Procedures & surgery prices at Sedgwick County Memorial Hospital
Julesburg, CO · every code in this section with a posted price and a Medicare benchmark.
348 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acne surgery (10040) range across 2 matching MRF lines |
$178–$266 | $178–$266 | varies |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $1,404 | $1,404 | 0.6× |
| Amputation metatarsal with toe single (28810) | $1,273 | $1,273 | 0.4× |
| Application cast elbow finger short arm (29075) | $534 | $534 | 1.8× |
| Application Finger Splint Dynamic (29131) | $295 | $295 | 4.7× |
| Application finger splint static (29130) | $181 | $181 | 1.3× |
| Application long arm splint shoulder hand (29105) | $317 | $317 | 1.8× |
| Application Short Arm Splint Dynamic (29126) | $109 | $109 | 0.8× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$232–$317 | $232–$317 | varies |
| Application short leg splint calf foot (29515) | $150 | $150 | 0.9× |
| Arterial puncture (36600) | $58 | $58 | 0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$116–$584 | $116–$584 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$420–$1,375 | $420–$1,375 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$149–$1,363 | $149–$1,363 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $584 | $584 | 1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$269–$1,363 | $269–$1,363 | varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $970 | $970 | 0.3× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$400–$1,242 | $400–$1,242 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,110 | $1,110 | 1.7× |
| Aspirate/Inj Ganglion Cyst (20612) | $306 | $306 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$191–$274 | $191–$274 | varies |
| Biopsy nail unit (11755) | $183 | $183 | 0.2× |
| Blepharotomy drainage abscess eyelid (67700) | $1,564 | $1,564 | 4.7× |
| Blood Transfusion Service (36430) | $176 | $176 | 0.4× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$111–$389 | $111–$389 | varies |
| Chemodenerv Musc Migraine (64615) | $584 | $584 | 1.8× |
| Chest tube placement (32551) | $827 | $827 | 0.5× |
| Circumcision 28 days or older (54161) | $276 | $276 | 0.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $193 | $193 | 0.1× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$147–$171 | $147–$171 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $666 | $666 | 0.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $852 | $852 | 3.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $684 | $684 | 2.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$717–$1,193 | $717–$1,193 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$440–$515 | $440–$515 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $670 | $670 | 0.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$617–$984 | $617–$984 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,145 | $1,145 | 4.4× |
| Closed tx mandibular fracture w/manipulation (21451) | $1,359 | $1,359 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $476 | $476 | 1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,157 | $1,157 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,670 | $2,670 | 1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) | $896 | $896 | 3.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $610 | $610 | 2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$924–$1,125 | $924–$1,125 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$638–$919 | $638–$919 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,091–$1,549 | $1,091–$1,549 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $906 | $906 | 3.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$1,296–$1,938 | $1,296–$1,938 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$590–$928 | $590–$928 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $450 | $450 | 1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $637 | $637 | 0.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $617 | $617 | 2.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $571 | $571 | 2.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $648 | $648 | 2.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $467 | $467 | 1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $527 | $527 | 2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $932 | $932 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,001 | $1,001 | 3.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
$1,266–$1,764 | $1,266–$1,764 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $624 | $624 | 0.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $425 | $425 | 1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$791–$1,012 | $791–$1,012 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,217–$1,960 | $1,217–$1,960 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,258 | $1,258 | 4.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,077 | $1,077 | 4.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $484 | $484 | 1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $269 | $269 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $822 | $822 | 3.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,233 | $1,233 | 4.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $623 | $623 | 2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $446 | $446 | 1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 4 matching MRF lines |
$630–$1,182 | $630–$1,182 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$440–$820 | $440–$820 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $727 | $727 | 0.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $473 | $473 | 0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $469 | $469 | 1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $344 | $344 | 1.3× |
| Cltx post hip arthrp dislc req anes (27266) | $3,139 | $3,139 | 1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) | $575 | $575 | 2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$271–$604 | $271–$604 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $796 | $796 | 0.5× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $1,067 | $1,067 | 4.1× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$25–$107 | $25–$107 | varies |
| Colonoscopy w/fb removal (45379) | $488 | $488 | 0.4× |
