Procedures & surgery prices at South Lincoln Medical Center

Kemmerer, WY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $475.84 $634.45 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $208.03 $277.37 0.2×
Acne Surgery (10040) $289.11 $385.48 1.4×
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) $2,322.06 $3,096.08 0.7×
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $553.41 $737.88 0.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $859.29 $1,145.72 0.2×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $802.84 $1,070.45 0.4×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $637.14 $849.51 0.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $747.09 $996.12 0.4×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $690.90 $921.20 0.3×
Amputation toe interphalangeal joint (28825) $4,297.29 $5,729.72 1.3×
Amputation Toe Metatarsophalangeal Joint (28820) $4,297.29 $5,729.72 1.3×
Anoscopy diagnostic (46600) $204.75 $273 1.5×
Appendectomy (44950) $4,828.01 $6,437.34 0.7×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $119.08 $158.76 0.7×
Application cast elbow finger short arm (29075) $118.76 $158.34 0.4×
Application cast shoulder hand long arm (29065) $151.52 $202.02 0.5×
Application Finger Splint Dynamic (29131) $128.58 $171.44 2.1×
Application finger splint static (29130) $84.53 $112.70 0.6×
Application long arm splint shoulder hand (29105) $98.28 $131.04 0.6×
Application long leg splint thigh ankle/toes (29505) $138.41 $184.55 0.8×
Application Short Arm Splint Dynamic (29126) $171.98 $229.31 1.3×
Application short arm splint forearm-hand static (29125) $131.51 $175.35 1.0×
Application short leg splint calf foot (29515) $157.56 $210.08 0.9×
Apply multlay comprs arm/hand (29584) $48.75 $65 0.3×
Apply short leg cast (29405) $183.46 $244.61 0.6×
Arterial puncture (36600) $160.68 $214.24 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $104.42 $139.23 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $133.90 $178.54 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $150.31 $200.41 0.5×
Arthroplasty glenohumeral joint total shoulder (23472) $17,549.54 $23,399.38 1.0×
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) $9,697.51 $12,930.01 0.7×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $9,336.60 $12,448.80 1.3×
Arthroscopy of joint (29999) $369.37 $492.49 1.5×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) $3,309.68 $4,412.90 1.0×
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $2,322.06 $3,096.08 0.7×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $4,297.29 $5,729.72 1.3×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $4,297.29 $5,729.72 1.3×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $4,297.29 $5,729.72 1.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,248.15 $9,664.20 1.0×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $9,336.60 $12,448.80 1.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $2,149.06 $2,865.41 0.6×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $4,297.29 $5,729.72 1.3×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $2,322.06 $3,096.08 0.7×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,248.15 $9,664.20 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,248.15 $9,664.20 1.0×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $877.15 $1,169.53 0.5×
Aspirat/Injection Ganglion Cyst(S) (20612) $117.94 $157.25 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $157.32 $209.77 0.8×
Biopsy Breast Open Incisional (19101) $665.03 $886.70 0.2×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $229.32 $305.76 0.2×
Biopsy external ear (69100) $187.20 $249.60 0.8×
Biopsy of lip (40490) $264.60 $352.80 1.1×
Biopsy of uterus lining (58100) $199.84 $266.45 1.0×
Bladder Irrigation Simple (51700) $530.40 $707.20 2.1×
Bladder Scan (51798) $111.54 $148.72 1.9×
Blood patch (62273) $540.93 $721.24 0.8×
Blood transfusion service (36430) $730.97 $974.62 1.6×
Bx breast 1st lesion us imag (19083) $1,993.10 $2,657.46 1.2×
Bx breast needle core w/o imaging guidance spx (19100) $210.48 $280.64 0.1×
Bx vulva/perineum 1 lesion (56605) $447.17 $596.23 0.5×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $500.41 $667.21 0.1×
Catheter Aspiration Nasotracheal Spx (31720) $518.70 $691.60 2.3×
Cerclage cervix pregnancy vaginal (59320) $620.81 $827.74 0.2×
Chemical Cautery Tissue (17250) $90.09 $120.12 0.4×
Chemodenerv Musc Migraine (64615) $299.75 $399.67 1.0×
Chest tube placement (32551) $401.31 $535.08 0.2×
Chg Collect Blood From Catheter Venous Nos (36592) $91.26 $121.68 0.7×
Circumcision (54150) $864.32 $1,152.42 0.4×
Claviculectomy; partial (23120) $4,092.66 $5,456.88 1.2×
Closed Rx Gr Tuberosity Hum Fx (23620) $582.31 $776.41 2.3×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,021.29 $1,361.72 0.6×
Closed Rx Radial Shaft Fx (25500) $573.30 $764.40 2.3×
Closed Rx Tibia Shaft Fx (27750) $721.54 $962.05 2.9×
Closed Rx Tibial Plateau Fx (27530) $787.06 $1,049.41 3.1×
