Procedures & surgery prices at Saunders Medical Center
Wahoo, NE · every code in this section with a posted price and a Medicare benchmark.
379 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acne surgery (10040) range across 2 matching MRF lines |
$44.25–$179.25 | $59–$239 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,232.25 | $1,643 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
$1,049.25–$1,872 | $1,399–$2,496 | varies |
| Anterior Tibial Tubercleplasty (27418) likely a partial charge, not the full procedure |
$1,240.50 | $1,654 | 0.2× |
| Application cast elbow finger short arm (29075) | $138.75 | $185 | 0.5× |
| Application Cast Finger (29086) | $126.75 | $169 | 0.8× |
| Application Finger Splint Dynamic (29131) | $84.75 | $113 | 1.4× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$67.50–$81 | $90–$108 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$112.50–$132 | $150–$176 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$137.25–$141.75 | $183–$189 | varies |
| Application Short Arm Splint Dynamic (29126) | $124.50 | $166 | 0.9× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$104.25–$114 | $139–$152 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$114.75–$141 | $153–$188 | varies |
| Apply hand/wrist cast (29085) | $151.50 | $202 | 0.9× |
| Apply long arm cast (29065) | $152.25 | $203 | 0.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$44.25–$147 | $59–$196 | varies |
| Apply Short Leg Cast (29405) | $129.75 | $173 | 0.4× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$88.50–$91.50 | $118–$122 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$44.25–$86.25 | $59–$115 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$44.25–$126 | $59–$168 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$152.25–$811.50 | $203–$1,082 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$44.25–$162.75 | $59–$217 | varies |
| Arthroscopy hip w/femoroplasty (29914) likely a partial charge, not the full procedure |
$1,557 | $2,076 | 0.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $835.50 | $1,114 | 0.2× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,047 | $1,396 | 0.3× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,630.50 | $2,174 | 0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $1,027.50 | $1,370 | 0.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$1,411.50 | $1,882 | 0.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $864.75 | $1,153 | 0.3× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,572 | $2,096 | 0.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure |
$1,644.75 | $2,193 | 0.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$1,896.75 | $2,529 | 0.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$1,725 | $2,300 | 0.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $1,008.75 | $1,345 | 0.3× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $653.25 | $871 | 0.2× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$101.25–$111.75 | $135–$149 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $374.25 | $499 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$44.25–$186 | $59–$248 | varies |
| Biopsy External Auditory Canal (69105) range across 2 matching MRF lines |
$44.25–$227.25 | $59–$303 | varies |
| Biopsy nail unit (11755) | $44.25 | $59 | 0.1× |
| Biopsy Oropharynx (42800) range across 2 matching MRF lines |
$84.75–$243 | $113–$324 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$44.25–$122.25 | $59–$163 | varies |
| Bladder Scan (51798) | $17.25 | $23 | 0.3× |
| Blepharotomy drainage abscess eyelid (67700) | $453.75 | $605 | 1.4× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$935.25–$1,084.50 | $1,247–$1,446 | varies |
| Bx Cervix (57500) | $44.25 | $59 | 0.0× |
| Change Cystostomy Tube Simple (51705) range across 4 matching MRF lines |
$136.50–$156 | $182–$208 | varies |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$213–$219.75 | $284–$293 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$44.25–$138.75 | $59–$185 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) range across 3 matching MRF lines |
$59.25–$276.75 | $79–$369 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 3 matching MRF lines |
$44.25–$234.75 | $59–$313 | varies |
| Chemodenerv Musc Migraine (64615) range across 3 matching MRF lines |
$234–$497.25 | $312–$663 | varies |
| Chemodenerv musc neck dyston (64616) range across 4 matching MRF lines |
$54.75–$403.50 | $73–$538 | varies |
| Chemodenerv trunk musc 1-5 (64646) range across 2 matching MRF lines |
$56.25–$243.75 | $75–$325 | varies |
| Chemodenerv trunk musc 6/> (64647) range across 2 matching MRF lines |
$61.50–$276.75 | $82–$369 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 4 matching MRF lines |
$81.75–$415.50 | $109–$554 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$240–$255.75 | $320–$341 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$44.25–$133.50 | $59–$178 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $526.50 | $702 | 2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $606.75 | $809 | 2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $758.25 | $1,011 | 0.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $942 | $1,256 | 1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$174.75–$355.50 | $233–$474 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 3 matching MRF lines |
