Procedures & surgery prices at Shriners Children's Ohio

Dayton, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $8,396.25 $8,396.25 4.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $14,143.30–$15,339.71 $14,143.30–$15,339.71 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $5,056.80–$12,735.40 $5,056.80–$12,735.40 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $6,063.32 $6,063.32 3.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $8,138.29 $8,138.29 4.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $8,138.29 $8,138.29 4.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $14,036.44 $14,036.44 4.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $14,036.44 $14,036.44 4.4×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $1,304.54 $1,304.54 4.3×
Anal/Urinary Muscle Study (51784) $433.60 $433.60 3.4×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $687.33 $687.33 4.3×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $1,206.60 $1,206.60 4.4×
Application cast elbow finger short arm (29075) $1,177.70 $1,177.70 4.3×
Application Cast Finger (29086) $687.33 $687.33 4.3×
Application Cast Shoulder Spica (29055) $1,131.30 $1,131.30 4.1×
Application Finger Splint Dynamic (29131) $291.10 $291.10 5.0×
Application finger splint static (29130) $547.52 $547.52 4.2×
Application Hip Spica Cast 1 Leg (29305) $1,252.34 $1,252.34 4.6×
Application long arm splint shoulder hand (29105) $687.33 $687.33 4.3×
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 2 matching MRF lines		 $1,177.70–$1,347.45 $1,177.70–$1,347.45 varies
Application Long Leg Splint (29505) $687.33 $687.33 4.3×
Application of cylinder cast (thigh to ankle) (29365) $1,177.70 $1,177.70 4.3×
Application of long leg cast (29345) $1,177.70 $1,177.70 4.3×
Application of rigid total contact leg cast (29445) $1,177.70 $1,177.70 4.3×
Application Patellar Tendon Bearing Cast (29435) $1,177.70 $1,177.70 4.3×
Application Short Arm Splint Dynamic (29126) $533.60 $533.60 4.1×
Application short arm splint forearm-hand static (29125) $547.52 $547.52 4.2×
Application short leg splint calf foot (29515) $687.33 $687.33 4.3×
Apply hand/wrist cast (29085) $687.33 $687.33 4.3×
Apply long arm cast (29065) $1,177.70 $1,177.70 4.3×
Apply Short Leg Cast (29405) $1,177.70 $1,177.70 4.3×
Apply short leg cast (29425)
range across 2 matching MRF lines		 $1,131.30–$1,206.60 $1,131.30–$1,206.60 varies
Arterial puncture (36600) $573.92 $573.92 4.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $630.60 $630.60 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $3,038.39 $3,038.39 4.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,282.10 $1,282.10 4.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,391.97 $1,391.97 4.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,282.10 $1,282.10 4.3×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $14,036.44 $14,036.44 4.4×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $14,036.44 $14,036.44 4.4×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $32,142.40 $32,142.40 4.5×
Aspirate Pleura W/O Imaging (32554) $2,727.92 $2,727.92 4.4×
Aspirate/Inj Ganglion Cyst (20612) $1,282.10 $1,282.10 4.3×
Aspiration and/or injection thyroid cyst (60300) $3,060.22 $3,060.22 4.4×
Avulsion nail plate partial/complete simple 1 (11730) $966.58 $966.58 4.9×
Biopsy Pleura Percutaneous Needle (32400) $7,071.13 $7,071.13 4.4×
Bladder Scan (51798) $328.20 $328.20 5.7×
Blood Transfusion Service (36430) $1,845.30 $1,845.30 4.3×
Breast augmentation with implant (19325) $11,192.37 $11,192.37 1.4×
Breast Reduction (19318) $28,472.25 $28,472.25 4.4×
Canthoplasty (67950) $4,448.05 $4,448.05 1.9×
Carpal Tunnel Surgery (64721) $8,476.21 $8,476.21 4.4×
Catheter aspiration nasotracheal spx (31720) $158 $158 0.7×
Change of Windpipe Airway (31502) $524.10 $524.10 2.3×
Chemical Cautery Tissue (17250) $851.53 $851.53 4.3×
Chemodenerv 1 extrem 5/> mus (64644) $3,038.39 $3,038.39 4.4×
Chemodenerv 1 extremity 1-4 (64642) $3,038.39 $3,038.39 4.4×
Chemodenerv musc neck dyston (64616) $1,282.10 $1,282.10 4.3×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $1,282.10 $1,282.10 4.3×
