Procedures & surgery prices at Southeast Colorado Hospital

Springfield, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
68399-unlisted Procedures Conjunctiva (68399) $705 $881 2.1×
Abd paracentesis (49082) $1,734 $2,167 1.8×
Abd paracentesis w/imaging (49083) $1,734 $2,167 1.8×
Anesthesia inj anesthetic agent dig nrv (64455) $691 $864 2.1×
Anoscopy diagnostic (46600) $192 $240 1.4×
Application finger splint static (29130) $293 $366 2.1×
Application of long leg cast (thigh to toes); (29345) $651 $814 2.2×
Application of long leg splint (thigh to ankle or toes) (29505) $241 $301 1.4×
Application of short arm splint (forearm to hand); static (29125) $305 $381 2.2×
Application of short leg cast (below knee to toes); (29405) $652 $815 2.2×
Application of short leg splint (calf to foot) (29515) $253 $316 1.5×
Application, cast; shoulder to hand (long arm) (29065) $218 $272 0.7×
Apply hand/wrist cast (29085) $182 $227 1.1×
Apply long arm splint (29105) $392 $490 2.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $685 $856 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,427 $1,784 1.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $682 $853 2.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $717.50 $897 2.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $365 $456 1.1×
Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) $371.50 $464.50 1.1×
Aspirate pleura w/o imaging (32554) $974 $1,217 1.5×
Avulsion of nail plate, partial or complete, simple; single (11730) $314 $393 1.5×
Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) $1,685 $2,106 1.7×
Bladder irrigation (51700) $240 $300 0.9×
Cast short arm (29075) $218 $272 0.7×
Chest tube placement (32551) $1,467 $1,834 0.9×
Closed rx ulna shaft fx,manipulatn (25535) $582 $728 2.2×
Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) $2,506 $3,132 1.5×
Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) $879 $1,099 3.4×
Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) $557 $696 2.1×
Closed treatment of clavicular fracture; without manipulation (23500) $582 $728 2.2×
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) $698 $873 2.7×
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) $582 $728 2.2×
Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) $557 $696 2.1×
Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) $2,506 $3,132 1.5×
Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) $2,506 $3,132 1.5×
Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) $557 $696 2.1×
Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) $557 $696 2.1×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $2,506 $3,132 1.5×
Closed treatment of humeral shaft fracture; without manipulation (24500) $582 $728 2.2×
Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) $2,510 $3,138 1.5×
Closed treatment of knee dislocation; without anesthesia (27550) $557 $696 2.1×
Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) $2,438 $3,048 1.4×
Closed treatment of medial malleolus fracture; without manipulation (27760) $557 $696 2.1×
Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) $1,095 $1,369 4.2×
Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) $913 $1,141 3.5×
Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) $2,506 $3,132 1.5×
Closed treatment of patellar fracture, without manipulation (27520) $582 $728 2.2×
Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) $582 $728 2.2×
Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) $557 $696 2.1×
Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) $2,506 $3,132 1.5×
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) $2,506 $3,132 1.5×
Closed treatment of proximal humeral fracture; without manipulation (23600) $557 $696 2.1×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $557 $696 2.1×
Closed treatment of radial head or neck fracture; without manipulation (24650) $388 $485 1.5×
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) $557 $696 2.1×
Closed treatment of radial shaft fracture; without manipulation (25500) $557 $696 2.1×
Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) $1,205 $1,506 0.7×
Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) $582 $728 2.2×
Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) $2,506 $3,132 1.5×
