Procedures & surgery prices at Sidney Regional Medical Center

Sidney, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines		 $1,496–$1,981 $1,496–$1,981 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $682–$1,287 $682–$1,287 varies
Abdomen Surgery Procedure (22999) $2,444 $2,444 9.5×
Ablate inf turbinate submuc (30802) $1,801 $1,801 1.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,824 $3,824 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,444 $2,444 1.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,257 $4,257 2.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $6,237 $6,237 2.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,725 $2,725 1.3×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $5,637 $5,637 2.6×
Anal/Urinary Muscle Study (51784) $510 $510 3.8×
Anoscopy diagnostic (46600) $543 $543 3.9×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines		 $407–$2,567 $407–$2,567 varies
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $342–$385 $342–$385 varies
Application Finger Splint Dynamic (29131) $417 $417 6.8×
Application finger splint static (29130) $296 $296 2.1×
Application long arm splint shoulder hand (29105) $414 $414 2.5×
Application Long Leg Splint (29505) $491 $491 2.9×
Application of rigid total contact leg cast (29445) $920 $920 3.2×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $187–$331 $187–$331 varies
Application short leg splint calf foot (29515) $376 $376 2.2×
Apply hand/wrist cast (29085) $221 $221 1.3×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $200–$397 $200–$397 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $532–$1,272 $532–$1,272 varies
Apply Short Leg Cast (29405) $609 $609 2.1×
Arterial puncture (36600) $240 $240 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $397–$491 $397–$491 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $329–$814 $329–$814 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $667–$708 $667–$708 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $152–$1,158 $152–$1,158 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $473–$518 $473–$518 varies
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $934–$1,134 $934–$1,134 varies
Aspirate Pleura W/O Imaging (32554) $297 $297 0.5×
Aspirate/Inj Ganglion Cyst (20612) $175 $175 0.5×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,775–$5,355 $2,775–$5,355 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $432–$557 $432–$557 varies
Biopsy External Auditory Canal (69105) $404 $404 0.3×
Biopsy muscle percutaneous needle (20206) $1,320 $1,320 0.8×
Biopsy Muscle Superficial (20200) $3,062 $3,062 1.8×
Biopsy of liver, needle; percutaneous (47000) $2,897 $2,897 1.7×
Biopsy Oropharynx (42800) $1,927 $1,927 1.2×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,622 $1,622 0.9×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,662 $1,662 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $382 $382 0.4×
Biopsy, vestibule of mouth (40808) $516 $516 0.9×
Bladder instillation anticarcinogenic agent (51720) $1,140 $1,140 1.6×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $320–$556 $320–$556 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $223–$256 $223–$256 varies
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $1,100–$2,103 $1,100–$2,103 varies
Bx breast needle core w/o imaging guidance spx (19100) $1,064 $1,064 0.6×
Bx Cervix (57500) $171 $171 0.2×
Canthotomy Separate Procedure (67715) $2,338 $2,338 0.9×
Carpal Tunnel Surgery (64721) $3,050 $3,050 1.5×
Cataract surgery complex (66982) $4,248 $4,248 1.8×
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines		 $570–$1,689 $570–$1,689 varies
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $351–$1,370 $351–$1,370 varies
Change of Windpipe Airway (31502) $380 $380 1.5×
Chemical Cautery Tissue (17250) $330 $330 1.6×
Chemodenerv 1 extrem 5/> mus (64644) $489 $489 0.7×
Chemodenerv 1 extremity 1-4 (64642) $371 $371 0.5×
Chemodenerv Musc Migraine (64615) $400 $400 1.3×
Chemodenerv musc neck dyston (64616) $849 $849 2.7×
Chemodenervation of internal anal sphincter (46505) $2,291 $2,291 1.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $199 $199 0.6×
Chest tube placement (32551) $1,139 $1,139 0.7×
Circumcision w/clamp/oth dev w/block (54150) $930 $930 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $1,985 $1,985 1.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $258–$286 $258–$286 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,510 $1,510 5.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $2,941 $2,941 11.5×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $249 $249 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $1,368 $1,368 5.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,529 $2,529 1.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $249 $249 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $3,537 $3,537 13.8×
Closed tx metatarsal fracture w/o manipulation (28470) $436 $436 1.7×
Closed tx patellar dislocation w/anesthesia (27562) $1,951 $1,951 7.6×
Closed tx patellar dislocation w/o anesthesia (27560) $1,220 $1,220 4.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $234 $234 0.9×
Closed tx radial head/neck fx w/manipulation (24655) $8,012 $8,012 4.8×
Closed tx radial head/neck fx w/o manipulation (24650) $417 $417 1.6×
Closed tx radial shaft fracture w/manipulation (25505) $2,731 $2,731 1.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,670 $2,670 1.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $383 $383 1.5×