Chemodenerv trunk musc 1-5 (64646) $3,038.39 $3,038.39 4.4×
Chemodenerv trunk musc 6/> (64647) $630.60 $630.60 0.9×
Chemodenervation eccrine glands oth area per day (64653) $1,282.10 $1,282.10 4.3×
Chemodenervation of internal anal sphincter (46505) $5,106.46 $5,106.46 4.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $1,282.10 $1,282.10 4.3×
Circumcision 28 days or older (54161) $8,746.69 $8,746.69 4.3×
Cl Tx Tib Shft Fx W Manip (27752) $6,764.48 $6,764.48 4.3×
Clear outer ear canal (69200) $547.52 $547.52 4.2×
Closed Rx Metacarpal Fx,Percut (26608) $14,036.44 $14,036.44 4.4×
Closed Rx Spontaneous Hip Disloc (27256) $976.16 $976.16 4.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $976.16 $976.16 4.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $6,764.48 $6,764.48 4.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $976.16 $976.16 4.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $976.16 $976.16 4.0×
Closed Treatment Sesamoid Fracture (28530) $976.16 $976.16 4.0×
Closed Treatment Ulnar Styloid Fracture (25650) $976.16 $976.16 4.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $6,764.48 $6,764.48 4.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $976.16 $976.16 4.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $976.16 $976.16 4.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $976.16 $976.16 4.0×
Closed tx carpal scaphoid fracture w/manj (25624) $6,764.48 $6,764.48 4.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $976.16 $976.16 4.0×
Closed tx femoral fracture prox head w/o manj (27267) $17,343.66 $17,343.66 5.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $976.16 $976.16 4.0×
Closed tx knee dislocation w/o anesthesia (27550) $976.16 $976.16 4.0×
Closed tx metatarsal fracture w/o manipulation (28470) $976.16 $976.16 4.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $6,764.48 $6,764.48 4.3×
Closed tx patellar dislocation w/o anesthesia (27560) $976.16 $976.16 4.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $976.16 $976.16 4.0×
Closed tx radial head/neck fx w/manipulation (24655) $6,764.48 $6,764.48 4.3×
Closed tx radial head/neck fx w/o manipulation (24650) $976.16 $976.16 4.0×
Closed tx radial shaft fracture w/manipulation (25505) $14,036.44 $14,036.44 8.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $976.16 $976.16 4.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $6,764.48 $6,764.48 4.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $976.16 $976.16 4.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $976.16 $976.16 4.0×
Closed Tx Talus Fracture W/Manipulation (28435) $6,764.48 $6,764.48 4.3×
Closed tx talus fracture w/o manipulation (28430) $976.16 $976.16 4.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $6,764.48 $6,764.48 4.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $976.16 $976.16 4.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $976.16 $976.16 4.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $976.16 $976.16 4.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $976.16 $976.16 4.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $6,764.48 $6,764.48 4.3×
Clsd tx clavicular fracture w/o manipulation (23500) $976.16 $976.16 4.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $976.16 $976.16 4.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $6,764.48 $6,764.48 4.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $976.16 $976.16 4.0×
Cltx dstl fibular fx lat malls w/manj (27788) $976.16 $976.16 4.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $976.16 $976.16 4.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $976.16 $976.16 4.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $976.16 $976.16 4.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $6,764.48 $6,764.48 4.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $6,764.48 $6,764.48 4.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $976.16 $976.16 4.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $976.16 $976.16 0.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $976.16 $976.16 4.