$735.75–$1,337.25 | $981–$1,783 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $520.50 | $694 | 2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $423 | $564 | 1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) | $813 | $1,084 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $450 | $600 | 1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $831.75 | $1,109 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $458.25 | $611 | 1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $375.75 | $501 | 1.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $470.25 | $627 | 1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $423.75 | $565 | 1.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $374.25 | $499 | 1.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $573.75 | $765 | 0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $354.75 | $473 | 1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $653.25 | $871 | 0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$514.50–$864 | $686–$1,152 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $795 | $1,060 | 0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $372 | $496 | 1.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $493.50 | $658 | 1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $684.75 | $913 | 2.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $507.75 | $677 | 2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $513 | $684 | 2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $299.25 | $399 | 1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$315.75–$951 | $421–$1,268 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$840.75–$1,361.25 | $1,121–$1,815 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $233.25 | $311 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $198.75 | $265 | 0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $880.50 | $1,174 | 0.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $513 | $684 | 2.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $432.75 | $577 | 1.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,179–$1,989.75 | $1,572–$2,653 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $294.75 | $393 | 1.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $254.25 | $339 | 0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $193.50 | $258 | 0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $622.50 | $830 | 2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $453.75 | $605 | 1.8× |
| Cltx Medial Ankle Fx (27760) | $539.25 | $719 | 2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$519.75–$811.50 | $693–$1,082 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $478.50 | $638 | 1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $548.25 | $731 | 2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $319.50 | $426 | 1.2× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$874.50–$1,569 | $1,166–$2,092 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $651 | $868 | 2.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $495 | $660 | 1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$164.25–$220.50 | $219–$294 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $691.50 | $922 | 0.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $612 | $816 | 2.4× |
| Cltx tibial shaft fx w/o manipulation (27750) | $557.25 | $743 | 2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $739.50 | $986 | 0.4× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$6–$29.25 | $8–$39 | varies |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$504–$1,970.25 | $672–$2,627 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$3,012.75–$3,990 | $4,017–$5,320 | varies |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$1,317.75–$2,595.75 | $1,757–$3,461 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$690–$2,235 | $920–$2,980 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $267 | $356 | 0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) | $195.75 | $261 | 0.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $252 | $336 | 0.8× |
| Colposcopy entire vagina w/cervix if present (57420) | $204 | $272 | 0.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) range across 2 matching MRF lines |
$971.25–$2,449.50 | $1,295–$3,266 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 3 matching MRF lines |
$765.75–$2,634.75 | $1,021–$3,513 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $380.25 | $507 | 2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$44.25–$233.25 | $59–$311 | varies |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$148.50–$288.75 | $198–$385 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$288–$546 | $384–$728 | varies |
| Cystourethroscopy (52000) | $373.50 | $498 | 0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $93 | $124 | 0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $376.50 | $502 | 0.5× |
| Debride nail 1-5 (11720) | $44.25 | $59 | 0.7× |
| Debride nail 6 or more (11721) | $44.25 | $59 | 0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$44.25–$207 | $59–$276 | varies |
| Decompress Fingers/Hand (26035) | $1,380.75 | $1,841 | 0.4× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$58.50–$182.25 | $78–$243 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$64.50–$214.50 | $86–$286 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $292.50 | $390 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $399 | $532 | 0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $454.50 | $606 | 0.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$54.75–$237.75 | $73–$317 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $65.25 | $87 | 0.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) range across 2 matching MRF lines |
$72.75–$314.25 | $97–$419 | varies |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $336 | $448 | 0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $227.25 | $303 | 1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $243 | $324 | 1.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) range across 2 matching MRF lines |
$65.25–$268.50 | $87–$358 | varies |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) range across 2 matching MRF lines |
$72–$305.25 | $96–$407 | varies |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $93 | $124 | 0.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$45.75–$159 | $61–$212 | varies |