Closed tx ulnar shaft fracture w/o manipulation (25530) $249 $249 1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $244 $244 1.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $249 $249 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $485 $485 1.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,918 $2,918 1.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,066 $1,066 4.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $5,326 $5,326 3.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $5,447 $5,447 21.3×
Cltx dstl fibular fx lat malls w/manj (27788) $1,470 $1,470 5.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $428 $428 1.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $468 $468 1.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $535 $535 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,764 $2,764 1.7×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $236 $236 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $1,500 $1,500 5.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $237 $237 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,214 $4,214 2.5×
Cltx Greater Trochanteric Fx W/O Manj (27246) $249 $249 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $939 $939 3.7×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $341–$843 $341–$843 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $1,644 $1,644 6.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,091 $1,091 4.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $381 $381 1.5×
Cltx post hip arthrp dislc req anes (27266) $3,583 $3,583 2.1×
Cltx post hip arthrp dislc w/o anes (27265) $1,463 $1,463 5.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $410 $410 1.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,572 $3,572 2.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,461 $2,461 1.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $234 $234 0.9×
Cltx tibial fx proximal w/o manipulation (27530) $1,131 $1,131 4.4×
Cltx tibial shaft fx w/o manipulation (27750) $236 $236 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,390 $1,390 0.8×
Collect Blood From Catheter Venous Nos (36592) $263 $263 1.9×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $34–$38 $34–$38 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $158 $158 0.5×
Colposcopy Cervix Endocervical Curettage (57456) $158 $158 0.5×
Colposcopy cervix upper/adjacent vagina (57452) $176 $176 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $158 $158 0.5×
Colposcopy entire vagina w/cervix if present (57420) $1,371 $1,371 4.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $804 $804 0.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $599 $599 0.5×
Complex drainage wound (10180) $3,473 $3,473 1.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,948 $3,948 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $610 $610 4.4×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $395–$408 $395–$408 varies
Create Eardrum Opening (69433) $145 $145 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $631 $631 4.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $462 $462 1.9×
Cysto calibration dilat urtl strix/stenosis (52281) $4,153 $4,153 1.9×
Cysto w/complex removal stone & stent (52315) $3,959 $3,959 1.8×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $8,226 $8,226 1.5×
Cysto w/irrig & evac multple obstructing clots (52001) $4,014 $4,014 1.1×
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines		 $4,426–$8,332 $4,426–$8,332 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $3,700–$4,245 $3,700–$4,245 varies
Cystometrogram W/Vp (51728) $777 $777 1.1×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $2,100–$2,298 $2,100–$2,298 varies
Cystourethroscopy inj chemodenervation bladder (52287) $4,713 $4,713 2.2×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $2,148–$4,857 $2,148–$4,857 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $6,998 $6,998 3.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $680 $680 0.9×
Debride nail 1-5 (11720) $57 $57 0.9×
Debride nail 6 or more (11721) $75 $75 1.2×
Debridement Mastoidectomy Cavity Cmplx (69222) $544 $544 1.0×
Debridement Mastoidectomy Cavity Simple (69220) $214 $214 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $1,647–$1,746 $1,647–$1,746 varies
Declot vascular device (36593) $834 $834 2.4×
Delivery of placenta (59414) $5,977 $5,977 1.8×
Destroy cerv/thor facet jnt (64633) $5,850 $5,850 2.9×
Destroy lumb/sac facet jnt (64635) $6,358 $6,358 3.1×
Destruct B9 Lesion 1-14 (17110) $215 $215 1.0×
Destruction Benign Lesions 15/> (17111) $128 $128 0.6×
Destruction by neurolytic agent, intercostal nerve (64620) $2,284 $2,284 2.5×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $157 $157 0.8×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $207 $207 1.0×
Destruction neurolytic agt genicular nerve w/img (64624) $2,603 $2,603 1.3×
Destruction Premalignant Lesion 15/> (17004) $193 $193 0.5×
Destruction premalignant lesion 1st (17000) $162 $162 0.8×
Destruction Vaginal Lesions Simple (57061) $3,029 $3,029 0.9×
Diagnostic sigmoidoscopy (45330) $1,842 $1,842 1.9×
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $287–$1,330 $287–$1,330 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $756 $756 1.0×
Drainage of finger abscess simple (26010) $623 $623 3.0×
Drainage of gum lesion (41800) $546 $546 4.0×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $2,812–$4,195 $2,812–$4,195 varies
Drainage of hydrocele (55000) $422 $422 0.6×
Draw Blood Off Venous Device (36591) $256 $256 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $380 $380 1.8×
Dstrj Lesion Penis Simple Chemical (54050) $381 $381 0.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $781 $781 0.9×