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $6,764.48 $6,764.48 4.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $976.16 $976.16 4.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $976.16 $976.16 4.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $976.16 $976.16 4.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $976.16 $976.16 4.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $6,764.48 $6,764.48 4.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $976.16 $976.16 4.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $976.16 $976.16 4.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $6,764.48 $6,764.48 4.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $976.16 $976.16 4.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $976.16 $976.16 4.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $6,764.48 $6,764.48 4.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $6,764.48 $6,764.48 4.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $976.16 $976.16 4.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $6,764.48 $6,764.48 4.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,131.30 $1,131.30 4.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $976.16 $976.16 4.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,131.15 $1,131.15 4.7×
Cltx Med Ankle Fx W/Mnpj (27762) $6,764.48 $6,764.48 4.3×
Cltx Medial Ankle Fx (27760) $976.16 $976.16 4.0×
Cltx metacarpal fx w/manipulation each bone (26605) $976.16 $976.16 4.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $976.16 $976.16 4.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $976.16 $976.16 4.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $976.16 $976.16 4.0×
Cltx post hip arthrp dislc w/o anes (27265) $976.16 $976.16 4.0×
Cltx prox fibula/shft fx w/manj (27781) $6,764.48 $6,764.48 4.3×
Cltx prox fibula/shft fx w/o manj (27780) $976.16 $976.16 4.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $6,764.48 $6,764.48 4.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $976.16 $976.16 4.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $976.16 $976.16 4.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $6,764.48 $6,764.48 4.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $6,764.48 $6,764.48 4.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $6,764.48 $6,764.48 4.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $6,764.48 $6,764.48 4.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $976.16 $976.16 4.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $976.16 $976.16 4.0×
Cltx tibial fx proximal w/o manipulation (27530) $976.16 $976.16 4.0×
Cltx tibial shaft fx w/o manipulation (27750) $976.16 $976.16 4.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $6,764.48 $6,764.48 4.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $976.16 $976.16 4.0×
Collection of venous blood by venipuncture (36415) $17.10 $17.10 1.8×
Complex Cystometrogram (51726) $1,013.22 $1,013.22 4.1×
Csf shunt reprogram (62252) $1,304.54 $1,304.54 4.3×
Cystometrogram W/Up (51727) $2,948.79 $2,948.79 4.3×
Cystometrogram W/Vp (51728) $2,948.79 $2,948.79 4.3×
Cystometrogram W/Vp&Up (51729) $3,359.32 $3,359.32 4.9×
Cystourethroscopy (52000) $3,359.32 $3,359.32 4.9×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $12,181.32 $12,181.32 4.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $7,071.13 $7,071.13 4.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,759.21 $1,759.21 4.4×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $9,613.75 $9,613.75 4.8×
Delay Flap/Sectioning Flap Trunk (15600) $15,339.71 $15,339.71 4.4×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $851.53–$6,367.70 $851.53–$6,367.70 varies
Destruction Lesions Vulva Simple (56501) $8,138.29 $8,138.29 4.0×
Destruction premalignant lesion 1st (17000) $851.52 $851.52 4.3×
Drain Cerebro Spinal Fluid (62272) $2,991.70 $2,991.70 4.3×
Drain/inj small joint/bursa w/us (20604) $1,478.78 $1,478.78 4.9×
Drainage external auditory canal abscess (69020) $3,060.22 $3,060.22 4.4×
