Procedures & surgery prices at San Gorgonio Memorial Hospital
Banning, CA · every code in this section with a posted price and a Medicare benchmark.
290 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 4 matching MRF lines |
$358.46–$2,026.24 | $1,792.31–$10,131.22 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$230.91–$2,042.40 | $1,154.54–$10,212.01 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $2,613.76 | $13,068.80 | 1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) likely a partial charge, not the full procedure |
$1,082.07 | $5,410.33 | 0.2× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Application Short Arm Splint Dynamic (29126) | $252.05 | $1,260.23 | 1.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Arterial puncture (36600) | $41.79 | $208.96 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$167.09–$392.54 | $835.47–$1,962.71 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,590.12 | $7,950.61 | 1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$168.14–$804.54 | $840.72–$4,022.69 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $647.23 | $3,236.14 | 1.6× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$1,766.61–$5,475.49 | $8,833.03–$27,377.47 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,353.57–$1,377.11 | $6,767.83–$6,885.55 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$378.46–$446.67 | $1,892.29–$2,233.36 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $2,690.22 | $13,451.10 | 1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Biopsy Abdominal Mass (49180) | $2,141.81 | $10,709.03 | 1.0× |
| Biopsy bone trocar/needle deep (20225) | $894.27 | $4,471.37 | 0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$342.08–$342.17 | $1,710.38–$1,710.86 | varies |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$320.88–$3,726.56 | $1,604.40–$18,632.80 | varies |
| Biopsy Muscle Superficial (20200) | $2,114.03 | $10,570.15 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$469.50–$2,114.03 | $2,347.49–$10,570.15 | varies |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$173.09–$3,000.57 | $865.43–$15,002.85 | varies |
| Bladder Irrigation (51700) | $243.52 | $1,217.61 | 0.8× |
| Blood Transfusion Service (36430) range across 8 matching MRF lines |
$121.33–$832.70 | $606.63–$4,163.49 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $410.51 | $2,052.55 | 0.2× |
| Bronchoscopy Clear Airways (31645) | $396.63 | $1,983.14 | 0.2× |
| Bronchoscopy Reclear Airway (31646) | $89.31 | $446.56 | 0.2× |
| Bronchoscopy W/Biopsy(S) (31625) | $396.63 | $1,983.14 | 0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) | $396.63 | $1,983.14 | 0.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $848 | $4,239.99 | 0.2× |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$2,042.54–$2,114.03 | $10,212.70–$10,570.15 | varies |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$847.93–$3,523.38 | $4,239.63–$17,616.91 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $257.66 | $1,288.30 | 0.1× |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$1,902.06–$2,044.02 | $9,510.28–$10,220.12 | varies |
| Cautery Cervix Electro/Thermal (57510) | $1,414.58 | $7,072.89 | 0.3× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$240.61–$252.05 | $1,203.07–$1,260.23 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$446.67–$3,521.33 | $2,233.36–$17,606.67 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) range across 3 matching MRF lines |
$272.63–$4,780.28 | $1,363.16–$23,901.38 | varies |
| Circumcision Neonate (54160) | $344.89 | $1,724.45 | 0.4× |
| Cl Tx Scapular Fx; W Manip (23575) | $252.05 | $1,260.23 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$311.24–$462.31 | $1,556.20–$2,311.53 | varies |
| Clear outer ear canal (69200) | $243.52 | $1,217.61 | 1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $462.31 | $2,311.53 | 1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $462.31 | $2,311.53 | 1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$446.67–$462.31 | $2,233.36–$2,311.53 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $252.05 | $1,260.23 | 0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $252.05 | $1,260.23 | 0.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $462.31 | $2,311.53 | 0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $835.27 | $4,176.36 | 0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$252.05–$462.31 | $1,260.23–$2,311.53 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $252.05 | $1,260.23 | 0.