Dx Bone Marrow Bx & Aspir (38222) $2,652 $2,652 0.9×
Dx Bronchoscope/Wash (31622) $5,250 $5,250 2.8×
Dx gastr intub w/asp spec (43754) $951 $951 4.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $273 $273 0.9×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $102 $102 0.3×
Electro-Uroflowmetry First (51741) $242 $242 1.1×
Endocervical curettage (57505) $461 $461 0.5×
Endometrial Biopsy (58100) $128 $128 0.6×
Epidural Blood Patch (62273) $1,870 $1,870 2.6×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,504 $1,504 1.6×
Evacuation of subungual hematoma (11740) $294 $294 2.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $301–$2,154 $301–$2,154 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $2,550–$5,162 $2,550–$5,162 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $3,424–$5,224 $3,424–$5,224 varies
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $2,449–$9,411 $2,449–$9,411 varies
Exc back tum deep < 5 cm (21932) $2,809 $2,809 0.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $475 $475 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $708 $708 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,370 $1,370 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $495 $495 0.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $220 $220 0.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,701 $1,701 2.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $414 $414 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,344 $1,344 0.8×
Exc Forearm Les Sc 3 Cm/> (25071) $1,692 $1,692 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,018 $1,018 0.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $395 $395 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $981 $981 0.6×
Exc hydrocele sprmatic cord uni spx (55500) $6,022 $6,022 1.6×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,433 $3,433 1.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,378 $1,378 1.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $1,426–$4,978 $1,426–$4,978 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $2,124–$7,412 $2,124–$7,412 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,992 $1,992 1.2×
Exc Skin Benig >4cm Face,Facial (11446) $2,765 $2,765 0.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,256 $1,256 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,674 $2,674 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,797 $1,797 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $5,903 $5,903 2.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,378–$2,092 $1,378–$2,092 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $397 $397 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $547–$1,575 $547–$1,575 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,640 $1,640 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $6,937 $6,937 2.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,265 $2,265 0.8×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,614 $2,614 1.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $1,372–$2,587 $1,372–$2,587 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $5,797 $5,797 1.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,207 $3,207 1.1×
Exchange Intraocular Lens (66986) $7,533 $7,533 3.1×
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		 $743–$1,592 $743–$1,592 varies
Excision Excessive Skin & Subq Tissue Other Area (15839) $4,345 $4,345 1.4×
Excision H/P/P/U Complex Repair (11471) $2,608 $2,608 0.9×
Excision lesion mouth roof (42104) $3,963 $3,963 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $288 $288 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $562 $562 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $652 $652 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,380 $1,380 1.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $272 $272 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,315 $1,315 0.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,623 $1,623 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,903 $1,903 1.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $549 $549 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,101 $1,101 1.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,024 $1,024 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $8,414 $8,414 2.8×
Excision of tonsil tags (42860) $3,191 $3,191 0.9×
Excision of vaginal cyst or tumor (57135) $3,784 $3,784 1.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,321 $3,321 1.9×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,821 $1,821 1.1×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,226 $2,226 1.3×
Excision/destruction lesion pharynx any method (42808) $5,339 $5,339 1.6×
Fasciotomy, foot and/or toe (28008) $2,183 $2,183 0.6×
Fetal non-stress test (59025) $662 $662 3.2×
Fine needle aspiration without imaging guidance (10021) $130 $130 0.3×
Fna bx w/us gdn 1st les (10005)
range across 4 matching MRF lines		 $751–$1,478 $751–$1,478 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,353 $1,353 0.6×
Guide Cathet Fluid Drainage (10030) $1,550 $1,550 2.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $924–$1,684 $924–$1,684 varies
I&d abscess peritonsillar (42700) $572 $572 2.3×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $272–$808 $272–$808 varies
I&d perianal abscess superficial (46050) $917 $917 0.9×
I&d pilonidal cyst complicated (10081) $3,079 $3,079 4.2×
I&d pilonidal cyst simple (10080) $521 $521 0.7×
Implant neuroelectrodes (63650) $6,712 $6,712 1.0×
Implant Neuroelectrodes (64561)
unusually low: confirm this is the full procedure		 $2,166 $2,166 0.3×