Closed Rx Trimalleolar Fx (27816) $639.64 $852.85 2.5×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $615.89 $821.18 2.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $726.45 $968.60 0.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $758.39 $1,011.19 3.0×
Closed tx calcaneal fracture w/o manipulation (28400) $452.91 $603.88 1.8×
Closed tx metatarsal fracture w/o manipulation (28470) $352.17 $469.56 1.4×
Closed tx patellar dislocation w/anesthesia (27562) $1,133.50 $1,511.33 4.5×
Closed tx patellar fracture w/o manipulation (27520) $552.01 $736.01 2.2×
Closed tx radial head/neck fx w/o manipulation (24650) $375.92 $501.23 1.5×
Closed tx radial shaft fracture w/manipulation (25505) $837.84 $1,117.12 0.5×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $433.25 $577.67 1.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $429.98 $573.30 1.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $868.14 $1,157.52 3.4×
Clsd tx clavicular fracture w/o manipulation (23500) $286.65 $382.20 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $936.12 $1,248.16 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $417.69 $556.92 1.7×
Cltx dstl fibular fx lat malls w/manj (27788) $615.07 $820.09 2.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $449.63 $599.51 1.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $177.72 $236.96 0.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $408.08 $544.10 1.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,268.63 $1,691.51 0.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $728.50 $971.34 2.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $162.98 $217.31 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $621.62 $828.83 2.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $191.65 $255.53 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $506.96 $675.95 2.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $679.77 $906.36 2.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $810.81 $1,081.08 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $488.94 $651.92 1.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $204.75 $273 0.8×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,321.87 $1,762.49 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $372.65 $496.86 1.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $792.80 $1,057.06 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $188.37 $251.16 0.7×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,032.76 $1,377.01 0.6×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $982.80 $1,310.40 0.8×
Colonoscopy thru stoma (44388) $656.79 $875.72 0.7×
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) $6,195.32 $8,260.44 0.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $372.65 $496.86 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $249.80 $333.06 1.2×
Colposcopy vulva w/biopsy (56821) $290.75 $387.66 0.9×
Colsc flx with directed submucosal njx any sbst (45381) $834.56 $1,112.75 0.7×
Complex Drainage, Wound (10180) $569.21 $758.94 0.2×
Conization of cervix (57522) $786.24 $1,048.32 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $165.28 $220.37 1.2×
Control Nasal Hemorrhage Anterior Simple (30901) $140.05 $186.73 1.0×
Correction hammertoe (28285) $724.82 $966.42 0.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,701.06 $2,268.08 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $396.40 $528.53 2.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $380.84 $507.78 1.6×
Curettage postpartum (59160) $718.26 $957.68 0.2×
Cystourethroscopy (52000) $685.92 $914.55 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $125.31 $167.08 0.3×
Debride nail 1-5 (11720) $66.34 $88.45 1.1×
Debride nail 6 or more (11721) $282.56 $376.74 4.7×
Debride skin musc at fx site (11011) $945.95 $1,261.26 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $305.49 $407.32 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $585.18 $780.24 0.8×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $948.22 $1,264.30 0.6×
Declot vascular device (36593) $553.80 $738.40 1.6×
Decomp forearm,1 compart,w/o debride (25020) $2,151.51 $2,868.68 1.3×
Decompression; unspecified nerve(s) (specify) (64722) $2,672.40 $3,563.20 1.3×
Destroy cerv/thor facet jnt (64633) $1,817.36 $2,423.15 0.9×
Destroy internal hemorrhoids (46930) $438.98 $585.31 0.4×
Destroy lumb/sac facet jnt (64635) $1,336.61 $1,782.14 0.7×
Destruc Benign/Premal,15+ Lesions (17004) $550.19 $733.58 1.3×
Destruction benign lesions 15 or more (17111) $165.44 $220.58 0.8×
