Procedures & surgery prices at Samaritan Hospital

Macon, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,170 $1,462 1.3×
Acne surgery (10040) $225 $281 1.1×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $357 $446 1.2×
Anoscopy diagnostic (46600) $190 $237 1.4×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,782 $2,227 0.3×
Application cast elbow finger short arm (29075) $190 $237 0.7×
Application of rigid total contact leg cast (29445) $619 $774 2.2×
Application short arm splint forearm-hand static (29125) $110 $137 0.8×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $132–$354 $165–$443 varies
Arterial puncture (36600)
range across 3 matching MRF lines		 $121–$181 $151–$226 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $113 $141 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $134 $168 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $106 $133 0.3×
Aspirate pleura w/ imaging (32555) $1,170 $1,462 1.9×
Aspirate Pleura W/O Imaging (32554) $769 $961 1.2×
Aspirate/Inj Ganglion Cyst (20612) $134 $168 0.4×
Aspiration bladder insert suprapubic catheter (51102) $2,810 $3,513 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $210–$217 $263–$271 varies
Biopsy Bone Trocar/Needle Superficial (20220) $1,653 $2,066 1.0×
Biopsy external ear (69100) $217 $271 0.9×
Biopsy of breast; open, incisional (19101) $746 $932 0.2×
Biopsy of rectum (45100) $680 $850 0.2×
Biopsy Soft Tissue Back/Flank Superficial (21920) $555 $694 0.3×
Biopsy soft tissue leg/ankle area superficial (27613) $543 $679 0.3×
Biopsy soft tissue neck/thorax (21550) $569 $711 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $226 $282 0.2×
Bladder instillation anticarcinogenic agent (51720) $262 $327 0.4×
Bladder Irrigation (51700) $282 $352 1.1×
Bladder Scan (51798) $48 $60 0.8×
Blepharotomy drainage abscess eyelid (67700) $381 $476 1.2×
Blood Transfusion Service (36430) $574 $718 1.3×
Bone Marrow; Aspiration Only (38220) $1,819 $2,274 1.1×
Bx Cervix (57500) $278 $348 0.3×
Bx/exc lymph node open superficial (38500) $738 $922 0.2×
Carpal Tunnel Surgery (64721) $957 $1,196 0.5×
Change Cystostomy Tube Simple (51705) $310 $388 1.2×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $169–$406 $211–$507 varies
Chest tube placement (32551) $769 $961 0.5×
Circumcision Neonate (54160) $1,665 $2,081 2.4×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $342–$1,665 $428–$2,081 varies
Clear outer ear canal (69200) $262 $328 2.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $5 $6 0.0×
Cltx metacarpal fx w/manipulation each bone (26605) $414 $518 1.7×
Cltx post hip arthrp dislc req anes (27266) $1,030 $1,287 0.6×
Collect Blood From Catheter Venous Nos (36592)
range across 4 matching MRF lines		 $86–$95 $108–$119 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $17–$18 $21–$23 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $606 $758 0.5×
Colonoscopy thru stoma (44388) $459 $574 0.5×
Colonoscopy w/ablation (45388) $935 $1,169 0.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $346 $433 1.1×
Colposcopy Cervix Endocervical Curettage (57456) $303 $379 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $244 $305 1.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $320 $400 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $806 $1,008 0.2×
Colposcopy entire vagina w/cervix if present (57420) $263 $329 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $353 $441 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $758 $947 0.6×
Complex Cystometrogram (51726) $202 $253 0.8×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $118 $147 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $121 $151 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $502–$715 $628–$894 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $72–$146 $90–$182 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $100–$184 $125–$230 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,990 $2,488 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $253–$715 $316–$894 varies
Declot vascular device (36593) $325 $406 1.0×
Delivery of placenta (59414) $86 $107 0.0×
Destruc retinal lesn,photocoag (67210) $763 $954 1.4×
Destruct B9 Lesion 1-14 (17110) $234 $292 1.2×
Destruction Benign Lesions 15/> (17111) $281 $351 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $994 $1,242 0.5×
Destruction Premalignant Lesion 15/> (17004) $568 $710 1.4×
Destruction premalignant lesion 1st (17000) $152 $190 0.8×
Destruction Vaginal Lesions Simple (57061) $252 $315 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $176–$802 $220–$1,002 varies
Diaphragm or cervical cap fitting with instructions (57170) $136 $170 0.7×
Dilation & curettage dx&/ther nonobstetric (58120) $577 $721 0.2×
Drainage of finger abscess simple (26010) $562 $703 2.8×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $354–$2,594 $443–$3,243 varies
Draw Blood Off Venous Device (36591) $86 $108 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $786 $982 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $406 $507 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $313 $391 1.6×
Dstrj Lesion Anus Extensive (46924) $1,142 $1,428 0.4×
Dstrj Lesion Anus Simple Chemical (46900) $527 $659 1.3×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $554 $693 0.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $309 $386 1.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 6 matching MRF lines		 $440–$711 $550–$889 varies
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $519–$1,228 $649–$1,535 varies
Egd place gastrostomy tube (43246) $588 $735 0.3×
Egd remove lesion snare (43251) $582 $728 0.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $321 $401 1.0×
Endocervical curettage (57505) $226 $283 0.2×
Endometrial Biopsy (58100) $244 $305 1.2×
Endoscopy Upper Small Intestine (44360) $427 $534 0.2×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $702 $878 0.4×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $3,889 $4,861 1.9×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $3,889 $4,861 1.9×
Epidural Blood Patch (62273) $1,230 $1,538 1.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $306 $383 0.2×