| Destruction of rectal tumor transanal approach (45190) | $1,144.50 | $1,526 | 0.4× |
| Destruction of skin lesions (17106) range across 3 matching MRF lines |
$44.25–$557.25 | $59–$743 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$63.75–$258.75 | $85–$345 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$44.25–$107.25 | $59–$143 | varies |
| Diagnostic sigmoidoscopy (45330) | $284.25 | $379 | 0.3× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $273.75 | $365 | 0.2× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) range across 2 matching MRF lines |
$117–$123.75 | $156–$165 | varies |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$279–$1,222.50 | $372–$1,630 | varies |
| Dilation Cervical Canal (57800) | $114.75 | $153 | 0.0× |
| Drain Cerebro Spinal Fluid (62272) | $294 | $392 | 0.4× |
| Drainage external ear abscess/hematoma cmplx (69005) | $351.75 | $469 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$303–$334.50 | $404–$446 | varies |
| Drainage Finger Abscess Complicated (26011) | $705 | $940 | 0.4× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$376.50–$488.25 | $502–$651 | varies |
| Drainage of gum lesion (41800) | $474.75 | $633 | 3.4× |
| Drainage of hematoma/fluid (10140) | $276.75 | $369 | 0.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $341.25 | $455 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $63 | $84 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $59.25 | $79 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$44.25–$147 | $59–$196 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $726.75 | $969 | 0.9× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $229.50 | $306 | 1.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $108.75 | $145 | 0.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $408.75 | $545 | 0.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 4 matching MRF lines |
$1,749–$1,877.25 | $2,332–$2,503 | varies |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$715.50–$2,001 | $954–$2,668 | varies |
| Egd dilation gastric/duodenal stricture (43245) range across 3 matching MRF lines |
$948–$2,047.50 | $1,264–$2,730 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 3 matching MRF lines |
$603.75–$2,094 | $805–$2,792 | varies |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$330–$2,217.75 | $440–$2,957 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$787.50–$2,317.50 | $1,050–$3,090 | varies |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 2 matching MRF lines |
$54.75–$393.75 | $73–$525 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$44.25–$70.50 | $59–$94 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 2 matching MRF lines |
$44.25–$51 | $59–$68 | varies |
| Endometrial Biopsy (58100) | $159.75 | $213 | 0.8× |
| Epidural Blood Patch (62273) | $657 | $876 | 0.9× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,635 | $2,180 | 0.8× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$87.75–$88.50 | $117–$118 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $204 | $272 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $331.50 | $442 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $439.50 | $586 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $332.25 | $443 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $227.25 | $303 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $279 | $372 | 0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $309 | $412 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $207 | $276 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $260.25 | $347 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $291.75 | $389 | 0.2× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $455.25 | $607 | 0.4× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) range across 2 matching MRF lines |
$191.25–$540 | $255–$720 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $317.25 | $423 | 0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $510 | $680 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $659.25 | $879 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $725.25 | $967 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$75.75–$248.25 | $101–$331 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $276 | $368 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $358.50 | $478 | 0.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $816 | $1,088 | 0.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$132–$458.25 | $176–$611 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $457.50 | $610 | 0.6× |
| Excision Lesion Conjunctiva </1 Cm (68110) | $381.75 | $509 | 0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $402 | $536 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $509.25 | $679 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $321 | $428 | 0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $415.50 | $554 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $549.75 | $733 | 0.3× |
| Excision olecranon bursa (24105) | $570.75 | $761 | 0.2× |
| Excision/destruction intranasal lesion int appr (30117) | $1,503 | $2,004 | 0.4× |
| Excision; trochanteric bursa or calcification (27062) | $720 | $960 | 0.2× |
| Exploration penetrating wound spx extremity (20103) | $933 | $1,244 | 0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $1,349.25 | $1,799 | 0.4× |
| Fetal non-stress test (59025) | $76.50 | $102 | 0.4× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $1,121.25 | $1,495 | 0.6× |
| Hip arthro w/labral repair (29916) likely a partial charge, not the full procedure |
$1,592.25 | $2,123 | 0.2× |
| I&d abscess peritonsillar (42700) range across 4 matching MRF lines |
$98.25–$386.25 | $131–$515 | varies |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$44.25–$308.25 | $59–$411 | varies |
| I&d perianal abscess superficial (46050) | $354 | $472 | 0.4× |
