Procedures & surgery prices at Sarah Bush Lincoln Fayette County Hospital

Vandalia, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$594–$2,182 $594–$2,182 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,053.50 $1,053.50 1.1×
Amputation toe metatarsophalangeal joint (28820) $1,344 $1,344 0.4×
Anoscopy diagnostic (46600) $407 $407 2.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $680.50 $680.50 0.2×
Appendectomy (44950)
unusually low: confirm this is the full procedure
$2,275.50 $2,275.50 0.3×
Application cast elbow finger short arm (29075) $247.50 $247.50 0.8×
Application Cast Finger (29086) $224.50 $224.50 1.3×
Application Finger Splint Dynamic (29131) $192 $192 3.0×
Application finger splint static (29130) $113 $113 0.8×
Application long arm splint shoulder hand (29105) $295.50 $295.50 1.7×
Application Long Leg Cast Brace (29358) $479.50 $479.50 1.6×
Application Long Leg Cast Walker/Ambulatory Type (29355) $415 $415 1.4×
Application Long Leg Splint (29505) $313.50 $313.50 1.8×
Application of cylinder cast (thigh to ankle) (29365) $379 $379 1.3×
Application of long leg cast (29345) $396 $396 1.3×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines
$464.50–$671 $464.50–$671 varies
Application Short Arm Splint Dynamic (29126) $195.50 $195.50 1.4×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$150–$378 $150–$378 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$189–$247 $189–$247 varies
Apply hand/wrist cast (29085) $290.50 $290.50 1.7×
Apply long arm cast (29065) $247.50 $247.50 0.8×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$54.50–$560 $54.50–$560 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines
$260–$277.50 $260–$277.50 varies
Apply short leg cast (29425) $287 $287 1.0×
Arterial puncture (36600) $47 $47 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$213–$457 $213–$457 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines
$265–$1,191 $265–$1,191 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$278–$967 $278–$967 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines
$312–$1,300 $312–$1,300 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $200.50 $200.50 0.6×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $1,220 $1,220 0.3×
Arthroscopy, knee, surgical; with lateral release (29873) $1,610 $1,610 0.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $2,180 $2,180 0.6×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
unusually low: confirm this is the full procedure
$2,830 $2,830 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
unusually low: confirm this is the full procedure
$5,860.50 $5,860.50 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,874 $1,874 0.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,260 $2,260 0.6×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$622–$2,454 $622–$2,454 varies
Aspirate Pleura W/O Imaging (32554) $3,562.50 $3,562.50 5.3×
Aspirate/Inj Ganglion Cyst (20612) $179 $179 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $336 $336 1.6×
Biopsy bone trocar/needle deep (20225) $1,380.50 $1,380.50 0.8×
Biopsy nail unit (11755) $462 $462 0.6×
Biopsy of breast; open, incisional (19101) $1,166.50 $1,166.50 0.3×
Biopsy soft tissue neck/thorax (21550) $1,938 $1,938 1.1×
Biopsy/removal lymph nodes (38510) $2,489 $2,489 0.6×
Bladder Irrigation (51700) $1,149 $1,149 4.3×
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$185.50–$1,225 $185.50–$1,225 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines
$919–$4,505 $919–$4,505 varies
Bx breast needle core w/o imaging guidance spx (19100) $509.50 $509.50 0.3×
Bx/exc lymph node open deep axillary node (38525) $2,749.50 $2,749.50 0.7×
Bx/exc lymph node open superficial (38500) $1,628.50 $1,628.50 0.4×
Carpal Tunnel Surgery (64721) $1,799 $1,799 0.9×
Catheter aspiration nasotracheal spx (31720) $414 $414 1.8×
Change of Windpipe Airway (31502) $97 $97 0.4×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines
$160.50–$276 $160.50–$276 varies
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $578 $578 1.8×
Chest tube placement (32551)
range across 3 matching MRF lines
$864–$2,730 $864–$2,730 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines
$208–$268 $208–$268 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,819 $1,819 0.5×
Closed Treat Vert Body Fract (22310) $590.50 $590.50 2.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $840.50 $840.50 3.2×
Closed tx ankle dislocation w/o anesthesia (27840) $460 $460 1.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines
$1,016–$1,016.50 $1,016–$1,016.50 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $763 $763 2.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $689 $689 2.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,668.50 $1,668.50 6.3×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines
$533.50–$656.50 $533.50–$656.50 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,850 $1,850 1.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $789 $789 0.2×
Closed tx patellar dislocation w/anesthesia (27562) $460 $460 1.7×
Closed tx patellar dislocation w/o anesthesia (27560) $460 $460 1.7×
Closed Tx Patellar Fracture W/O Manipulation (27520) $986 $986 3.7×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines
$485.50–$727 $485.50–$727 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,567 $1,567 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $814.50 $814.50 3.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $723 $723 2.7×
Closed tx septal&nose fx (21337) $1,252 $1,252 0.4×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $1,118 $1,118 4.2×
Closed tx talus fracture w/o manipulation (28430) $719.50 $719.50 2.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $444 $444 1.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $884.50 $884.50 3.3×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines
$671–$782.50 $671–$782.50 varies
Closure Gastrostomy Surg (43870) $2,190 $2,190 0.5×
Closure of cystostomy (separate procedure) Facility (51880) $4,677.50 $4,677.50 1.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $690.50 $690.50 2.6×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines
$540.50–$675 $540.50–$675 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $569.50 $569.50 1.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $400 $400 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines
$1,157–$1,252 $1,157–$1,252 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,010 $1,010 3.8×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $699 $699 0.4×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,726.50 $1,726.50 6.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $687.50 $687.50 2.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,042.50 $1,042.50 3.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $485.50 $485.50 1.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $974.50 $974.50 3.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines
$558–$573 $558–$573 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$400.50–$732 $400.50–$732 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$505–$1,122 $505–$1,122 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,683 $1,683 6.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $295.50 $295.50 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines
$190.50–$361 $190.50–$361 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $355 $355 1.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $976 $976 3.7×
Cltx greater humeral tuberosity fx w/o manj (23620) $821.50 $821.50 3.1×
Cltx hip dislocation traumatic req anesthesia (27252) $2,096 $2,096 1.2×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $1,024.50 $1,024.50 3.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $295.50 $295.50 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $541 $541 2.0×
Cltx Medial Ankle Fx (27760) $1,026.50 $1,026.50 3.9×
Cltx metacarpal fx w/manipulation each bone (26605) $982.50 $982.50 3.7×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines
$489–$869.50 $489–$869.50 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $295.50 $295.50 1.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
$190.50–$391 $190.50–$391 varies
Cltx post hip arthrp dislc w/o anes (27265) $1,260 $1,260 4.8×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines
$485.50–$859 $485.50–$859 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $237 $237 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,166.50 $1,166.50 4.4×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines
$1,065–$1,240.50 $1,065–$1,240.50 varies
Cltx tibial shaft fx w/o manipulation (27750) $1,066.50 $1,066.50 4.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $969.50 $969.50 3.7×
Collect Blood From Catheter Venous Nos (36592) $314 $314 2.2×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$17.10–$30 $17.10–$30 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,275.50 $2,275.50 1.8×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $3,666 $3,666 2.9×
Colonoscopy thru stoma (44388) $3,286.50 $3,286.50 3.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $3,255.50 $3,255.50 2.5×
Colonoscopy w/ablation (45388) $2,850.50 $2,850.50 2.2×
Colonoscopy w/submucosal inj (45381) $2,528.50 $2,528.50 2.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,959.50 $2,959.50 2.3×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,347.50 $2,347.50 1.8×
Complex drainage wound (10180) $535 $535 0.2×
Control Nasal Hemorrhage Anterior Simple (30901) $365 $365 2.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $763 $763 5.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $873 $873 3.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 5 matching MRF lines
$124–$1,380.50 $124–$1,380.50 varies
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $4,815 $4,815 2.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines
$652.50–$2,435 $652.50–$2,435 varies
Debride nail 1-5 (11720) $109.50 $109.50 1.7×
Debride nail 6 or more (11721) $153 $153 2.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$1,038.50–$5,122 $1,038.50–$5,122 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines
$270.50–$1,711 $270.50–$1,711 varies
Declot vascular device (36593) $861 $861 2.4×
Deep Muscle Biopsy (20205) $5,342.50 $5,342.50 1.7×
Delivery of placenta (59414) $329.50 $329.50 0.1×
Destr W Neurolytic; Celiac Plexus (64680) $1,247.50 $1,247.50 1.3×
Destroy cerv/thor facet jnt (64633) $1,538.50 $1,538.50 0.7×
Destroy lumb/sac facet jnt (64635) $1,510.50 $1,510.50 0.7×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$261.50–$448 $261.50–$448 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines
$427.50–$527 $427.50–$527 varies
Destruction by neurolytic agent, intercostal nerve (64620) $924 $924 1.0×
Destruction Premalignant Lesion 15/> (17004) $807 $807 1.9×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines
$258.50–$270 $258.50–$270 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines
$680.50–$2,324 $680.50–$2,324 varies
Drain/inj small joint/bursa w/us (20604) $997 $997 3.0×
Drainage Finger Abscess Complicated (26011) $1,169.50 $1,169.50 0.7×
Drainage of finger abscess simple (26010) $776 $776 3.6×
Drainage of gum lesion (41800) $611.50 $611.50 4.3×
Drainage of hematoma/fluid (10140)
range across 6 matching MRF lines
$357–$2,903 $357–$2,903 varies
Draw Blood Off Venous Device (36591) $305 $305 2.1×
Dressing Change Under Anesthesia (15852) $145 $145 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines
$472.50–$724 $472.50–$724 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines
$385–$493 $385–$493 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines
$217.50–$255 $217.50–$255 varies
Dstrj lesion anus simple surg excision (46922) $1,238 $1,238 0.4×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $426.50 $426.50 0.2×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $554.50 $554.50 0.3×
Dstrj lesion penis simple surg excision (54060) $401.50 $401.50 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $718 $718 0.8×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,450 $1,450 1.5×
Egd Balloon Dil Esoph30 Mm/> (43233) $952 $952 0.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $908.50 $908.50 0.4×
Egd cautery tumor polyp (43250) $1,185.50 $1,185.50 0.6×
Egd control bleeding any (43255) $1,143 $1,143 0.6×
Egd dilation gastric/duodenal stricture (43245) $986.50 $986.50 0.5×
Egd Flexible Foreign Body Removal (43247) $1,050.50 $1,050.50 1.1×
Egd guide wire insertion (43248) $985 $985 1.0×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines
$229.50–$1,323 $229.50–$1,323 varies
Egd remove lesion snare (43251) $1,143 $1,143 0.6×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $288.50 $288.50 0.9×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $198.50 $198.50 0.6×
Endometrial Biopsy (58100) $563.50 $563.50 2.6×
Endoscopy Upper Small Intestine (44360) $698 $698 0.3×
Epidural Blood Patch (62273) $964.50 $964.50 1.3×
Esoph Scope W/Submucous Inj (43201) $4,146.50 $4,146.50 2.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $908.50 $908.50 0.4×
Esophagoscopy Flex Transoral Injection Varices (43204) $2,970.50 $2,970.50 1.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,970.50 $2,970.50 3.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,983.50 $2,983.50 1.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,521 $1,521 0.7×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $4,146.50 $4,146.50 2.0×
Evacuation of subungual hematoma (11740) $164.50 $164.50 1.2×
Exc abdl tum deep 5 cm/> (22901) $2,030 $2,030 0.7×
Exc arm/elbow les sc < 3 cm (24075) $995 $995 0.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $369 $369 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $702.50 $702.50 0.4×
Exc Back Les Sc < 3 Cm (21930) $2,319.50 $2,319.50 1.3×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $3,245 $3,245 0.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,652.50 $1,652.50 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $832.50 $832.50 1.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $954 $954 1.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,282 $1,282 0.7×
Exc Face Les Sbq 2 Cm/> (21012) $1,020 $1,020 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $458 $458 0.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $579.50 $579.50 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $654 $654 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $783 $783 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $3,581 $3,581 2.0×
Exc Forearm Les Sc 3 Cm/> (25071) $1,285 $1,285 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $413 $413 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $523 $523 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $604.50 $604.50 0.3×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
unusually low: confirm this is the full procedure
$2,324 $2,324 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $577 $577 0.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $809.50 $809.50 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,168 $1,168 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $942 $942 0.5×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,300 $1,300 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,746.50 $1,746.50 0.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,320 $1,320 0.7×
Exc thigh/knee les sc 3 cm/> (27337) $2,158 $2,158 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines
$1,248–$1,293.50 $1,248–$1,293.50 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $454 $454 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $498 $498 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $657 $657 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,133 $1,133 0.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,818 $1,818 0.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,339 $2,339 0.8×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,144 $1,144 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,015 $1,015 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $950 $950 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,218 $3,218 1.0×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $920 $920 0.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,749 $1,749 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $768 $768 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,093 $1,093 0.4×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,230 $1,230 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $815 $815 1.1×
Excision Hidradenitis Axillary Complex Repair (11451) $1,639 $1,639 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $574 $574 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $674 $674 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $715 $715 1.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $908 $908 1.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $686.50 $686.50 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,131 $1,131 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $645 $645 0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $665 $665 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $762 $762 1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $898.50 $898.50 1.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,188.50 $1,188.50 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $520 $520 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,580.50 $1,580.50 0.9×
Excision of pilonidal cyst or sinus; simple (11770) $938 $938 0.3×
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) $5,139.50 $5,139.50 1.7×
Excision of single external papilla or tag, anus (46220) $1,046.50 $1,046.50 0.8×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure
$1,250 $1,250 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,346 $2,346 0.8×
Excision prepatellar bursa (27340) $1,352 $1,352 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,440 $1,440 0.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,275 $1,275 0.7×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,158 $2,158 1.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,146 $1,146 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $770 $770 0.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,240 $1,240 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,433 $1,433 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $988 $988 0.6×
Explo/Drain Breast Abscess (19020) $940 $940 0.5×
Exploration penetrating wound spx extremity (20103) $3,601 $3,601 2.0×
Exploration Penetrating Wound Spx Neck (20100) $1,891.50 $1,891.50 3.3×
Explore/Treat Hand Joint (26070) $880 $880 0.5×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines
$357–$1,221 $357–$1,221 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,287 $2,287 0.8×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $530.50 $530.50 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,465 $1,465 0.5×
I&d abscess simple (10060)
range across 7 matching MRF lines
$300–$516 $300–$516 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $758 $758 0.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,370 $2,370 0.7×
I&d perianal abscess superficial (46050) $780 $780 0.8×
I&d pilonidal cyst simple (10080) $590 $590 0.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $618.50 $618.50 0.6×
Image Cath Fluid Peri/Retro (49406) $5,507 $5,507 3.1×
Implant neuroelectrodes (63650) $5,538 $5,538 0.8×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure
$1,322.50 $1,322.50 0.1×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure
$2,939 $2,939 0.2×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
likely a partial charge, not the full procedure
$2,321 $2,321 0.1×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure
$2,925.50 $2,925.50 0.3×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
$241.50–$922 $241.50–$922 varies
Incise finger tendon sheath (26055) $900 $900 0.5×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines
$618–$776 $618–$776 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,704 $1,704 0.5×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines
$504.50–$933.50 $504.50–$933.50 varies
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines
$232.50–$478.50 $232.50–$478.50 varies
Incision and drainage of vulva or perineal abscess (56405) $378 $378 1.2×
Incision extensor tendon sheath wrist (25000) $1,190 $1,190 0.7×
Incision of rectal abscess (46040) $1,275 $1,275 1.0×
Incisional biopsy skin single lesion (11106) $412 $412 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $240.50 $240.50 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,289.50 $1,289.50 1.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,374 $1,374 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $237 $237 0.7×
Injection aa&/strd axillary nerve w/img gdn (64417) $234 $234 0.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $933 $933 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $680 $680 0.9×
Injection Anes Agent Sphenopalatine Ganglion (64505) $394.50 $394.50 1.2×
Injection Anes Superior Hypogastric Plexus (64517) $821.50 $821.50 0.9×