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $252.05 | $1,260.23 | 0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$243.52–$311.24 | $1,217.61–$1,556.19 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $252.05 | $1,260.23 | 0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$243.52–$462.31 | $1,217.61–$2,311.53 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $252.05 | $1,260.23 | 0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$252.05–$311.24 | $1,260.23–$1,556.19 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $462.31 | $2,311.53 | 1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$252.05–$462.31 | $1,260.23–$2,311.53 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $252.05 | $1,260.23 | 0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$446.67–$462.31 | $2,233.36–$2,311.53 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $462.31 | $2,311.53 | 0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $252.05 | $1,260.23 | 0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $446.67 | $2,233.36 | 0.2× |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$3.49–$2,613.76 | $17.47–$13,068.80 | varies |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$2,248.80 | $11,244 | 0.2× |
| Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$1,766.61 | $8,833.03 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $832.70 | $4,163.49 | 2.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,032.08 | $5,160.42 | 0.7× |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$1,624.06–$2,996.88 | $8,120.28–$14,984.42 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$1,312.83–$1,834.97 | $6,564.17–$9,174.83 | varies |
| Conization of cervix (57520) | $2,209.48 | $11,047.41 | 0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $378.74 | $1,893.72 | 2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$252.05–$392 | $1,260.23–$1,960.01 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 3 matching MRF lines |
$2,042.54–$2,114.03 | $10,212.70–$10,570.15 | varies |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $6,795.86 | $33,979.28 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $392 | $1,960.01 | 2.3× |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$835.27–$864.51 | $4,176.36–$4,322.55 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,834.97 | $9,174.83 | 1.9× |
| Declot vascular device (36593) | $12.89 | $64.46 | 0.0× |
| Destruction of rectal tumor transanal approach (45190) | $562.20 | $2,811 | 0.2× |
| Diagnostic sigmoidoscopy (45330) | $795.58 | $3,977.89 | 0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$243.52–$1,085.64 | $1,217.61–$5,428.19 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$243.52–$2,235.94 | $1,217.61–$11,179.68 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $252.05 | $1,260.23 | 1.0× |
| Dstrj Lesion Anus Extensive (46924) | $1,504.86 | $7,524.29 | 0.4× |
| Dx Bronchoscope/Lavage (31624) | $396.63 | $1,983.14 | 0.2× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$410.51–$462.31 | $2,052.55–$2,311.53 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $954.07 | $4,770.36 | 1.1× |
| Egd control bleeding any (43255) range across 3 matching MRF lines |
$262.65–$457.14 | $1,313.23–$2,285.70 | varies |
| Egd Flexible Foreign Body Removal (43247) | $441.68 | $2,208.39 | 0.4× |
| Egd place gastrostomy tube (43246) | $437.67 | $2,188.34 | 0.2× |
| Egd Varices Ligation (43244) | $573.97 | $2,869.86 | 0.2× |
| Endoscopic injection/implant (51715) | $350.93 | $1,754.64 | 0.1× |
| Epidural Blood Patch (62273) | $252.05 | $1,260.23 | 0.3× |
| Ercp duct stent placement (43274) likely a partial charge, not the full procedure |
$591.84 | $2,959.21 | 0.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $591.64 | $2,958.22 | 0.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) range across 3 matching MRF lines |
$218.83–$2,737.10 | $1,094.17–$13,685.52 | varies |
| Ercp remove forgn body duct (43275) range across 2 matching MRF lines |
$218.83–$277.57 | $1,094.17–$1,387.83 | varies |
| Ercp W/Biopsy Single/Multiple (43261) | $146.03 | $730.13 | 0.0× |
| Ercp,Sphincterotomy (43262) range across 2 matching MRF lines |
$146.02–$591.84 | $730.12–$2,959.22 | varies |
| Evacuation of subungual hematoma (11740) | $252.05 | $1,260.23 | 1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$640.35–$864.51 | $3,201.74–$4,322.55 | varies |