Evacuation of subungual hematoma (11740) $106 $133 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $264 $330 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $442 $552 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $512 $640 0.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $587 $734 0.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $862 $1,077 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $288 $360 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $362 $453 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $406 $508 0.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $487 $609 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $620 $775 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $263 $329 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $341 $426 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $381 $476 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $415 $519 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $738 $922 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $689 $861 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $655 $819 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $896 $1,120 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $949 $1,186 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $401 $501 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $322 $402 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $357 $446 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $473 $591 0.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $459 $574 0.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $368 $460 0.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $613 $766 0.9×
Excision Lingual Frenum Frenectomy (41115) $457 $571 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $414 $518 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $494 $617 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $534 $668 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $432 $540 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $699 $874 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,139 $1,424 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $419 $524 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $497 $621 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $554 $693 0.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $739 $924 0.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $709 $886 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,070 $1,337 0.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,021 $1,276 0.6×
Explo/Drain Breast Abscess (19020) $1,019 $1,274 0.6×
Exploration penetrating wound spx extremity (20103) $1,266 $1,582 0.8×
Fetal Contraction Stress Test (59020) $158 $198 0.8×
Fetal non-stress test (59025) $106 $133 0.5×
Fine needle aspiration without imaging guidance (10021) $322 $402 0.8×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,220 $2,775 1.1×
Grafting of autologous soft tiss by direct exc (15769) $3,682 $4,603 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,115 $1,394 0.4×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $6,617 $8,271 1.3×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $257–$450 $321–$562 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,458 $1,822 0.5×
I&d forearm/wrist bursa (25031) $814 $1,017 0.5×
I&d perianal abscess superficial (46050) $434 $543 0.5×
I&d pilonidal cyst simple (10080) $384 $480 0.5×
Implant Spine Infusion Pump (62362) $31,454 $39,318 1.7×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $2,861 $3,576 0.3×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $382–$390 $478–$487 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $454–$1,280 $568–$1,600 varies
Incision & removal foreign body subq tiss compl (10121) $597 $746 0.4×
Incision & removal foreign body subq tiss simple (10120) $327 $409 0.8×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $244–$490 $305–$613 varies
Incision of lingual frenum (frenotomy) (41010) $266 $332 0.2×
Incision of rectal abscess (46040) $1,177 $1,471 1.0×
Incisional biopsy skin single lesion (11106) $315 $394 0.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $131 $164 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $206 $258 0.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $780 $975 1.1×
Injection single tendon origin/insertion (20551) $134 $168 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $123 $154 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $141 $176 0.5×
Injection therapeutic carpal tunnel (20526) $174 $217 0.6×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $206–$518 $258–$648 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $124–$518 $155–$648 varies
Injection, Intralesional; More Than 7 Lesions (11901) $152 $190 0.8×
Injection, intralesional; up to and including 7 lesions (11900) $122 $152 0.6×
Insert Drug Implant Device (11981) $310 $387 2.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $514–$1,561 $642–$1,951 varies
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure		 $803 $1,004 0.1×
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines		 $173–$178 $216–$223 varies
Insert tunneled cv cath (36561) $2,493 $3,116 0.8×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $119–$135 $149–$169 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,122–$1,298 $1,403–$1,623 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $41,730 $52,162 1.4×
Intro Gastrointestinal Tube (44500) $59 $74 0.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $485–$499 $606–$624 varies
Iridotomy/irridectomy laser surg per session (66761) $1,170 $1,463 2.1×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $3,079 $3,849 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,617 $2,021 0.3×
Late closure of wound (13160) $1,833 $2,291 0.5×
Lavage cannulation sphenoid sinus (31002)
range across 5 matching MRF lines		 $2–$12 $2–$15 varies
Ligation or biopsy temporal artery (37609) $684 $855 0.4×