Drainage external ear abscess/hematoma cmplx (69005) $7,071.13 $7,071.13 4.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $3,060.22 $3,060.22 4.4×
Dressing Change Under Anesthesia (15852) $2,739.47 $2,739.47 3.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $3,060.22 $3,060.22 4.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,759.21 $1,759.21 4.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $851.53 $851.53 4.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $851.53–$8,396.25 $851.53–$8,396.25 varies
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108)
range across 2 matching MRF lines		 $7,787.50–$8,625.73 $7,787.50–$8,625.73 varies
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $1,304.54 $1,304.54 4.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,304.54 $1,304.54 4.3×
Electro-Uroflowmetry First (51741) $433.60 $433.60 2.0×
Evacuation of subungual hematoma (11740) $607.82 $607.82 4.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $3,060.22 $3,060.22 4.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,042.21 $4,042.21 2.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $3,060.22–$4,198.13 $3,060.22–$4,198.13 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $3,060.22 $3,060.22 4.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $3,060.22–$6,063.33 $3,060.22–$6,063.33 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $6,367.70–$7,071.13 $6,367.70–$7,071.13 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $4,198.13–$7,071.13 $4,198.13–$7,071.13 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $3,060.22 $3,060.22 4.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $7,071.13 $7,071.13 4.4×
Exc Hand Les Sc < 1.5 Cm (26115) $7,071.13 $7,071.13 4.4×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $8,476.21 $8,476.21 4.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $3,060.22 $3,060.22 4.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $7,071.13–$12,735.40 $7,071.13–$12,735.40 varies
Exc Skin Benig >4cm Face,Facial (11446) $9,448.46 $9,448.46 3.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $7,071.13 $7,071.13 4.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,759.21 $1,759.21 4.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $3,060.22 $3,060.22 4.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $4,042.23–$7,071.13 $4,042.23–$7,071.13 varies
Excision External Ear Partial Simple Repair (69110) $4,016.25 $4,016.25 1.4×
Excision Lingual Frenum Frenectomy (41115) $6,984.98 $6,984.98 4.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $3,060.22 $3,060.22 4.4×
Excision/curettage cyst/tumor phalanx finger (26210) $6,764.48 $6,764.48 4.3×
Fine needle aspiration without imaging guidance (10021) $1,759.21 $1,759.21 4.4×
Fluid Pressure Muscle (20950) $3,317.78 $3,317.78 4.8×
Fna Bx W/Fluor Gdn 1St Les (10007) $267.70 $267.70 0.4×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $8,138.29 $8,138.29 4.0×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $8,138.29 $8,138.29 4.0×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $6,357.12 $6,357.12 1.1×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $11,440 $11,440 2.0×
Grafting of autologous fat by lipo 25 cc or less (15773) $22,384.75 $22,384.75 11.1×
Grafting of autologous fat by lipo 50 cc or less (15771) $5,720 $5,720 1.6×
I&d abscess peritonsillar (42700) $980.02 $980.02 4.2×
I&d abscess simple (10060) $851.53 $851.53 4.3×
I&d pilonidal cyst simple (10080) $3,060.22 $3,060.22 4.4×
Impression and custom preparation; interim obturator prosthesis Facility (21079) $15,292.70 $15,292.70 4.7×
Incision & drainage abscess complicated/multiple (10061) $1,759.21 $1,759.21 4.4×
Incision extensor tendon sheath wrist (25000) $6,764.48 $6,764.48 4.3×
Incision of lingual frenum (frenotomy) (41010) $6,984.98 $6,984.98 4.6×
Initial Tx 1st Degree Burn Local Tx (16000) $851.53 $851.53 4.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $4,018.45 $4,018.45 4.6×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $4,261.06 $4,261.06 4.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,282.10 $1,282.10 4.3×
