3,126.45 0.7×
Xcpsl ctrc rmvl cplx insj 1+ (66989) $3,480.27 $4,971.81 0.7×
Xfer single deep low leg tendon (27691) $4,818.50 $6,883.57 0.7×