Destruction Benign Lesions Up To 14 (17110) $233.42 $311.22 1.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $780.50 $1,040.68 0.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $139.28 $185.70 0.7×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $160.16 $213.54 0.8×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $192.10 $256.13 0.5×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $219.80 $293.06 0.3×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $112.01 $149.34 0.5×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $136.58 $182.10 0.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $149.31 $199.08 0.7×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $160.65 $214.20 0.4×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $182.43 $243.24 0.4×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $226.86 $302.48 1.1×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $181 $241.33 0.9×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $127.94 $170.58 0.6×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $294.84 $393.12 1.4×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $162.95 $217.26 0.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $192.59 $256.79 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $1,750.32 $2,333.76 0.9×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) $345.61 $460.81 0.5×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) $504.67 $672.89 0.2×
Destruction of skin lesions (17106) $266.92 $355.89 0.6×
Destruction premalignant lesion 1st (17000) $159.95 $213.27 0.8×
Diagnostic sigmoidoscopy (45330) $338.25 $451 0.4×
Drainage of hematoma/fluid (10140) $256.35 $341.80 0.2×
Draw blood off venous device (36591) $91.26 $121.68 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $252.26 $336.34 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $142.51 $190.01 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $85.18 $113.57 0.4×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $224.24 $298.98 0.5×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $843.57 $1,124.76 0.4×
Egd flexible foreign body removal (43247) $1,248.16 $1,664.21 1.3×
Elbow arthroscopy/surgery (29838) $3,309.68 $4,412.90 1.0×
Elbow arthroscopy/surgery (29835) $4,297.29 $5,729.72 1.3×
Electrolysis epilation each 30 min (17380) $83.54 $111.38 0.1×
Esophagoscopy flexible removal foreign body (43215) $730.55 $974.06 0.4×
Esophagoscopy flexible transoral diagnostic (43200) $1,248.16 $1,664.21 1.3×
Evacuation of subungual hematoma (11740) $79.44 $105.92 0.6×
Exc abd les sc 3 cm/> (22903) $1,948.40 $2,597.87 0.7×
Exc arm/elbow les sc < 3 cm (24075) $1,154.62 $1,539.48 0.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $438.53 $584.70 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,298.12 $1,730.82 0.8×
Exc back les sc < 3 cm (21930) $1,711.54 $2,282.04 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $172.81 $230.41 0.2×
Exc forearm les sc 3 cm/> (25071) $563.48 $751.30 0.3×
Exc forearm les sc < 3 cm (25075) $1,170 $1,560 0.7×
Exc hand les sc < 1.5 cm (26115) $2,253.07 $3,004.09 1.3×
Exc shoulder les sc 3 cm/> (23071) $1,170 $1,560 0.7×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $262.08 $349.44 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $165.44 $220.58 0.4×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $231.32 $308.43 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $344.39 $459.18 0.5×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $398.03 $530.71 0.2×
Exc Skin Benig >4 Cm Face,Facial (11446) $707.62 $943.49 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $552.33 $736.44 0.3×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $668.30 $891.07 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $654.38 $872.51 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $722.36 $963.14 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $2,015.52 $2,687.36 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $401.31 $535.08 0.3×
Exc tr-ext b9+marg 0.5 cm or less (11400) $396.02 $528.04 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,170 $1,560 0.7×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,253.07 $3,004.09 1.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $3,895.98 $5,194.64 1.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,170 $1,560 0.7×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $869.78 $1,159.70 0.3×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $620.81 $827.74 0.4×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $208.03 $277.37 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $253.07 $337.43 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $411.14 $548.18 1.0×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $404.59 $539.45 0.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $497.96 $663.94 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $321.05 $428.06 0.4×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $414.41 $552.55 0.6×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $521.70 $695.60 0.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $787.06 $1,049.41 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $293.21 $390.94 0.2×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $347.26 $463.01 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $414.41 $552.55 0.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $541.36 $721.81 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $641.28 $855.04 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $3,824.73 $5,099.64 1.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $291.16 $388.20 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $301.40 $401.86 0.4×