| I&d pilonidal cyst complicated (10081) | $492 | $656 | 0.7× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$75.75–$340.50 | $101–$454 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $576.75 | $769 | 0.2× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$307.50–$312 | $410–$416 | varies |
| Incise finger tendon sheath (26055) | $882.75 | $1,177 | 0.5× |
| Incise/Drain Conjunctiva (68020) | $198.75 | $265 | 0.2× |
| Incision & drainage abscess complicated/multiple (10061) | $341.25 | $455 | 0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $861.75 | $1,149 | 0.3× |
| Incision & removal foreign body subq tiss compl (10121) | $441 | $588 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$246.75–$303.75 | $329–$405 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $208.50 | $278 | 0.7× |
| Incision Drainage Lacrimal Sac (68420) range across 2 matching MRF lines |
$537.75–$538.50 | $717–$718 | varies |
| Incision of eardrum (69421) | $236.25 | $315 | 0.1× |
| Incision of eardrum (69420) range across 2 matching MRF lines |
$120.75–$182.25 | $161–$243 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$96–$349.50 | $128–$466 | varies |
| Incision of rectal abscess (46040) | $879 | $1,172 | 0.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $469.50 | $626 | 0.3× |
| Incisional biopsy skin single lesion (11106) | $247.50 | $330 | 0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $120 | $160 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$44.25–$87.75 | $59–$117 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$91.50–$92.25 | $122–$123 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $91.50 | $122 | 0.3× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$44.25–$127.50 | $59–$170 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$44.25–$124.50 | $59–$166 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $44.25 | $59 | 0.2× |
| Injection, intralesional; up to and including 7 lesions (11900) | $44.25 | $59 | 0.2× |
| Insert Bladder Cath Complex (51703) | $228 | $304 | 1.7× |
| Insert Drug Implant Device (11981) | $166.50 | $222 | 1.2× |
| Insert non-tunnel cv cath (36556) | $342.75 | $457 | 0.1× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$44.25–$111.75 | $59–$149 | varies |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$44.25–$99.75 | $59–$133 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$44.25–$66.75 | $59–$89 | varies |
| Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
$236.25–$540.75 | $315–$721 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,143 | $1,524 | 0.2× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$45.75–$200.25 | $61–$267 | varies |
| Late closure of wound (13160) | $1,292.25 | $1,723 | 0.4× |
| Manipulation knee joint under general anesthesia (27570) | $235.50 | $314 | 0.1× |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$44.25–$81 | $59–$108 | varies |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$44.25–$301.50 | $59–$402 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $410.25 | $547 | 0.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $274.50 | $366 | 0.9× |
| Occipital Nerve Block (64405) | $115.50 | $154 | 0.4× |
| Open Treatment Humeral Condylar Fracture (24579) likely a partial charge, not the full procedure |
$1,243.50 | $1,658 | 0.1× |
| Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$975.75 | $1,301 | 0.1× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) likely a partial charge, not the full procedure |
$1,758.75 | $2,345 | 0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $810.75 | $1,081 | 0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $887.25 | $1,183 | 0.3× |
| Placement of needle for intraosseous infusion (36680) | $150 | $200 | 0.3× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$44.25–$204.75 | $59–$273 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $213 | $284 | 0.5× |
| Reduction of rectal prolapse (45900) range across 2 matching MRF lines |
$317.25–$534.75 | $423–$713 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $423 | $564 | 1.3× |
| Removal Foreign Body Foot Complicated (28193) | $879.75 | $1,173 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) | $417 | $556 | 0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $342.75 | $457 | 0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$44.25–$108 | $59–$144 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $278.25 | $371 | 0.1× |
| Removal of adenoids (42830) | $339.75 | $453 | 0.1× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$60.75–$296.25 | $81–$395 | varies |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$429 | $572 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$63–$144.75 | $84–$193 | varies |
| Remove drug implant device (11982) | $189.75 | $253 | 0.4× |
| Remove foreign body from eye (65205) | $63.75 | $85 | 0.5× |
| Remove Intrauterine Device (58301) | $44.25 | $59 | 0.1× |
| Remove Nasal Foreign Body (30300) range across 5 matching MRF lines |
$110.25–$330 | $147–$440 | varies |
| Remove/Insert Drug Implant (11983) | $235.50 | $314 | 0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $693.75 | $925 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $822 | $1,096 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $635.25 | $847 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$779.25–$854.25 | $1,039–$1,139 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$701.25–$728.25 | $935–$971 | varies |