Closed treatment of ulnar fracture, proximal end; without manipulation (24670) $582 $728 2.2×
Closed treatment of ulnar shaft fracture; without manipulation (25530) $557 $696 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $557 $696 2.1×
Closed tx bimalleolar ankle fracture w/manj (27810) $2,438 $3,048 1.4×
Closed tx bimalleolar ankle fracture w/o manip (27808) $582 $728 2.2×
Closed tx femoral shaft fx w/o manipulation (27500) $557 $696 2.1×
Closed tx metatarsal fracture w/o manipulation (28470) $582 $728 2.2×
Closed tx patellar dislocation w/o anesthesia (27560) $557 $696 2.1×
Closed tx radial shaft fracture w/manipulation (25505) $2,506 $3,132 1.5×
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) $2,438 $3,048 1.4×
Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) $557 $696 2.1×
Clsd tx nsl fx w/mnpj&stablj (21320) $5,018 $6,273 1.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,205 $1,506 0.7×
Cltx carpo/metacarpal dislocation thumb w/manj (26641) $582 $728 2.2×
CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) $613 $766 2.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $599 $749 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,410 $3,012 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $613 $766 2.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $557 $696 2.1×
Cltx interphalangeal joint dislocation w/o anes (28660) $194 $243 0.7×
CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) $557 $696 2.1×
Cltx metar fx w/manj (28475) $698 $873 2.7×
Cltx metatarsophlngl jt dislc req anes (28635) $2,506 $3,132 1.5×
Cltx post ankle fx (27767) $557 $696 2.1×
Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) $557 $696 2.1×
CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) $2,438 $3,048 1.4×
Cltx tibial shaft fx w/o manipulation (27750) $557 $696 2.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,438 $3,048 1.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $557 $696 2.1×
Colonoscopy thru stoma spx (44388) $1,685 $2,106 1.7×
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) $1,771 $2,214 1.4×
Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) $302 $378 2.2×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $196 $245 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $293 $366 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) $524 $655 2.1×
Curette/treat cornea (65435) $1,821 $2,276 1.7×
Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) $1,220 $1,525 2.8×
Debridement of nail(s) by any method(s); 1 to 5 (11720) $99 $124 1.6×
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) $934 $1,167 2.2×
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) $2,531 $3,164 1.5×
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) $1,179 $1,474 1.5×
Declot vascular device (36593) $880 $1,100 2.5×
Delivery of placenta (59414) $4,720 $5,900 1.4×
Destruct by neuro agent; plantar digital nerve (64632) $691 $864 2.1×
Destruction neurolytic agt genicular nerve w/img (64624) $3,094 $3,868 1.5×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,399 $1,749 1.9×
Diagnostic sigmoidoscopy (45330) $1,745 $2,181 1.8×
Drainage external ear, abscess or hematoma; simple (69000) $1,431 $1,789 1.9×
Drainage finger abscess simple (26010) $455 $569 2.1×
Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) $3,094 $3,868 1.5×
Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) $6,190 $7,737 3.0×
Ed proc insert intraosseous IV (36680) $730 $912 1.5×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $366 $458 2.7×
Ed proc remve fb nasal- hospital (30300) $294 $368 2.1×
Ed prof arthrocentesis sm - hospital (20551) $705 $881 2.2×
Ed prof artl pnxr w/drawal bld dx (36600) $195 $243.50 1.4×
Ed prof burn - large - hospital (16030) $934 $1,167 2.2×
Ed prof burn medium - hospital (16025) $485 $606 2.3×
Ed prof burn small - hospital (16020) $162 $202 0.8×
Ed prof catheterization/straight (51701) $293 $366 2.1×
Ed prof closed tx post hip arthroplasty (27265) $557 $696 2.1×
Ed prof closed tx pst malleolus fx w/manipulation (27768) $2,506 $3,132 1.5×
Ed prof closed tx radial head/neck fx w/manipulation (24655) $3,758 $4,697 2.2×
Ed prof drain dental abscess-hospital (41800) $302 $378 2.2×
Ed prof insert foley cath simple (51702) $206 $258 1.5×
Ed prof insert non tunnel cv cath >5 (36556) $958 $1,198 0.3×