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) $1,603.68 $2,138.24 1.6×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $309.18 $412.23 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $1,170 $1,560 0.7×
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $646.19 $861.59 0.4×
Excision of nail fold toe (11765) $225.23 $300.30 0.5×
Excision of single external papilla or tag, anus (46220) $150.70 $200.93 0.1×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $3,895.98 $5,194.64 1.3×
Excision olecranon bursa (24105) $4,297.29 $5,729.72 1.3×
Excision Synovial Cyst Popliteal Space (27345) $4,297.29 $5,729.72 1.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,170 $1,560 0.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,015.52 $2,687.36 0.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,253.07 $3,004.09 1.3×
Explo/Drain Breast Abscess (19020) $485.67 $647.56 0.3×
Exploration penetrating wound spx extremity (20103) $1,170 $1,560 0.7×
Explore/Treat Interphalangeal Jt,Ea (26080) $1,311.69 $1,748.92 0.8×
Fetal non-stress test (59025) $116.90 $155.87 0.6×
Fine needle aspiration without imaging guidance (10021) $574.52 $766.04 1.4×
Fixation of shoulder (23700) $2,151.51 $2,868.68 1.3×
Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) $989.82 $1,319.76 0.5×
Fuse hand bones with graft (25825) $9,336.60 $12,448.80 1.3×
Fusion Finger Joint (26860) $3,786 $5,048 1.1×
Hysteroscopy ablation (58563) $3,616.08 $4,821.44 0.7×
Hysteroscopy biopsy (58558) $1,105.65 $1,474.20 0.3×
I&d abscess simple (10060) $269.45 $359.27 1.3×
I&D Deep Absc/Hematoma Neck/Chest (21501) $821.46 $1,095.28 0.3×
I&d perianal abscess superficial (46050) $1,220.31 $1,627.08 1.3×
I&d pilonidal cyst simple (10080) $949.22 $1,265.63 1.3×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure
$3,048.54 $4,064.71 0.5×
Incise finger tendon sheath (26055) $1,635.40 $2,180.54 1.0×
Incision & drainage abscess complicated/multiple (10061) $476.25 $635 1.1×
Incision & removal foreign body subq tiss compl (10121) $327.60 $436.80 0.2×
Incision & removal foreign body subq tiss simple (10120) $227.68 $303.58 0.5×
Incision extensor tendon sheath wrist (25000) $2,151.51 $2,868.68 1.3×
Incision of lingual frenum (41010) $319.41 $425.88 0.2×
Incision of metatarsal (28308) $859.13 $1,145.51 0.3×
Incision of rectal abscess (46040) $1,024.57 $1,366.09 0.8×
Incision thrombosed hemorrhoid external (46083) $185.91 $247.88 0.7×
Incisional biopsy eyelid skin & lid margin (67810) $118.23 $157.64 0.4×
Initial tx 1st degree burn local tx (16000) $76.99 $102.65 0.4×
Inj paravert f jnt c/t 1 lev (64490) $846.44 $1,128.58 0.9×
Inj tendon sheath/ligament (20550) $123.70 $164.94 0.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $743.42 $991.23 0.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $409.89 $546.52 0.5×
Inj,Anes Agent,Femoral Nerve,Single (64447) $512.46 $683.28 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,253.07 $1,670.76 1.4×
Inject Nerv Blck,Celiac Plexus (64530) $1,160.12 $1,546.82 1.3×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $64.74 $86.32 0.1×
Inject scleros soln in hemorrhoids (46500) $152.33 $203.11 0.2×
Injection aa&/strd sciatic nerve w/img gdn (64445) $413.79 $551.72 0.6×
Injection aa&/strd suprascapular nerve (64418) $674.70 $899.60 0.9×
Injection aa&/strd trigeminal nerve each branch (64400) $208.85 $278.46 0.7×
Injection anes other peripheral nerve/branch (64450) $503.10 $670.80 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $119.78 $159.70 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $147.42 $196.56 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $96.24 $128.31 0.5×
Insert Bladder Cath Complex (51703) $278.46 $371.28 2.1×
Insert cervical dilator (59200) $272.73 $363.64 0.9×
Insert Drug Implant Device (11981) $295.66 $394.21 2.2×
Insert non-tunnel cv cath (36556) $2,323.62 $3,098.16 0.7×
Insert pessary/other device (57160) $204.75 $273 1.0×
Insert picc cath (36569) $233.42 $311.23 0.1×
Insert Temp Bladder Cath (51702) $126.94 $169.26 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $156.94 $209.25 1.2×
Insrt/redo spine n generator (63685) $22,900.02 $30,533.36 0.7×
Intubation endotracheal emergency procedure (31500) $419.64 $559.52 1.7×
Laparoscopy appendectomy (44970) $4,472.15 $5,962.86 0.7×
Laparoscopy Remove Adnexa (58661) $5,074.52 $6,766.03 0.8×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $8,306.30 $11,075.06 0.8×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $12,681.40 $16,908.53 1.2×
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure
$1,597.05 $2,129.40 0.3×
Laparoscopy w/lysis of adhesions (58660)
unusually low: confirm this is the full procedure
$1,965.60 $2,620.80 0.3×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) $4,066.14 $5,421.52 0.7×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure
$2,987.72 $3,983.62 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,097.77 $4,130.36 0.5×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure
$1,941.03 $2,588.04 0.3×
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) $8,003.27 $10,671.02 0.7×
Late closure of wound (13160) $1,000.82 $1,334.42 0.3×
