Procedures & surgery prices at Seymour Hospital
Seymour, TX · every code in this section with a posted price and a Medicare benchmark.
209 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$227.89–$637 | $325.56–$910 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$590.80–$819 | $844–$1,170 | varies |
| Amputation toe interphalangeal joint (28825) | $1,050 | $1,500 | 0.3× |
| Amputation toe metatarsophalangeal joint (28820) | $3,276 | $4,680 | 1.0× |
| Anoscopy diagnostic (46600) | $249.20 | $356 | 1.9× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$128.80–$320.60 | $184–$458 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$68.60–$163.80 | $98–$234 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$122.58–$163.80 | $175.11–$234 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$104.56–$163.80 | $149.37–$234 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$93.80–$163.80 | $134–$234 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$113.40–$163.80 | $162–$234 | varies |
| Apply hand/wrist cast (29085) | $164.50 | $235 | 1.0× |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$126–$320.60 | $180–$458 | varies |
| Apply Short Leg Cast (29405) | $320.60 | $458 | 1.1× |
| Arterial puncture (36600) | $31.50 | $45 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$68.60–$350.70 | $98–$501 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $182 | $260 | 0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$75.60–$330.40 | $108–$472 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $330.40 | $472 | 1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $330.40 | $472 | 1.1× |
| Aspirate pleura w/ imaging (32555) | $235.20 | $336 | 0.4× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$189.65–$940.80 | $270.93–$1,344 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $41.30 | $59 | 0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$115.50–$166.60 | $165–$238 | varies |
| Bladder Irrigation (51700) | $277.20 | $396 | 1.1× |
| Bladder Scan (51798) | $95.20 | $136 | 1.6× |
| Blood Transfusion Service (36430) | $576.80 | $824 | 1.3× |
| Carpal Tunnel Surgery (64721) | $2,598.40 | $3,712 | 1.3× |
| Chemical Cautery Tissue (17250) | $74.20 | $106 | 0.4× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$441–$844.20 | $630–$1,206 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $991.20 | $1,416 | 0.5× |
| Clear outer ear canal (69200) range across 5 matching MRF lines |
$82.60–$126.70 | $118–$181 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $252 | $360 | 1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$257.60–$588 | $368–$840 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $408.80 | $584 | 1.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$642.60–$726.60 | $918–$1,038 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $476.70 | $681 | 1.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,038.80–$1,085 | $1,484–$1,550 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$512.40–$571.45 | $732–$816.36 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) | $421.40 | $602 | 1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$317.80–$590.10 | $454–$843 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 4 matching MRF lines |
$572.60–$655.20 | $818–$936 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $239.40 | $342 | 1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $519.40 | $742 | 2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,127 | $1,610 | 0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $497 | $710 | 2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$586.60–$618.80 | $838–$884 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $340.20 | $486 | 1.4× |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$554.40–$2,535.40 | $792–$3,622 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $887.60 | $1,268 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$186.90–$264.60 | $267–$378 | varies |
| Collection of venous blood by venipuncture (36415) | $11.90 | $17 | 1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$91–$355.60 | $130–$508 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $355.60 | $508 | 1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $304.50 | $435 | 0.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $512.40 | $732 | 0.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $519.40 | $742 | 0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$149.10–$194.60 | $213–$278 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $35.70 | $51 | 0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$247.10–$259.70 | $353–$371 | varies |
| Curettage postpartum (59160) range across 2 matching MRF lines |
$373.80–$2,557.80 | $534–$3,654 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $634.20 | $906 | 0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$556.50–$967.40 | $795–$1,382 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 6 matching MRF lines |
$313.60–$1,079.40 | $448–$1,542 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$30.10–$42 | $43–$60 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$60.20–$67.90 | $86–$97 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$456.40–$1,411.20 | $652–$2,016 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$122.50–$267.40 | $175–$382 | varies |
| Destroy lumb/sac facet jnt (64635) | $390.60 | $558 | 0.2× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$232.07–$233.80 | $331.53–$334 | varies |
| Destruction Benign Lesions 15/> (17111) | $159.60 | $228 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $446.60 | $638 | 2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $252 | $360 | 1.3× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$71.40–$137.24 | $102–$196.05 | varies |
| Diagnostic sigmoidoscopy (45330) | $203.70 | $291 | 0.2× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,443.14–$1,813 | $2,061.63–$2,590 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $166.60 | $238 | 0.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$312.90–$1,233.40 | $447–$1,762 | varies |
| Egd Flexible Foreign Body Removal (43247) | $1,225 | $1,750 | 1.3× |
| Endometrial Biopsy (58100) | $217 | $310 | 1.1× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$351.40–$1,039.50 | $502–$1,485 | varies |
| Evacuation of subungual hematoma (11740) | $115.50 | $165 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$165.20–$201.60 | $236–$288 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,339.40 | $3,342 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
$220.50–$1,040.90 | $315–$1,487 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,638 | $2,340 | 1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $195.30 | $279 | 0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,082.90 | $1,547 | 1.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $467.60 | $668 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,054.90 | $1,507 | 0.6× |
| Exc Frenum Labial/Buccal (40819) | $1,209.60 | $1,728 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$168–$924 | $240–$1,320 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$195.30–$241.50 | $279–$345 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$281.78–$367.50 | $402.54–$525 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $404.60 | $578 | 0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$555.10–$635.60 | $793–$908 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $644 | $920 | 0.4× |
| Exc Skin Benig >4cm Face,Facial (11446) range across 3 matching MRF lines |
$653.80–$800.10 | $934–$1,143 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $605.50 | $865 | 0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,938.60 | $4,198 | 1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$922.11–$2,576.81 | $1,317.30–$3,681.15 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $849.80 | $1,214 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$96.60–$319.90 | $138–$457 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $351.40 | $502 | 0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$352.80–$458.50 | $504–$655 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,040.90 | $1,487 | 1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$109.20–$607.60 | $156–$868 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$328.30–$607.60 | $469–$868 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 3 matching MRF lines |