| Exc back tum deep < 5 cm (21932) | $835.27 | $4,176.36 | 0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,051.85 | $5,259.26 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $3,178.56 | $15,892.82 | 1.5× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $864.51 | $4,322.55 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$835.27–$1,268.43 | $4,176.36–$6,342.16 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,268.43 | $6,342.16 | 0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$1,088.67–$1,928.94 | $5,443.36–$9,644.69 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$640.35–$882.46 | $3,201.74–$4,412.32 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,407.03 | $7,035.17 | 2.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$864.51–$1,088.67 | $4,322.55–$5,443.36 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,088.67 | $5,443.36 | 0.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $4,780.28 | $23,901.38 | 1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$518.78–$2,271.18 | $2,593.92–$11,355.92 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,440.36 | $12,201.78 | 1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,359.45 | $6,797.26 | 2.6× |
| Excision of pilonidal cyst or sinus; simple (11770) | $1,414.58 | $7,072.89 | 0.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,568.29 | $7,841.43 | 0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $2,391.35 | $11,956.75 | 0.6× |
| Fetal Contraction Stress Test (59020) range across 2 matching MRF lines |
$95.15–$176.62 | $475.77–$883.09 | varies |
| Fetal non-stress test (59025) range across 4 matching MRF lines |
$114.42–$236.85 | $572.10–$1,184.26 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $3,083.94 | $15,419.70 | 3.4× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$111.81–$243.52 | $559.06–$1,217.61 | varies |
| Fluoro exam of g/colon tube (49465) range across 2 matching MRF lines |
$37.26–$345.72 | $186.30–$1,728.61 | varies |
| Fna bx w/us gdn 1st les (10005) range across 4 matching MRF lines |
$496.22–$1,558.29 | $2,481.09–$7,791.44 | varies |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$804.38–$970.96 | $4,021.89–$4,854.78 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$1,312.83–$2,186.93 | $6,564.17–$10,934.64 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $2,263.47 | $11,317.37 | 0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $804.54 | $4,022.69 | 0.2× |
| Hysteroscopy Biopsy (58558) | $1,085.64 | $5,428.19 | 0.3× |
| Hysteroscopy Endometrial Ablation (58563) range across 2 matching MRF lines |
$1,163.76–$1,423.23 | $5,818.80–$7,116.15 | varies |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $1,722.41 | $8,612.07 | 0.4× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| I&d abscess simple (10060) | $243.52 | $1,217.61 | 0.9× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Image Cath Fluid Colxn Visc (49405) range across 2 matching MRF lines |
$3,523.38–$3,569.67 | $17,616.91–$17,848.37 | varies |
| Image Cath Fluid Peri/Retro (49406) range across 3 matching MRF lines |
$154.74–$9,160.79 | $773.68–$45,803.95 | varies |
| Incise external hemorrhoid (46083) | $252.05 | $1,260.23 | 0.8× |
| Incision & drainage abscess complicated/multiple (10061) | $243.52 | $1,217.61 | 0.5× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $252.05 | $1,260.23 | 0.6× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$543.81–$1,123.64 | $2,719.06–$5,618.19 | varies |
| Incisional biopsy skin single lesion (11106) | $786.90 | $3,934.50 | 0.8× |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$157.89–$277.26 | $789.44–$1,386.30 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $392.54 | $1,962.71 | 1.0× |
| Injection Into Brain Canal (61055) | $1,701.01 | $8,505.06 | 4.3× |
| Injection single tendon origin/insertion (20551) | $61.05 | $305.23 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $252.05 | $1,260.23 | 0.3× |
| Ins endovas vena cava filtr (37191) | $7,164.87 | $35,824.34 | 1.0× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$103.46–$392 | $517.31–$1,960.01 | varies |
| Insert cath pleura w/ image (32557) | $788.55 | $3,942.76 | 0.4× |
| Insert cervical dilator (59200) | $133.60 | $667.98 | 0.3× |
| Insert Gastrostomy Tube Percutaneous (49440) | $860.83 | $4,304.16 | 0.3× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$378.74–$4,301.09 | $1,893.72–$21,505.45 | varies |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$140.19–$180.70 | $700.94–$903.51 | varies |
| Insert tun ip cath perc (49418) | $4,814.82 | $24,074.08 | 1.0× |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$1,705.52–$4,495.58 | $8,527.59–$22,477.91 | varies |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) likely a partial charge, not the full procedure |
$1,240.25 | $6,201.26 | 0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $163.69 | $818.47 | 1.0× |
| Insertion indwelling tunneled pleural catheter (32550) | $4,780.28 | $23,901.38 | 1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$261.25–$2,112.80 | $1,306.25–$10,564 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 5 matching MRF lines |
$252.41–$1,003.07 | $1,262.07–$5,015.35 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $856.99 | $4,284.93 | 0.2× |