Ligation of hemorrhoid(s) (46221) $648.96 $865.28 0.7×
Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) $1,492.27 $1,989.69 2.0×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $1,027.26 $1,369.68 1.4×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,635.40 $2,180.54 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $825.55 $1,100.74 0.9×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $590.20 $786.92 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,009.28 $1,345.71 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $665.34 $887.12 0.7×
Open Treatment Humeral Condylar Fracture (24579) $17,549.54 $23,399.38 1.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $9,336.60 $12,448.80 1.3×
Open Tx Distal Phalangeal Fracture Each (26765) $722.36 $963.14 0.2×
Open tx phalangeal shaft fracture prox/middle ea (26735) $1,478.30 $1,971.06 0.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $723.18 $964.24 0.2×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) $773.14 $1,030.85 0.2×
Osteotomy Metacarpal Each (26565) $4,297.29 $5,729.72 1.3×
Partial Removal Foot Fascia (28060) $1,097.46 $1,463.28 0.3×
Placement of needle for intraosseous infusion (36680) $70.20 $93.60 0.2×
Placement of seton (46020) $212.94 $283.92 0.1×
Punch biopsy skin single lesion (11104) $122.14 $162.86 0.3×
Puncture Aspiration (10160) $119.57 $159.43 0.3×
Puncture Aspiration Cyst Breast (19000) $135.95 $181.27 0.2×
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure
$1,308.75 $1,745 0.2×
Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) $9,336.60 $12,448.80 1.3×
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) $17,409.14 $23,212.18 1.3×
Removal fb intranasal (30300) $145.79 $194.38 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $36 $48 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $100.80 $134.40 1.7×
Removal Implant Deep (20680) $1,358.29 $1,811.06 0.5×
Removal Implant From Finger/Hand (26320) $1,711.54 $2,282.04 1.0×
Removal Implantable Contraceptive Capsules (11976) $268.64 $358.18 0.4×
Removal of intrauterine device (iud) (58301) $159.52 $212.69 0.5×
Removal of nail bed (11750) $650.70 $867.60 1.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $112.20 $149.60 0.5×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $1,027.79 $1,370.38 0.5×
Removal/bivalving full arm/full leg cast (29705) $75.35 $100.46 0.3×
Remove drug implant device (11982) $339.89 $453.18 0.7×
Remove Peritoneal Foreign Body (49402) $2,130.22 $2,840.29 0.6×
Remove stent via transureth (50386) $642.10 $856.13 0.3×
Remove wrist tendon lesion (25111) $2,151.51 $2,868.68 1.3×
Remv Ext Canal Foreign Body (69200) $143.33 $191.10 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,024.20 $1,365.59 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,162.98 $1,550.64 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $488.12 $650.83 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $876.71 $1,168.94 2.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $351.35 $468.47 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $655.81 $874.41 1.6×
Repair complex trunk 1.1-2.5 cm (13100) $307.94 $410.59 0.4×
Repair complex trunk 2.6-7.5 cm (13101) $443.08 $590.77 0.6×
Repair extensor tendon finger w/o graft each (26418) $2,151.51 $2,868.68 1.3×
Repair hallux rigidus (28289) $889.43 $1,185.91 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,795.38 $5,060.51 1.0×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $718.26 $957.68 1.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $291.56 $388.75 0.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $481.98 $642.64 1.2×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $432.99 $577.32 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $407.04 $542.72 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $547.10 $729.46 1.3×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $443.61 $591.48 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $469.29 $625.72 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $244.07 $325.42 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $448 $597.32 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $368.55 $491.40 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $428.34 $571.12 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $543 $724 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $460.69 $614.25 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $540.54 $720.72 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $339.07 $452.09 0.8×
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure
$933 $1,244 0.1×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) $9,336.60 $12,448.80 1.3×
Repair of shoulder (23420) $4,961.25 $6,615 0.7×
Repair rectum & vagina (57250) $4,325.14 $5,766.85 0.8×
Repair wrist joints (25447) $3,459.40 $4,612.52 1.0×
Rerepair ing hernia reduce (49520) $3,158.48 $4,211.30 0.9×
Revise arm/leg nerve (64708) $2,672.40 $3,563.20 1.3×
Revise median n/carpal tunnel surg (64721) $2,672.39 $3,563.18 1.3×
Revise ulnar nerve at elbow (64718) $2,037.42 $2,716.56 1.0×