Incise external hemorrhoid (46083) $1,938 $1,938 7.5×
Incision & drainage abscess complicated/multiple (10061) $2,809 $2,809 6.7×
Incision & removal foreign body subq tiss compl (10121) $2,441 $2,441 1.4×
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $642–$1,284 $642–$1,284 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $254–$498 $254–$498 varies
Incision of eardrum (69420) $155 $155 0.6×
Incision of rectal abscess (46040) $5,621 $5,621 4.5×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $238–$1,300 $238–$1,300 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,991 $2,991 3.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,949 $2,949 3.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $208 $208 0.7×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $1,069–$2,016 $1,069–$2,016 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $4,390 $4,390 4.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $2,570 $2,570 3.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $330 $330 1.0×
Injection for identification of sentinel node (38792) $1,394 $1,394 3.4×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $120–$659 $120–$659 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $133–$516 $133–$516 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $258–$541 $258–$541 varies
Injection therapeutic carpal tunnel (20526) $364 $364 1.1×
Injection, anesthetic agent; brachial plexus, single (64415) $456 $456 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $328–$1,635 $328–$1,635 varies
Injection, Intralesional; More Than 7 Lesions (11901) $198 $198 1.0×
Injection, intralesional; up to and including 7 lesions (11900) $171 $171 0.8×
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines		 $222–$611 $222–$611 varies
Insert Gastrostomy Tube Percutaneous (49440) $3,330 $3,330 1.7×
Insert Nasal Septal Button (30220) $1,562 $1,562 1.0×
Insert non-tunnel cv cath (36556) $4,011 $4,011 1.2×
Insert pessary/other device (57160) $343 $343 1.6×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $219–$255 $219–$255 varies
Insert,Non-Indwelling Bladder Catheter (51701) $172 $172 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $4,079 $4,079 2.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,169 $3,169 1.9×
Instlj ther agent renal pelvis&/ureter via tub (50391) $247 $247 1.0×
Intranasal Biopsy (30100) $1,479 $1,479 0.9×
Intraoral i&d tongue/floor submndblr space (41008) $961 $961 0.3×
Intubation endotracheal emergency procedure (31500) $1,035 $1,035 4.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure		 $2,763 $2,763 0.4×
Laryngoscopy flexible diagnostic (31575) $382 $382 1.8×
Ligation or biopsy temporal artery (37609) $7,837 $7,837 4.6×
Litholapaxy smpl/sm <2.5 cm (52317) $996 $996 0.3×
Lithotripsy, extracorporeal shock wave (50590) $19,899 $19,899 5.4×
Manipulation knee joint under general anesthesia (27570) $4,145 $4,145 2.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $3,846 $3,846 2.3×
Mastectomy partial (19301) $5,738 $5,738 1.4×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $621 $621 0.8×
N Block Inj Celiac Pelus (64530) $3,122 $3,122 3.4×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $780–$1,271 $780–$1,271 varies
N block inj intercost sng (64420) $1,591 $1,591 2.2×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $150–$294 $150–$294 varies
N Block Lumbar/Thoracic (64520) $2,287 $2,287 2.5×
Nasal Endoscopy Dx (31231) $43 $43 0.2×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $1,409 $1,409 3.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $1,659–$1,764 $1,659–$1,764 varies
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $245 $245 0.9×
Needle Biopsy Lymph Nodes (38505) $3,013 $3,013 1.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $97 $97 3.2×
Needle insertion w/o injection 3 or more muscles (20561) $47 $47 1.6×
Neuroeltrd Stim Post Tibial (64566) $531 $531 1.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $920 $920 2.2×
Njx anes stellate ganglion crv sympathetic (64510) $2,200 $2,200 2.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $600 $600 1.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,862 $2,862 3.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,039 $2,039 2.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,201 $2,201 3.0×
Occipital Nerve Block (64405) $248 $248 0.8×
Penile Injection (54235) $129 $129 0.5×
Perc Cryo Ablate Renal Tum (50593) $11,056 $11,056 1.0×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $1,019–$1,853 $1,019–$1,853 varies
Periurethral tprnl adjtbl balo cntnc dev adjmt (53454) $245 $245 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,385 $7,385 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,315 $1,315 1.8×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $161–$168 $161–$168 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $411–$664 $411–$664 varies
Puncture Aspiration Cyst Breast (19000) $1,085 $1,085 1.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $4,016 $4,016 2.0×
Removal Anal Seton Other Marker (46030) $1,310 $1,310 1.1×
Removal Foreign Body Deep Thigh/Knee (27372) $2,809 $2,809 0.9×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $339–$2,436 $339–$2,436 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $68–$294 $68–$294 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $68–$479 $68–$479 varies
Removal Implant Deep (20680) $3,773 $3,773 1.3×
Removal Implant Superficial Separate Procedure (20670) $4,874 $4,874 2.8×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $1,659–$2,339 $1,659–$2,339 varies