| Repair Finger/Hand Tendon (26350) | $1,171.50 | $1,562 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$442.50–$479.25 | $590–$639 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$496.50–$565.50 | $662–$754 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$579.75–$608.25 | $773–$811 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $607.50 | $810 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$620.25–$731.25 | $827–$975 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$409.50–$413.25 | $546–$551 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$489–$556.50 | $652–$742 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $602.25 | $803 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $621.75 | $829 | 1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$408.75–$429.75 | $545–$573 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $492 | $656 | 1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$691.50–$766.50 | $922–$1,022 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$526.50–$579 | $702–$772 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $783 | $1,044 | 0.4× |
| Repair of nail bed (11760) | $317.25 | $423 | 0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $320.25 | $427 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$93–$108.75 | $124–$145 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $112.50 | $150 | 0.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$65.25–$101.25 | $87–$135 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $351 | $468 | 0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$249–$272.25 | $332–$363 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $821.25 | $1,095 | 1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $748.50 | $998 | 1.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $939 | $1,252 | 0.6× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $1,237.50 | $1,650 | 0.4× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $1,048.50 | $1,398 | 0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 2 matching MRF lines |
$455.25–$1,350 | $607–$1,800 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$471.75–$1,808.25 | $629–$2,411 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $12.75 | $17 | 0.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $189 | $252 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $171.75 | $229 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $201.75 | $269 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $235.50 | $314 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $252.75 | $337 | 0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $223.50 | $298 | 1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $259.50 | $346 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $198 | $264 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $252.75 | $337 | 0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $228.75 | $305 | 1.1× |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$521.25–$1,244.25 | $695–$1,659 | varies |
| Sigmoidoscopy flx tndsc balo dilat (45340) range across 2 matching MRF lines |
$733.50–$1,205.25 | $978–$1,607 | varies |
| Sigmoidoscopy W/Ultrasound (45341) range across 2 matching MRF lines |
$253.50–$1,738.50 | $338–$2,318 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 4 matching MRF lines |
$446.25–$1,908.75 | $595–$2,545 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$338.25–$345 | $451–$460 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$149.25–$177.75 | $199–$237 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$154.50–$185.25 | $206–$247 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$198.75–$225 | $265–$300 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$121.50–$146.25 | $162–$195 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$197.25–$207.75 | $263–$277 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,511.25 | $2,015 | 0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$159–$178.50 | $212–$238 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$251.25–$273.75 | $335–$365 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $322.50 | $430 | 0.8× |
| Spinal puncture lumbar diagnostic (62270) | $226.50 | $302 | 0.3× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$48–$52.50 | $64–$70 | varies |
| Strapping elbow or wrist (29260) | $50.25 | $67 | 0.8× |
| Strapping hand/finger (29280) | $50.25 | $67 | 0.8× |
| Strapping knee (29530) | $60 | $80 | 0.4× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$53.25–$60 | $71–$80 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$44.25–$104.25 | $59–$139 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $459 | $612 | 0.1× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$44.25–$162.75 | $59–$217 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $471 | $628 | 0.1× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$1,990.50 | $2,654 | 0.1× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) | $141.75 | $189 | 0.0× |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) likely a partial charge, not the full procedure |
$1,303.50 | $1,738 | 0.2× |
| Treat humerus fracture (24500) | $579 | $772 | 2.3× |
| Treat Knuckle Dislocation (26700) range across 3 matching MRF lines |
$534.75–$903 | $713–$1,204 | varies |
| Treat Thumb Fracture (26645) | $693.75 | $925 | 0.4× |
| Treat toe dislocation (28630) | $255 | $340 | 1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$762–$1,308 | $1,016–$1,744 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$566.25–$942 | $755–$1,256 | varies |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$43.50–$115.50 | $58–$154 | varies |
| Trim skin lesions 2 to 4 (11056) | $44.25 | $59 | 0.2× |
| Trim skin lesions over 4 (11057) | $44.25 | $59 | 0.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $24 | $32 | 0.4× |
| Tx Gastro Intub W/Asp (43753) | $36.75 | $49 | 0.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $150 | $200 | 0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $476.25 | $635 | 0.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $346.50 | $462 | 1.4× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $596.25 | $795 | 0.4× |
| Tympanostomy general anesthesia (69436) | $255.75 | $341 | 0.2× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$253.50–$276.75 | $338–$369 | 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.