Revision of big toe (28310)
likely a partial charge, not the full procedure
$736.28 $981.71 0.1×
Revision of total knee arthroplasty, with or without allograft; one component (27486)
unusually low: confirm this is the full procedure
$4,717.44 $6,289.92 0.4×
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $4,717.44 $6,289.92 1.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $234.23 $312.31 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $120.70 $160.94 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $136.77 $182.36 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $683.87 $911.82 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $385.75 $514.33 0.6×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $471.74 $628.99 1.0×
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure
$992.25 $1,323 0.2×
Rpr aa hernia 1st < 3 cm reducible (49591) $7,528.25 $10,037.66 2.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $124.49 $165.98 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $141.69 $188.92 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $141.69 $188.92 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $306.34 $408.45 0.7×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $146.74 $195.66 0.4×
Shoulder joint surgery (23101) $3,309.68 $4,412.90 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $164.62 $219.49 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $194.10 $258.80 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $122.03 $162.71 0.6×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $1,106.86 $1,475.81 1.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $491.40 $655.20 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $252.26 $336.34 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $276.83 $369.10 1.4×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $360.36 $480.48 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $326.78 $435.71 1.6×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $395.58 $527.44 1.9×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $409.50 $546 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $197.38 $263.17 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $533.99 $711.98 2.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $296.48 $395.30 1.4×
Skin sub graft face/nk/hf/g (15275) $1,454.23 $1,938.98 1.9×
Skin sub graft trnk/arm/leg (15271) $348 $464 0.5×
Skin tissue rearrangement (14040) $1,884.56 $2,512.74 0.9×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,532.78 $6,043.70 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $237.14 $316.20 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $384.11 $512.15 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $458.64 $611.52 1.1×
Spinal puncture lumbar diagnostic (62270) $332.20 $442.94 0.5×
Strapping ankle (29540) $56.51 $75.35 0.3×
Strapping unna boot (29580) $157.25 $209.66 0.9×
Tangential biopsy skin single lesion (11102) $689.52 $919.36 1.7×
Tenodesis long tendon biceps (23430) $5,159.70 $6,879.60 0.7×
Tenolysis ext tendon,hand/finger,ea (26445) $2,322.06 $3,096.08 0.7×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $336.61 $448.81 0.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $307.94 $410.59 0.5×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure
$881.24 $1,174.99 0.1×
Thrombolytic Therapy, Stroke (37195) $635.70 $847.60 1.9×
Tis trnfr trunk 10 sq cm/< (14000) $494.09 $658.78 0.2×
Tis trnfr trunk 10.1-30sqcm (14001) $634.55 $846.07 0.3×
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure
$2,790.75 $3,721 0.2×
Total knee arthroplasty (27447) $17,549.54 $23,399.38 1.3×
Transplant forearm tendon (25310) $3,632.07 $4,842.76 1.1×
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure
$2,334.15 $3,112.20 0.4×
Treat finger dislocation (26775) $432.44 $576.58 1.5×
Treat Fracture Radius & Ulna (25560) $537.26 $716.35 2.1×
Treat fx rad extra-articul (25607) $9,114.30 $12,152.40 1.2×
Treat humerus fracture (24500) $477.48 $636.64 1.9×
Treat humerus fracture (23600) $571.67 $762.22 2.3×
Treat wrist bone fracture (25622) $647.01 $862.68 2.6×
Treatment closed elbow dislocation req anes (24605) $600.33 $800.44 0.4×
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure
$1,634.25 $2,179 0.2×
Treatment of ankle fracture (27792) $9,336.60 $12,448.80 1.3×
Trim skin lesion (11055) $250.18 $333.56 1.2×
Trim skin lesions 2 to 4 (11056) $127.76 $170.35 0.6×
Trim skin lesions over 4 (11057) $144.56 $192.74 0.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $52.42 $69.89 0.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $647.01 $862.68 0.9×
Tx superficial wound dehiscence w/packing (12021) $378.38 $504.50 0.9×
Unlisted Procedure Dentoalveolar Structures (41899) $338.25 $451 1.4×
Vaginal delivery only (59409) $1,983.62 $2,644.82 0.6×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $3,931.20 $5,241.60 0.8×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) $4,750.20 $6,333.60 0.9×
Venipuncture (36415) $13.10 $17.47 1.4×
Vulvectomy simple partial (56620) $2,205.84 $2,941.12 0.7×