Injection single tendon origin/insertion (20551) $1,282.10 $1,282.10 4.3×
Injection single/mlt trigger point 1/2 muscles (20552) $1,282.10 $1,282.10 4.3×
Injection single/mlt trigger point 3/> muscles (20553) $1,282.10 $1,282.10 4.3×
Injection therapeutic carpal tunnel (20526) $1,282.10 $1,282.10 4.3×
Injection, anesthetic agent; femoral nerve, single (64447) $653.14 $653.14 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $3,038.39 $3,038.39 4.4×
Injection, intralesional; up to and including 7 lesions (11900) $851.53 $851.53 4.3×
Insert and remove bone pin (20650) $14,036.44 $14,036.44 4.4×
Insert Temp Bladder Cath (51702) $702.80 $702.80 5.4×
Insert,Non-Indwelling Bladder Catheter (51701) $252.50 $252.50 1.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $7,689.20 $7,689.20 5.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $7,325.25 $7,325.25 4.7×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $24,577.89 $24,577.89 4.1×
Laryngoscopy flexible diagnostic (31575) $842.90 $842.90 4.3×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,930.80 $1,930.80 5.0×
Lateral Canthopexy (21282) $13,415.74 $13,415.74 4.1×
Lip Surgery Procedure (40799) $13,952.90 $13,952.90 60.1×
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $15,170.40–$21,167.25 $15,170.40–$21,167.25 varies
Mastopexy (19316) $25,428.50 $25,428.50 3.9×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $8,138.29 $8,138.29 4.0×
Nasal Endoscopy Dx (31231) $842.90 $842.90 4.3×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $794.90 $794.90 3.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $137.10 $137.10 4.8×
Needle insertion w/o injection 3 or more muscles (20561) $137.10 $137.10 4.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,965.33 $1,965.33 4.7×
Nipple/areola reconstruction (19350) $23,602.25 $23,602.25 6.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,018.45 $4,018.45 4.6×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $25,179.21 $25,179.21 4.3×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $25,179.21 $25,179.21 4.3×
Palatop cl palate soft&/hard palate only (42200) $12,048.75 $12,048.75 2.1×
Partial excision of lip (40520) $4,219.16 $4,219.16 1.3×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $14,036.44 $14,036.44 4.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,759.21 $1,759.21 4.4×
Reconstruct cleft palate (42210) $6,976.45 $6,976.45 1.2×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $13,627.38 $13,627.38 2.3×
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) $4,448.05 $4,448.05 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $280.10 $280.10 4.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $271.05 $271.05 4.7×
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $2,253.50–$7,280.83 $2,253.50–$7,280.83 varies
Removal Implant Superficial Separate Procedure (20670) $7,071.13 $7,071.13 4.4×
Removal or bivalving full arm or full leg cast (29705) $1,131.30 $1,131.30 4.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $851.53 $851.53 4.3×
Removal Sutures/Staples Requiring Anesthesia (15851) $8,627.15 $8,627.15 4.3×
Remove Nasal Foreign Body (30300) $547.52 $547.52 4.2×
Remove tissue expander (11971) $12,181.32 $12,181.32 4.3×
Repair arm/leg nerve (64857) $29,135.42 $29,135.42 8.7×
Repair cleft lip/nasal (40720) $13,344.15 $13,344.15 4.1×
Repair cleft lip/nasal (40702) $14,483.75 $14,483.75 2.5×
Repair cleft lip/nasal (40761) $13,875 $13,875 2.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $4,016.25–$6,063.32 $4,016.25–$6,063.32 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $4,198.12 $4,198.12 10.5×
Repair complex trunk 2.6-7.5 cm (13101) $2,739.47 $2,739.47 3.8×
Repair Finger/Hand Tendon (26350) $14,036.44 $14,036.44 4.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $1,759.21–$6,367.70 $1,759.21–$6,367.70 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $9,448.45 $9,448.45 23.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,759.21 $1,759.21 4.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $1,759.21–$4,042.21 $1,759.21–$4,042.21 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,759.21 $1,759.21 4.4×