| Colonoscopy w/submucosal inj (45381) | $414 | $414 | 0.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $530 | $530 | 0.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $530 | $530 | 0.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $467 | $467 | 0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $541 | $541 | 3.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$432–$440 | $432–$440 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$273–$604 | $273–$604 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $911 | $911 | 3.6× |
| Debride nail 1-5 (11720) | $274 | $274 | 4.4× |
| Debride nail 6 or more (11721) | $62 | $62 | 1.0× |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $306 | $306 | 0.5× |
| Debridement Mastoidectomy Cavity Simple (69220) | $191 | $191 | 0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$264–$456 | $264–$456 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$313–$314 | $313–$314 | varies |
| Destruction Benign Lesions 15/> (17111) | $354 | $354 | 1.7× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $526 | $526 | 2.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $642 | $642 | 3.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $744 | $744 | 1.7× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $385 | $385 | 0.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $1,178 | $1,178 | 1.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $387 | $387 | 1.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $241 | $241 | 1.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $263 | $263 | 1.2× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $283 | $283 | 0.7× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $320 | $320 | 0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $194 | $194 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $207 | $207 | 1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $464 | $464 | 2.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $256 | $256 | 1.2× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $615 | $615 | 1.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $743 | $743 | 1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $130 | $130 | 0.6× |
| Destruction Premalignant Lesion 15/> (17004) | $779 | $779 | 1.8× |
| Destruction premalignant lesion 1st (17000) | $221 | $221 | 1.0× |
| Dilation Cervical Canal (57800) | $162 | $162 | 0.0× |
| Drain/inj small joint/bursa w/us (20604) | $567 | $567 | 1.8× |
| Drainage external ear abscess/hematoma cmplx (69005) | $300 | $300 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$218–$261 | $218–$261 | varies |
| Drainage of finger abscess simple (26010) | $399 | $399 | 1.9× |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$309–$382 | $309–$382 | varies |
| Drainage of hematoma/fluid (10140) | $412 | $412 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $309 | $309 | 1.5× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $597 | $597 | 0.8× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $888 | $888 | 0.4× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $389 | $389 | 0.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,379 | $1,379 | 1.9× |
| Egd Flexible Foreign Body Removal (43247) | $522 | $522 | 0.5× |
| Endometrial Biopsy (58100) | $384 | $384 | 1.8× |
| Episiotomy or vaginal repair (59300) | $409 | $409 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$74–$148 | $74–$148 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$176–$423 | $176–$423 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$427–$706 | $427–$706 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) | $515 | $515 | 0.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,077 | $1,077 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$557–$826 | $557–$826 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$591–$677 | $591–$677 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$697–$1,268 | $697–$1,268 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$244–$486 | $244–$486 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$298–$577 | $298–$577 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$366–$642 | $366–$642 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$523–$811 | $523–$811 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $994 | $994 | 0.6× |
| Exc Frenum Labial/Buccal (40819) | $444 | $444 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$192–$383 | $192–$383 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$273–$521 | $273–$521 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $642 | $642 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $647 | $647 | 0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$488–$794 | $488–$794 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,070 | $1,070 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $855 | $855 | 0.5× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,224 | $1,224 | 0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$680–$862 | $680–$862 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$1,098–$1,261 | $1,098–$1,261 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $992 | $992 | 0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $495 | $495 | 1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$306–$560 | $306–$560 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$563–$702 | $563–$702 | varies |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $1,632 | $1,632 | 1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$569–$770 | $569–$770 | varies |
| Excision H/P/P/U Complex Repair (11471) | $703 | $703 | 0.2× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $569 | $569 | 0.2× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $685 | $685 | 0.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $515 | $515 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$314–$541 | $314–$541 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$406–$642 | $406–$642 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$596–$768 | $596–$768 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$830–$1,299 | $830–$1,299 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$396–$590 | $396–$590 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$800–$1,014 | $800–$1,014 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,659 | $1,659 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $534 | $534 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$459–$624 | $459–$624 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$735–$762 | $735–$762 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$895–$1,000 | $895–$1,000 | varies |