Lysis/excision penile postcircumcision adhesions (54162) $573 $716 0.3×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,425 $1,781 1.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,054 $1,317 1.5×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $62–$74 $77–$93 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $278 $348 0.3×
Njx Sclrsnt Spider Veins (36468) $348 $435 0.9×
Pelvic examination under anesthesia (other than local) (57410) $247 $309 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $224 $280 0.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $478 $598 0.7×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $136–$315 $170–$394 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $283–$505 $354–$631 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,063 $1,329 1.5×
Removal Foreign Body Foot Subcutaneous (28190) $562 $703 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $108 $135 1.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $108–$145 $135–$181 varies
Removal of bone lesion (23140) $1,190 $1,488 0.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $489–$1,050 $611–$1,313 varies
Removal of testis (54520) $746 $933 0.2×
Removal of tonsils (42826) $572 $715 0.2×
Removal or bivalving full arm or full leg cast (29705) $149 $186 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $190 $238 0.9×
Remove drug implant device (11982) $352 $440 0.8×
Remove foreign body from eye (65205) $125 $156 0.9×
Remove Intrauterine Device (58301) $213 $266 0.7×
Remove/Insert Drug Implant (11983) $501 $626 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $833 $1,041 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,031 $1,289 2.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $755 $944 1.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $922 $1,152 2.3×
Repair complex trunk 1.1-2.5 cm (13100) $182 $227 0.2×
Repair complex trunk 2.6-7.5 cm (13101) $850 $1,063 1.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,343 $1,679 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $557 $696 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $637 $796 1.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $746 $933 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $795 $994 2.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $519 $649 1.3×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,207 $1,509 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $509 $636 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $650 $813 1.6×
Rerepair ing hernia reduce (49520) $1,454 $1,817 0.4×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,427 $1,784 0.4×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $4,029 $5,036 0.2×
Revj/rpr oprative wound anterior segment (66250) $1,946 $2,433 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $374 $467 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $652 $815 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $372 $465 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $377 $471 1.9×
Scrotal exploration (55110) $886 $1,108 0.3×
Shave skin lesion 0.5 cm/< (11300) $207 $259 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $242 $302 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $212 $265 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $260 $325 1.3×
Shoulder arthroscopy diagnostic (29805)
range across 4 matching MRF lines		 $234–$1,727 $292–$2,159 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $242 $302 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $255 $319 1.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $299 $374 1.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $207 $259 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $472 $590 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $238 $298 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $262 $327 1.3×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $363 $454 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $311 $389 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $194 $243 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $185 $231 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $103 $129 0.5×
Skin sub graft face/nk/hf/g (15275) $1,946 $2,432 2.6×
Skin sub graft trnk/arm/leg (15271) $1,946 $2,432 2.6×
Skin sub grft t/arm/lg child (15273) $3,373 $4,216 1.6×
Skn sub grft f/n/hf/g child (15277) $1,946 $2,432 0.9×
Slitting of prepuce (54001) $139 $174 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $239 $299 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $134 $167 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $441 $551 1.1×
Spinal puncture lumbar diagnostic (62270) $473 $591 0.7×
Strapping ankle (29540) $118 $147 0.7×
Strapping knee (29530) $121 $151 0.9×
Strapping shoulder (29240) $142 $178 1.1×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $117–$354 $146–$443 varies
Tangential biopsy skin single lesion (11102) $315 $394 0.8×
Trabeculoplasty by laser surgery (65855) $822 $1,028 1.5×
Treat humerus fracture (24500)
range across 14 matching MRF lines		 $16–$325 $13–$406 varies
Treatment extensive retinopathy photocoagulation (67228) $763 $954 1.4×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $102–$274 $128–$342 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $126–$406 $158–$507 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $143–$459 $179–$574 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $32–$146 $40–$182 varies
Tx open tendon flexor toe 1 tendon spx (28232) $1,562 $1,952 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $609 $761 0.8×
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure		 $2,637 $3,296 0.4×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $990 $1,238 0.2×
Unlisted Procedure Intestine (44799) $2,637 $3,296 2.9×
Unlisted procedure nervous system (64999) $780 $975 2.5×
Vaginal Delivery After Cesarean Delivery (59612) $2,576 $3,220 0.8×
Vaginal delivery only (59409) $1,913 $2,391 0.6×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $827–$2,810 $1,034–$3,513 varies
Vein Access Cutdown < 1 Yr (36420) $397 $496 3.0×
Wedge excision skin nail fold (11765) $356 $445 0.9×

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.