Repair mouth/nose fistula (30600) $6,976.45 $6,976.45 1.2×
Replace g/c tube perc (49450) $4,421.06 $4,421.06 5.0×
Respir iadna 18 viral&2 bact (0115U) $1,298.41 $1,298.41 4.7×
Revise external ear (69300)
range across 2 matching MRF lines		 $4,016.25–$15,170.40 $4,016.25–$15,170.40 varies
Revision of nose (30462) $6,357.14 $6,357.14 1.1×
Rhinoplasty primary w/major septal repair (30420) $11,440 $11,440 2.0×
Rhinp Prim Complete Xtrnl Parts (30410) $25,179.21 $25,179.21 4.3×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $1,206.60 $1,206.60 4.4×
Rplc Gtube No Revj Trc (43762) $1,013.22 $1,013.22 4.1×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $14,036.44 $14,036.44 4.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $14,036.44 $14,036.44 4.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $14,036.44 $14,036.44 4.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $8,396.25 $8,396.25 21.1×
Simple Cystometrogram (51725) $1,253.20 $1,253.20 5.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $851.52 $851.52 4.3×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $6,328.75–$8,138.29 $6,328.75–$8,138.29 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $4,448.05–$8,625.73 $4,448.05–$8,625.73 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $1,883.98–$3,527.87 $1,883.98–$3,527.87 varies
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $2,739.47–$19,454.44 $2,739.47–$19,454.44 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $3,183.85–$9,940.13 $3,183.85–$9,940.13 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $851.52 $851.52 4.3×
Spinal puncture lumbar diagnostic (62270) $2,991.70 $2,991.70 4.3×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $15,339.71 $15,339.71 4.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $8,138.29–$11,496.75 $8,138.29–$11,496.75 varies
Strapping ankle (29540) $707.94 $707.94 4.4×
Strapping elbow or wrist (29260) $274.82 $274.82 4.8×
Strapping hand/finger (29280) $274.82 $274.82 4.8×
Strapping knee (29530) $573.92 $573.92 4.4×
Strapping shoulder (29240) $573.92 $573.92 4.4×
Strapping toes (29550) $291.10 $291.10 5.0×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $851.52 $851.52 4.3×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $2,739.47 $2,739.47 3.8×
Suction assisted lipectomy; trunk (15877) $13,344.15 $13,344.15 3.8×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $2,739.47 $2,739.47 3.8×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $14,036.44 $14,036.44 4.4×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $6,764.48 $6,764.48 4.3×
Thyroid biopsy (60100) $3,060.22 $3,060.22 4.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $4,448.05–$8,625.73 $4,448.05–$8,625.73 varies
Tooth extraction (41899) $10,831.25 $10,831.25 46.7×
Treat humerus fracture (24500) $976.16 $976.16 4.0×
Treat Humerus Fracture (24505) $6,764.48 $6,764.48 4.3×
Treat humerus fracture (23600) $976.16 $976.16 4.0×
Treat knee fracture (27532) $14,036.44 $14,036.44 4.4×
Treat Knee Fracture(S) (27538) $976.16 $976.16 4.0×
Treat Metatarsal Fracture (28475) $976.16 $976.16 4.0×
Treat toe dislocation (28630) $976.16 $976.16 4.0×
Treatment closed elbow dislocation w/o anes (24600) $976.16 $976.16 4.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $976.16 $976.16 4.0×
Unlisted Procedure External Ear (69399) $1,095.03 $1,095.03 4.7×
Unlisted Procedure Hands/Fingers (26989) $976.16 $976.16 4.0×
Unlisted procedure humerus/elbow (24999) $976.16 $976.16 4.0×
Unlisted procedure spine (22899) $976.16 $976.16 4.0×
Urinary Reflex Study (51792) $402.80 $402.80 7.0×
Wedge excision skin nail fold (11765) $1,759.21 $1,759.21 4.4×
Wedging of cast (29740) $1,131.30 $1,131.30 4.1×
Windowing of cast (29730) $687.33 $687.33 4.3×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $2,739.47–$3,183.85 $2,739.47–$3,183.85 varies
Wound Prep Trk/Arm/Leg (15002) $11,496.75 $11,496.75 15.9×
Xtrnl fixj w/strtctc adjustment exchange strut (20697) $7,546.73 $7,546.73 4.8×

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.