Injection anesthetic agent suprascapular nerve (64418) $498 $498 0.7×
Injection single tendon origin/insertion (20551) $235 $235 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $214 $214 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $246 $246 0.7×
Injection therapeutic carpal tunnel (20526) $337 $337 1.0×
Injection, anesthetic agent; brachial plexus, single (64415) $909 $909 1.0×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$235–$727 $235–$727 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$302–$363 $302–$363 varies
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $972 $972 1.0×
Insert Bladder Cath Complex (51703) $168 $168 1.2×
Insert cath pleura w/o image (32556) $468 $468 0.2×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$505–$542.50 $505–$542.50 varies
Insert spine infusion device (62360)
likely a partial charge, not the full procedure
$1,380.50 $1,380.50 0.1×
Insert Temp Bladder Cath (51702) $372 $372 2.6×
Insert tun ip cath perc (49418) $575 $575 0.1×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines
$5,872.50–$7,111 $5,872.50–$7,111 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$198.50–$228 $198.50–$228 varies
Insertion indwelling tunneled pleural catheter (32550) $3,922 $3,922 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $4,241 $4,241 2.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $6,294 $6,294 1.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,511 $2,511 1.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,086 $2,086 0.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure
$3,573.50 $3,573.50 0.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,173 $1,173 2.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,278 $1,278 2.9×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$668–$671 $668–$671 varies
Irrigation of corpora cavernosa for priapism (54220) $302.50 $302.50 1.1×
Knee arthroscopy/drainage (29871) $1,553 $1,553 0.4×
Knee Arthroscopy/Surgery (29874) $1,620 $1,620 0.5×
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure
$929 $929 0.1×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure
$1,810.50 $1,810.50 0.3×
Laparoscopy Enterolysis Separate Procedure (44180) $4,333 $4,333 0.7×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure
$1,738 $1,738 0.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low: confirm this is the full procedure
$1,956.50 $1,956.50 0.3×
Laparoscopy W/Lysis Of Adhesions (58660) $6,467 $6,467 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $3,506.50 $3,506.50 0.5×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure
$3,036.50 $3,036.50 0.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure
$2,210 $2,210 0.3×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure
$2,548 $2,548 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure
$3,201.50 $3,201.50 0.5×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure
$1,800 $1,800 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure
$1,817.50 $1,817.50 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure
$3,200 $3,200 0.5×
Laps Gastric Restrictive Px Remove Device & Port (43774) $2,955 $2,955 0.7×
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) $675 $675 0.2×
Manipulation knee joint under general anesthesia (27570) $717.50 $717.50 0.4×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $600 $600 0.3×
Mastectomy for gynecomastia (19300) $1,797 $1,797 0.4×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure
$2,931 $2,931 0.4×
N Block Inj Celiac Pelus (64530) $1,143 $1,143 1.2×
N Block Inj Ilio-Ing/Hypogi (64425) $553.50 $553.50 0.7×
N block inj intercost sng (64420) $596.50 $596.50 0.8×
N Block Lumbar/Thoracic (64520) $937 $937 1.0×
Needle Biopsy Lymph Nodes (38505) $392 $392 0.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $518.50 $518.50 1.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,168 $1,168 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,689 $1,689 2.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,251.50 $1,251.50 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,514.50 $1,514.50 2.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,101 $1,101 1.2×
Occipital Nerve Block (64405) $446.50 $446.50 1.4×
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure
$2,400 $2,400 0.3×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure
$2,310 $2,310 0.3×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure
$2,413 $2,413 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure
$2,270 $2,270 0.3×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure
$2,130 $2,130 0.3×
Ovarian cystectomy, unilateral or bilateral (58925) $2,761 $2,761 0.5×
Pelvic examination under anesthesia (other than local) (57410) $343 $343 0.1×
Perq dev breast 1st us imag (19285) $473 $473 0.6×
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,106 $2,106 0.6×
Placement of needle for intraosseous infusion (36680) $1,336 $1,336 2.8×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $225 $225 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $904.50 $904.50 0.7×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
likely a partial charge, not the full procedure
$613 $613 0.1×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,920.50 $1,920.50 2.0×
Prq skel fixj metar fx w/manj (28476) $1,145 $1,145 0.3×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines
$213–$512 $213–$512 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines
$276–$448.50 $276–$448.50 varies
Reduction of rectal prolapse (45900) $680.50 $680.50 0.7×
Removal Foreign Body Foot Complicated (28193) $1,675 $1,675 0.9×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$485.50–$540.50 $485.50–$540.50 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $735 $735 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$100.90–$153.50 $100.90–$153.50 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $116 $116 1.8×
Removal Implant Superficial Separate Procedure (20670) $686.50 $686.50 0.4×
Removal of foreign body from pharynx (42809) $449 $449 0.9×
Removal of nail bed (11750)
range across 3 matching MRF lines
$164.50–$1,238.50 $164.50–$1,238.50 varies
Removal of sperm cord lesion (55520) $2,011.50 $2,011.50 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $302 $302 1.4×
Removal sweat gland lesion (11450) $1,279 $1,279 0.4×
Removal/bivalving gauntlet boot/body cast (29700) $205.50 $205.50 0.7×
Remove armpit lymph nodes (38740)
unusually low: confirm this is the full procedure
$3,191.50 $3,191.50 0.5×
Remove drug implant device (11982) $362.50 $362.50 0.8×
Remove foreign body from eye (65205) $174 $174 1.2×
Remove groin lymph nodes (38760)
unusually low: confirm this is the full procedure
$3,230 $3,230 0.5×
Remove Nasal Foreign Body (30300) $277.50 $277.50 1.9×
Remove Peritoneal Foreign Body (49402) $974.50 $974.50 0.3×
Remove Shoulder Foreign Body (23330) $718 $718 0.4×
Remove Tendon Sheath Lesion (26160) $2,113 $2,113 1.2×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure
$2,640 $2,640 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,316.50 $1,316.50 1.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,821.50 $1,821.50 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,157 $1,157 2.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,880 $1,880 4.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,045.50 $1,045.50 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$1,415–$1,570.50 $1,415–$1,570.50 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,007 $1,007 1.3×
Repair complex trunk 2.6-7.5 cm (13101) $1,271.50 $1,271.50 1.6×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $5,979.50 $5,979.50 1.6×
Repair initial femoral hernia, any age; reducible (49550) $1,778 $1,778 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $753.50 $753.50 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$858–$955.50 $858–$955.50 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $963.50 $963.50 2.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,068 $1,068 2.5×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,382.50 $1,382.50 3.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $977.50 $977.50 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $663.50 $663.50 1.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $768 $768 1.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $873 $873 1.1×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,187.50 $1,187.50 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $905 $905 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $590.50 $590.50 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,074 $1,074 2.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines
$1,010–$1,435.50 $1,010–$1,435.50 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $800 $800 1.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,114.50 $1,114.50 0.5×
Repair of nail bed (11760) $565 $565 0.7×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure
$2,245 $2,245 0.3×
Repair tongue laceration (41250) $790 $790 1.7×
Rerepair ing hernia reduce (49520) $2,720.50 $2,720.50 0.7×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $3,505.50 $3,505.50 0.5×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure
$4,240 $4,240 0.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,613 $2,613 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $286 $286 0.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $305 $305 0.6×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines
$535.50–$627.50 $535.50–$627.50 varies
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $1,989.50 $1,989.50 1.0×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,863.50 $2,863.50 1.4×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $2,016.50 $2,016.50 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,463.50 $1,463.50 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $861.50 $861.50 1.3×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$107.50–$168 $107.50–$168 varies
Rplcmt cath ctr vad subq port/pmp (36578) $656 $656 0.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $569 $569 0.3×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $2,485.50 $2,485.50 0.7×
Rplcmt compl tun ctr vad w/subq port (36582) $1,384.50 $1,384.50 0.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure
$2,307 $2,307 0.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $1,054 $1,054 0.3×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure
$2,380 $2,380 0.3×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure
$1,975 $1,975 0.3×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure
$1,766 $1,766 0.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,298 $1,298 0.3×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure
$1,770 $1,770 0.3×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure
$1,470 $1,470 0.2×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,006.50 $1,006.50 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $831 $831 3.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,082.50 $1,082.50 1.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $1,073 $1,073 4.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,844 $2,844 2.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,498 $1,498 1.2×
Shave skin lesion 0.5 cm/< (11300) $269 $269 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $621 $621 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines
$387–$444 $387–$444 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $477.50 $477.50 2.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $564.50 $564.50 1.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $189 $189 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $531 $531 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $359.50 $359.50 1.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $537.50 $537.50 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $269 $269 1.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,430 $1,430 1.1×
Sigmoidoscopy w/fb removal (45332) $2,324 $2,324 1.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,670.50 $2,670.50 2.7×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,361.50 $1,361.50 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $936 $936 2.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$410–$516 $410–$516 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$585–$621 $585–$621 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,040.50 $1,040.50 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$726–$786.50 $726–$786.50 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,145.50 $1,145.50 5.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines
$143.60–$463 $143.60–$463 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $858 $858 4.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$412–$543.50 $412–$543.50 varies
Skin graft, harvest cultured tissue (15040) $789 $789 0.4×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines
$463–$2,020 $463–$2,020 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines
$382.50–$2,344 $382.50–$2,344 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines
$865–$3,521 $865–$3,521 varies
Skin Tissue Procedure (17999) $1,112 $1,112 5.2×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines
$961–$2,591 $961–$2,591 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines
$312.40–$439 $312.40–$439 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$648.50–$894 $648.50–$894 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $753.50 $753.50 1.7×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$411.50–$2,037 $411.50–$2,037 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,087.50 $3,087.50 1.4×
Strapping ankle (29540) $135.50 $135.50 0.8×
Strapping hand/finger (29280) $158 $158 2.5×
Strapping shoulder (29240) $88 $88 0.6×
Strapping toes (29550) $130.50 $130.50 2.1×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$156–$510 $156–$510 varies
Subconjunctival injection (68200) $106 $106 0.2×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines
$180–$485 $180–$485 varies
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure
$5,408 $5,408 0.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,667 $1,667 6.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,028 $2,028 1.2×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure
$2,200 $2,200 0.3×
Treat humerus fracture (24500) $1,086 $1,086 4.1×
Treat humerus fracture (23600)
range across 2 matching MRF lines
$485.50–$680 $485.50–$680 varies
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure
$2,997.50 $2,997.50 0.4×
Treat Knuckle Dislocation (26700) $1,000 $1,000 3.8×
Treat Tail Bone Fracture (27200) $190.50 $190.50 0.7×
Treat Thumb Dislocation (26641) $1,155.50 $1,155.50 4.4×
Treat Thumb Fracture (26645) $1,311.50 $1,311.50 0.8×
Treatment closed elbow dislocation w/o anes (24600) $424.50 $424.50 1.6×
Trim skin lesion (11055)
range across 2 matching MRF lines
$99–$410 $99–$410 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines
$148–$449 $148–$449 varies
Trim skin lesions over 4 (11057) $357 $357 1.7×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,577 $1,577 0.9×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$559–$855 $559–$855 varies
Tx superficial wound dehiscence w/packing (12021) $511.50 $511.50 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $663.50 $663.50 2.5×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,591 $1,591 0.4×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure
$1,617 $1,617 0.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $4,333 $4,333 0.7×
Unlisted procedure anus (46999) $475 $475 0.5×
Unlisted Procedure Vascular Surgery (37799) $669 $669 1.0×
Vaginal delivery only (59409)
range across 2 matching MRF lines
$2,738–$6,372.50 $2,738–$6,372.50 varies
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines
$195.50–$494 $195.50–$494 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.