Removal of tunneled intraperitoneal catheter (49422) $2,400 $2,400 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $144–$628 $144–$628 varies
Remove foreign body from eye (65205) $393 $393 2.8×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $138–$1,899 $138–$1,899 varies
Remove Nasal Foreign Body (30300) $470 $470 3.4×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $986–$3,340 $986–$3,340 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $763 $763 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,824 $1,824 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $289–$2,024 $289–$2,024 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $700–$1,867 $700–$1,867 varies
Repair complex trunk 2.6-7.5 cm (13101) $520 $520 0.7×
Repair Eyelid Wound (67935) $2,566 $2,566 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $869 $869 2.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $724 $724 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $806 $806 1.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,445 $1,445 3.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $769 $769 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $2,192 $2,192 5.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $604 $604 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $901–$1,033 $901–$1,033 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $942 $942 2.2×
Replace g/c tube perc (49450) $1,617 $1,617 1.7×
Resect thigh/knee tum < 5 cm (27329) $9,271 $9,271 3.1×
Rmvl embedded fb vestibule mouth comp (40805) $544 $544 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $502 $502 1.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $378 $378 2.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $6,565 $6,565 2.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,234 $2,234 1.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $1,365–$1,650 $1,365–$1,650 varies
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $511–$1,229 $511–$1,229 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $570 $570 2.7×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,753 $2,753 1.7×
Shave skin lesion 0.5 cm/< (11300) $140 $140 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $122 $122 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $399 $399 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $113 $113 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $65 $65 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $205 $205 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $399 $399 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $88 $88 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $111 $111 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $115 $115 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $171 $171 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $185 $185 0.9×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $2,679 $2,679 0.8×
Simple Cystometrogram (51725) $331 $331 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $500 $500 2.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $519 $519 2.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,258 $1,258 6.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $482 $482 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $558 $558 2.7×
Skin Full Grft Face/Genit/Hf (15240) $1,501 $1,501 0.7×
Slitting of prepuce (54001) $4,595 $4,595 2.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $487 $487 2.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $659 $659 1.6×
Sperm washing artificial insemination (58323) $199 $199 0.9×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $709–$1,337 $709–$1,337 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,077 $3,077 0.8×
Strapping ankle (29540) $218 $218 1.3×
Strapping elbow or wrist (29260) $329 $329 5.4×
Strapping hand/finger (29280) $736 $736 12.0×
Strapping Hip (29520) $131 $131 0.9×
Strapping knee (29530) $291 $291 2.1×
Strapping shoulder (29240) $518 $518 3.7×
Strapping toes (29550) $103 $103 1.7×
Strapping Unna Boot (29580) $380 $380 2.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,335 $2,335 0.9×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $207–$942 $207–$942 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $489 $489 0.3×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,682 $1,682 1.0×
Thyroid biopsy (60100) $1,947 $1,947 2.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,695 $2,695 1.3×
Treat Humerus Fracture (24505) $3,435 $3,435 2.1×
Treat humerus fracture (23600) $621 $621 2.4×
Treat Knuckle Dislocation (26700) $1,118 $1,118 4.4×
Treat Thumb Dislocation (26641) $1,363 $1,363 5.3×
Treat toe dislocation (28630) $563 $563 2.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,330 $3,330 2.0×
Treatment closed elbow dislocation w/o anes (24600) $1,212 $1,212 4.7×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $150–$299 $150–$299 varies
Trim skin lesions 2 to 4 (11056) $150 $150 0.7×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $6,508 $6,508 1.8×
Tx open tendon flexor toe 1 tendon spx (28232) $281 $281 0.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,194 $2,194 1.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,393 $1,393 1.8×
Tympanostomy general anesthesia (69436) $2,742 $2,742 1.7×
Unlisted px female genital system nonobstetrical (58999) $4,025 $4,025 19.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,261 $2,261 1.0×
Wedge excision skin nail fold (11765) $301 $301 0.7×
Wound Prep F/N/Hf/G (15004) $1,209 $1,209 2.9×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $5,229 $5,229 0.9×

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.