| Excision of bartholin's gland or cyst (56740) | $959 | $959 | 0.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,318 | $1,318 | 0.4× |
| Excision/Transposition Pterygium W/O Graft (65420) | $1,027 | $1,027 | 0.4× |
| Fine needle aspiration without imaging guidance (10021) | $207 | $207 | 0.5× |
| Guide Cathet Fluid Drainage (10030) | $1,076 | $1,076 | 1.4× |
| I&d abscess peritonsillar (42700) | $467 | $467 | 1.9× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$194–$390 | $194–$390 | varies |
| I&d pilonidal cyst complicated (10081) | $373 | $373 | 0.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$422–$827 | $422–$827 | varies |
| Incise external hemorrhoid (46083) | $247 | $247 | 0.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$309–$612 | $309–$612 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $782 | $782 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$400–$784 | $400–$784 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $288 | $288 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $334 | $334 | 0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,744–$1,796 | $1,744–$1,796 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,744–$1,796 | $1,744–$1,796 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$359–$437 | $359–$437 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $2,497 | $2,497 | 3.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$1,323–$1,363 | $1,323–$1,363 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,364 | $1,364 | 1.8× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,391 | $1,391 | 1.9× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$84–$593 | $84–$593 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$324–$584 | $324–$584 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$487–$584 | $487–$584 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$109–$584 | $109–$584 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,788 | $1,788 | 1.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,321 | $1,321 | 1.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,313–$1,363 | $1,313–$1,363 | varies |
| Insert cath pleura w/ image (32557) | $711 | $711 | 0.4× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$773–$2,452 | $773–$2,452 | varies |
| Insert Drug Implant Device (11981) | $198 | $198 | 1.4× |
| Insert non-tunnel cv cath (36556) | $1,558 | $1,558 | 0.5× |
| Insert tunneled cv cath (36561) | $6,319 | $6,319 | 1.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,688 | $2,688 | 1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,234 | $1,234 | 0.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 3 matching MRF lines |
$761–$1,285 | $761–$1,285 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 3 matching MRF lines |
$688–$995 | $688–$995 | varies |
| Intraoral i&d tongue/floor lingual (41000) | $233 | $233 | 0.4× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $321 | $321 | 1.3× |
| Intubation endotracheal emergency procedure (31500) | $423 | $423 | 1.7× |
| Laser vaporization of prostate (52648) likely a partial charge, not the full procedure |
$732 | $732 | 0.1× |
| Late closure of wound (13160) range across 3 matching MRF lines |
$1,136–$1,332 | $1,136–$1,332 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $801 | $801 | 1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$61–$93 | $61–$93 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) range across 2 matching MRF lines |
$98–$101 | $98–$101 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$567–$584 | $567–$584 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,744–$1,796 | $1,744–$1,796 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,323–$1,363 | $1,323–$1,363 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$730–$1,363 | $730–$1,363 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$567–$584 | $567–$584 | varies |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) likely a partial charge, not the full procedure |
$1,105 | $1,105 | 0.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$950 | $950 | 0.1× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) likely a partial charge, not the full procedure |
$1,350 | $1,350 | 0.2× |
| Open Treatment of Ulnar Shaft Fracture (25545) likely a partial charge, not the full procedure |
$878 | $878 | 0.1× |
| Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$943 | $943 | 0.1× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) likely a partial charge, not the full procedure |
$999 | $999 | 0.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) | $801 | $801 | 0.2× |
| Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$1,011 | $1,011 | 0.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $968 | $968 | 0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $805 | $805 | 0.2× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) likely a partial charge, not the full procedure |
$1,032 | $1,032 | 0.1× |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$921 | $921 | 0.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,158 | $1,158 | 0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$1,469 | $1,469 | 0.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $933 | $933 | 0.3× |
| Punch biopsy skin single lesion (11104) | $310 | $310 | 0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $786 | $786 | 1.8× |
| Removal Embedded Foreign Body Eyelid (67938) | $248 | $248 | 0.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,061 | $1,061 | 0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) | $319 | $319 | 0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $243 | $243 | 3.9× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$475–$541 | $475–$541 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$147–$259 | $147–$259 | varies |
| Removal sweat gland lesion (11450) range across 2 matching MRF lines |
$923–$1,140 | $923–$1,140 | varies |
| Remove drug implant device (11982) | $222 | $222 | 0.5× |
| Remove Forearm Foreign Body (25248) | $2,843 | $2,843 | 1.7× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$188–$674 | $188–$674 | varies |
| Remove Intrauterine Device (58301) | $383 | $383 | 1.2× |
| Remove Nasal Foreign Body (30300) | $183 | $183 | 1.3× |