$448–$1,040.90 | $640–$1,487 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,040.90 | $1,487 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$791.70–$2,938.60 | $1,131–$4,198 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$350–$1,040.90 | $500–$1,487 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $695.80 | $994 | 0.4× |
| Excision of bartholin's gland or cyst (56740) | $3,105.20 | $4,436 | 1.0× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$245.64–$424.33 | $350.91–$606.18 | varies |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,764 | $2,520 | 1.1× |
| External cephalic version (59412) range across 2 matching MRF lines |
$213.50–$218.40 | $305–$312 | varies |
| Fetal non-stress test (59025) | $207.20 | $296 | 1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $600.60 | $858 | 0.6× |
| Hysteroscopy Biopsy (58558) | $3,528 | $5,040 | 1.1× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$151.20–$232.40 | $216–$332 | varies |
| I&d pilonidal cyst simple (10080) | $207.20 | $296 | 0.3× |
| Incise external hemorrhoid (46083) | $425.60 | $608 | 1.7× |
| Incise finger tendon sheath (26055) | $1,214.50 | $1,735 | 0.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$154–$365.40 | $220–$522 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$201.60–$252 | $288–$360 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $105 | $150 | 0.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$79.80–$393.40 | $114–$562 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $450.80 | $644 | 0.6× |
| Injection anesthetic agent suprascapular nerve (64418) | $178.50 | $255 | 0.3× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$79.80–$119 | $114–$170 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 6 matching MRF lines |
$74.90–$434 | $107–$620 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$128.80–$238.70 | $184–$341 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$85.40–$153.30 | $122–$219 | varies |
| Insert cath pleura w/ image (32557) | $308 | $440 | 0.2× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$128.80–$211.40 | $184–$302 | varies |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$172.20–$1,673 | $246–$2,390 | varies |
| Insert Temp Bladder Cath (51702) | $95.90 | $137 | 0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $95.90 | $137 | 0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 4 matching MRF lines |
$171.50–$2,952.89 | $245–$4,218.42 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$199.50–$503.58 | $285–$719.40 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$149.80–$380.80 | $214–$544 | varies |
| Laparo-vag hyst incl t/o (58552) range across 2 matching MRF lines |
$728.70–$2,007.60 | $1,041–$2,868 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) | $6,482 | $9,260 | 1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$1,345.40–$6,482 | $1,922–$9,260 | varies |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $6,482 | $9,260 | 0.6× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,659 | $2,370 | 0.3× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$140–$277.20 | $200–$396 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$183.40–$359.10 | $262–$513 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$217–$534.80 | $310–$764 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $201.60 | $288 | 0.3× |
| Pericardiocentesis W/Imaging (33016) | $3,015.60 | $4,308 | 1.9× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$119–$239.40 | $170–$342 | varies |
| Punch biopsy skin single lesion (11104) | $84 | $120 | 0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $175 | $250 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$320.60–$607.60 | $458–$868 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$30.16–$140.70 | $43.08–$201 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$67.20–$95.90 | $96–$137 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$208.60–$213.50 | $298–$305 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$119–$175.35 | $170–$250.50 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$91–$186.90 | $130–$267 | varies |
| Remove Nasal Foreign Body (30300) | $257.60 | $368 | 1.9× |
| Remove Tendon Sheath Lesion (26160) | $2,100 | $3,000 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $905.10 | $1,293 | 2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $642.60 | $918 | 1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,400 | $2,000 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $360.50 | $515 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $383.60 | $548 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $325.50 | $465 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $242.20 | $346 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$498.14–$524.30 | $711.63–$749 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $289.80 | $414 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $385.70 | $551 | 0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$197.40–$431.28 | $282–$616.11 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$93.80–$186.90 | $134–$267 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,507.80 | $2,154 | 0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $690.90 | $987 | 0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $421.40 | $602 | 2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$128.10–$280.70 | $183–$401 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$153.30–$320.60 | $219–$458 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$121.80–$281.40 | $174–$402 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $516.60 | $738 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$234.50–$242.20 | $335–$346 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$120.69–$275.10 | $172.41–$393 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $333.20 | $476 | 1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$242.20–$259.70 | $346–$371 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $252 | $360 | 1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$151.83–$308 | $216.90–$440 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$189.70–$324.10 | $271–$463 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$169.40–$313.60 | $242–$448 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$119.70–$259.70 | $171–$371 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $385.70 | $551 | 0.9× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$79.10–$330.40 | $113–$472 | varies |
| Strapping knee (29530) | $163.80 | $234 | 1.2× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$100.80–$163.80 | $144–$234 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$53.90–$130.90 | $77–$187 | varies |
| Tangential biopsy skin single lesion (11102) | $113.40 | $162 | 0.3× |
| Thrombolytic Therapy Stroke (37195) | $319.20 | $456 | 1.0× |
| Treat Knuckle Dislocation (26700) | $252 | $360 | 1.0× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$266.70–$527.10 | $381–$753 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$691.60–$764.40 | $988–$1,092 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$32.90–$143.50 | $47–$205 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$39.20–$165.20 | $56–$236 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$44.10–$166.60 | $63–$238 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $29.40 | $42 | 0.5× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$44.10–$554.40 | $63–$792 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 3 matching MRF lines |
$666.18–$2,633.40 | $951.69–$3,762 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
$778.05–$870.10 | $1,111.50–$1,243 | varies |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$1,603.70–$3,105.20 | $2,291–$4,436 | 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.