| Intro cath dialysis circuit (36901) | $334.06 | $1,670.31 | 0.2× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$378.74–$599.96 | $1,893.72–$2,999.79 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $243.52 | $1,217.61 | 0.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 4 matching MRF lines |
$1,828.44–$5,475.49 | $9,142.19–$27,377.47 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$3,659.33–$6,946.71 | $18,296.67–$34,733.55 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$1,082.07–$5,836.46 | $5,410.33–$29,182.28 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 3 matching MRF lines |
$1,306.88–$2,613.76 | $6,534.40–$13,068.80 | varies |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 2 matching MRF lines |
$1,304.10–$2,595.78 | $6,520.50–$12,978.90 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) | $7,574.79 | $37,873.93 | 0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$5,027.36–$6,306.93 | $25,136.79–$31,534.63 | varies |
| Ligate/strip long leg vein (37722) range across 2 matching MRF lines |
$1,996.46–$2,578.34 | $9,982.29–$12,891.69 | varies |
| Lip Surgery Procedure (40799) | $243.52 | $1,217.61 | 0.8× |
| Mastectomy for gynecomastia (19300) unusually low: confirm this is the full procedure |
$1,996.46 | $9,982.29 | 0.4× |
| Mastectomy partial (19301) | $2,644.03 | $13,220.13 | 0.5× |
| Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$2,264.21 | $11,321.03 | 0.3× |
| Muscle-skin graft trunk (15734) | $3,046.82 | $15,234.11 | 0.7× |
| Myelography Lumbar Injection (62305) range across 2 matching MRF lines |
$268.48–$1,074.93 | $1,342.40–$5,374.63 | varies |
| Myelography Lumbar Injection (62304) | $1,074.93 | $5,374.63 | 1.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $407.78 | $2,038.89 | 0.7× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$320.88–$2,114.03 | $1,604.40–$10,570.15 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $252.05 | $1,260.23 | 0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,780.28 | $23,901.38 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) range across 2 matching MRF lines |
$265.66–$4,780.28 | $1,328.29–$23,901.38 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$602.29–$1,414.58 | $3,011.44–$7,072.89 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$618.69–$1,027.95 | $3,093.46–$5,139.73 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,027.95 | $5,139.73 | 0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 5 matching MRF lines |
$625.24–$1,027.95 | $3,126.20–$5,139.73 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $864.38 | $4,321.92 | 1.0× |
| Occipital Nerve Block (64405) | $640.35 | $3,201.74 | 1.6× |
| Open bone biopsy (20250) | $4,254.97 | $21,274.86 | 1.0× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$3,867.82 | $19,339.12 | 0.4× |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$1,430.52–$1,558.29 | $7,152.60–$7,791.44 | varies |
| Peritoneal Lavage (49084) | $462.31 | $2,311.53 | 0.4× |
| Perq av fistula creation uxtr single access (36836) unusually low: confirm this is the full procedure |
$7,574.79 | $37,873.93 | 0.3× |
| Perq dev breast 1st strtctc (19283) | $119.74 | $598.69 | 0.1× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$642.80–$1,558.29 | $3,214.01–$7,791.44 | varies |
| Perq device breast 1st imag (19281) range across 6 matching MRF lines |
$119.74–$1,120.81 | $598.69–$5,604.05 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,315.57 | $6,577.84 | 1.4× |
| Placement of needle for intraosseous infusion (36680) | $210.19 | $1,050.93 | 0.4× |
| Placement of seton (46020) | $1,088.67 | $5,443.36 | 0.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 4 matching MRF lines |
$372.22–$2,690.22 | $1,861.12–$13,451.10 | varies |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $1,780.58 | $8,902.91 | 0.4× |
| Pseudoaneurysm Injection Trt (36002) | $289.17 | $1,445.85 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$243.52–$336.78 | $1,217.61–$1,683.92 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,558.29 | $7,791.44 | 1.7× |
| Rem Endovas Vena Cava Filter (37193) | $4,301.09 | $21,505.45 | 1.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) range across 2 matching MRF lines |
$1,293.83–$1,339.11 | $6,469.14–$6,695.56 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $4,301.09 | $21,505.45 | 1.1× |
| Remove foreign body from eye (65235) | $252.05 | $1,260.23 | 0.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $243.52 | $1,217.61 | 0.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$1,622.05–$3,787.37 | $8,110.26–$18,936.83 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $252.05 | $1,260.23 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$252.05–$462.31 | $1,260.23–$2,311.53 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $252.05 | $1,260.23 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $252.05 | $1,260.23 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $243.52 | $1,217.61 | 0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $243.52 | $1,217.61 | 0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $243.52 | $1,217.61 | 0.5× |