| Remove/Insert Drug Implant (11983) | $309 | $309 | 0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$683–$1,303 | $683–$1,303 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$1,141–$1,178 | $1,141–$1,178 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$561–$1,070 | $561–$1,070 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,030–$1,587 | $1,030–$1,587 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$449–$893 | $449–$893 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$683–$1,188 | $683–$1,188 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 3 matching MRF lines |
$405–$462 | $405–$462 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$582–$1,074 | $582–$1,074 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$339–$741 | $339–$741 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$403–$812 | $403–$812 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$471–$893 | $471–$893 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$594–$1,011 | $594–$1,011 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 3 matching MRF lines |
$804–$1,129 | $804–$1,129 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 3 matching MRF lines |
$560–$561 | $560–$561 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$305–$734 | $305–$734 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$372–$796 | $372–$796 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$460–$898 | $460–$898 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 3 matching MRF lines |
$776–$861 | $776–$861 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$527–$1,071 | $527–$1,071 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$271–$656 | $271–$656 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$339–$733 | $339–$733 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$580–$628 | $580–$628 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$427–$849 | $427–$849 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 3 matching MRF lines |
$667–$771 | $667–$771 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$316–$1,104 | $316–$1,104 | varies |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $354 | $354 | 0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $142 | $142 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $840 | $840 | 1.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $95 | $95 | 0.2× |
| Rplc Gtube No Revj Trc (43762) | $580 | $580 | 2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$460–$749 | $460–$749 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 3 matching MRF lines |
$670–$695 | $670–$695 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $214 | $214 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $264 | $264 | 1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $256 | $256 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $214 | $214 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $261 | $261 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $280 | $280 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $208 | $208 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $339 | $339 | 1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $357 | $357 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $261 | $261 | 1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $215 | $215 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $300 | $300 | 1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$605–$885 | $605–$885 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$238–$561 | $238–$561 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$294–$624 | $294–$624 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 3 matching MRF lines |
$216–$784 | $216–$784 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$348–$739 | $348–$739 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 3 matching MRF lines |
$245–$1,052 | $245–$1,052 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$215–$540 | $215–$540 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$320–$573 | $320–$573 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$327–$675 | $327–$675 | varies |
| Skin sub graft face/nk/hf/g (15275) | $207 | $207 | 0.3× |
| Skin sub graft trnk/arm/leg (15271) | $197 | $197 | 0.3× |
| Skin sub grft t/arm/lg child (15273) | $415 | $415 | 0.2× |
| Skn sub grft f/n/hf/g child (15277) | $450 | $450 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$260–$582 | $260–$582 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$415–$830 | $415–$830 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$276–$527 | $276–$527 | varies |
| Spinal puncture lumbar diagnostic (62270) | $1,238 | $1,238 | 1.7× |
| Strapping elbow or wrist (29260) | $41 | $41 | 0.7× |
| Strapping shoulder (29240) | $41 | $41 | 0.3× |
| Strapping thorax (29200) | $42 | $42 | 0.2× |
| Subcutaneous Hormone Pellet Implantation (11980) | $129 | $129 | 0.3× |
| Tangential biopsy skin single lesion (11102) | $284 | $284 | 0.7× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $2,003 | $2,003 | 0.9× |
| Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$1,527 | $1,527 | 0.1× |
| Treat Elbow Fracture (24635) likely a partial charge, not the full procedure |
$949 | $949 | 0.1× |
| Treat elbow fracture (24587) likely a partial charge, not the full procedure |
$1,540 | $1,540 | 0.1× |
| Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,268 | $1,268 | 0.2× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$1,032 | $1,032 | 0.1× |
| Treat humerus fracture (24500) | $720 | $720 | 2.8× |
| Treat humerus fracture (23600) | $842 | $842 | 3.2× |
| Treat metacarpal fracture (26607) | $644 | $644 | 0.2× |
| Treat Metatarsal Fracture (28475) | $853 | $853 | 3.3× |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$473–$525 | $473–$525 | varies |
| Treat Thumb Fracture (26645) | $599 | $599 | 0.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,482 | $1,482 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$648–$1,487 | $648–$1,487 | varies |
| Trim skin lesion (11055) | $102 | $102 | 0.5× |
| Trim skin lesions 2 to 4 (11056) | $144 | $144 | 0.7× |
| Trim skin lesions over 4 (11057) | $187 | $187 | 0.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $81 | $81 | 1.3× |
| Tx Gastro Intub W/Asp (43753) | $618 | $618 | 2.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$381–$739 | $381–$739 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
$238–$467 | $238–$467 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $478 | $478 | 1.8× |
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.