| Repair tongue laceration (41250) | $243.52 | $1,217.61 | 0.4× |
| Reposition Venous Catheter (36597) | $2,112.80 | $10,564 | 1.0× |
| Rerepair ing hernia reduce (49520) | $2,091 | $10,454.99 | 0.5× |
| Revision of leg vein (37780) | $1,366.74 | $6,833.69 | 0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $252.05 | $1,260.23 | 1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,123.64–$2,218.78 | $5,618.19–$11,093.92 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$812.14–$1,414.58 | $4,060.69–$7,072.89 | varies |
| Rplc Gtube No Revj Trc (43762) | $252.05 | $1,260.23 | 0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $263.90 | $1,319.52 | 0.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,112.80 | $10,564 | 1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $4,301.09 | $21,505.45 | 1.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) unusually low: confirm this is the full procedure |
$2,613.76 | $13,068.80 | 0.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $4,239.20 | $21,195.99 | 0.9× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) unusually low: confirm this is the full procedure |
$3,136.52 | $15,682.61 | 0.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,568.24 | $7,841.18 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$1,045.47–$2,091 | $5,227.37–$10,454.99 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$1,306.88–$5,475.49 | $6,534.40–$27,377.47 | varies |
| Rpr blood vessel direct lower extremity (35226) | $252.05 | $1,260.23 | 0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $243.52 | $1,217.61 | 0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $812.14 | $4,060.69 | 1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $457.14 | $2,285.70 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $243.52 | $1,217.61 | 0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $243.52 | $1,217.61 | 0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $252.05 | $1,260.23 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$243.52–$487.04 | $1,217.61–$2,435.22 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$243.52–$252.05 | $1,217.61–$1,260.23 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
$402.27–$1,622.25 | $2,011.35–$8,111.25 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $243.52 | $1,217.61 | 0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $243.52 | $1,217.61 | 0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $252.05 | $1,260.23 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$237.79–$462.31 | $1,188.96–$2,311.53 | varies |
| Surg tx anal fistula subq (46270) | $3,659.28 | $18,296.42 | 1.0× |
| Tangential biopsy skin single lesion (11102) | $141.12 | $705.60 | 0.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $954.07 | $4,770.36 | 1.1× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$209.73–$270.18 | $1,048.66–$1,350.91 | varies |
| Thyroid biopsy (60100) range across 3 matching MRF lines |
$266.78–$934.97 | $1,333.92–$4,674.87 | varies |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$4,704.81–$5,750.33 | $23,524.04–$28,751.66 | varies |
| Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
$1,082.07–$3,787.37 | $5,410.33–$18,936.83 | varies |
| Treat Knuckle Dislocation (26700) | $462.31 | $2,311.53 | 1.5× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$243.52–$462.31 | $1,217.61–$2,311.53 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $835.27 | $4,176.36 | 0.2× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 2 matching MRF lines |
$1,359.45–$2,705.25 | $6,797.26–$13,526.23 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) | $835.27 | $4,176.36 | 0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $243.52 | $1,217.61 | 0.3× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $6,093.64 | $30,468.21 | 0.8× |
| Unlisted procedure anus (46999) | $252.05 | $1,260.23 | 0.2× |
| Unlisted procedure humerus/elbow (24999) range across 2 matching MRF lines |
$252.05–$462.31 | $1,260.23–$2,311.53 | varies |
| Vag hyst incl t/o complex (58291) likely a partial charge, not the full procedure |
$402.27 | $2,011.34 | 0.1× |
| Vaginal delivery only (59409) | $665.88 | $3,329.40 | 0.2× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) likely a partial charge, not the full procedure |
$804.54 | $4,022.69 | 0.1× |
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.