Ed prof int lac 12.6-20cm bd - hospital (12035) $1,035 $1,294 2.4×
Ed prof int lac 7.6-12.5cm bd - hospital (12034) $862 $1,078 2.0×
Ed prof interphalangeal dislocation- hospital (26770) $548 $685 2.1×
Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) $730 $912 1.5×
Er inj anesthetic agent, peripheral nerve or branch (64450) $1,399 $1,749 1.9×
Esoph egd dilation <30 mm (43249) $1,463 $1,829 0.7×
Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) $2,866 $3,583 1.4×
Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) $2,747 $3,434 1.4×
Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) $2,747 $3,434 1.4×
Evac subungual hematoma (11740) $196 $245 1.4×
Exc tr-ext b9+marg 0.5 < cm (11400) $1,363 $1,704 1.8×
Excision of thrombosed hemorrhoid, external (46320) $1,866 $2,332 1.5×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) $2,170 $2,712 0.7×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) $1,937 $2,421 1.1×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) $2,422 $3,027 1.4×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) $1,363 $1,704 1.8×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) $450.50 $563 0.3×
Exploration penetrating wound spx extremity (20103) $1,260 $1,575 0.7×
Fine needle aspiration bx w/o img gdn 1st lesion (10021) $980 $1,225 2.3×
Gastric lavage (43753) $706 $882 3.1×
Hemorrhoidectomy internal rubber band ligations (46221) $1,745 $2,181 1.8×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,158 $2,698 0.7×
I&d abscess simple/single (10060) $314 $393 1.5×
I&d hematoma/seroma/fluid (10140) $1,260 $1,575 0.7×
I&d pilonidal cyst simple (10080) $1,372 $1,715 1.8×
Implant subq hormone pellet (11980) $420 $525 0.9×
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) $575 $719 1.3×
Incision and drainage of Bartholin's gland abscess (56420) $448 $560 2.1×
Incision and drainage of pilonidal cyst; complicated (10081) $1,372 $1,715 1.8×
Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) $4,172 $5,215 1.4×
Incision and drainage, perianal abscess, superficial (46050) $1,785 $2,231 1.8×
Incision and removal of foreign body, subcutaneous tissues; complicated (10121) $1,260 $1,575 0.7×
Incision and removal of foreign body, subcutaneous tissues; simple (10120) $522 $653 1.2×
Incision of rectal abscess (46040) $1,771 $2,214 1.4×
Incision of vein for insertion of needle or tube (1 year or older) (36425) $730 $912 1.5×
Incision of vein for insertion of needle or tube (younger than 1 year) (36420) $302 $378 2.2×
Infusion of drug to dissolve blood clot in brain (37195) $838 $1,048 2.4×
Initial treatment, first degree burn, when no more than local treatment is required (16000) $162 $202 0.8×
Inj paravert f jnt c/t 1 lev (64490) $1,790 $2,237 1.9×
Inj paravert f jnt l/s 1 lev (64493) $1,790 $2,237 1.9×
Inj tx nerve (64640) $1,814 $2,267 1.9×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,727 $2,159 1.9×
Injection aa&/strd genicular nrv branches w/img (64454) $1,399 $1,749 1.9×
Injection aa&/strd greater occipital nerve (64405) $705 $881 2.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,790 $2,237 1.9×
Injection aa&/strd intercostal nrv single lvl (64420) $1,333 $1,666 1.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,366 $1,707.50 1.8×
Injection aa&/strd pudendal nerve (64430) $1,814 $2,267 1.9×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,333 $1,666 1.8×
Injection aa&/strd suprascapular nerve (64418) $1,399 $1,749 1.9×
Injection aa&/strd trigeminal nerve each branch (64400) $705 $881 2.2×
Injection anes lmbr/thrc paravertbrl sympathetic (64520) $1,727 $2,159 1.9×
Injection anes superior hypogastric plexus (64517) $1,727 $2,159 1.9×
Injection therapeutic carpal tunnel (20526) $658 $823 2.0×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $682 $853 2.1×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $717.50 $897 2.2×
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) $674.50 $843.50 2.1×
Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) $1,814 $2,267 1.9×
Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) $691 $864 2.1×
Insert drug implant device (11981) $309 $386 2.2×
Insertion indwelling tunneled pleural catheter (32550) $6,014 $7,518 1.6×
Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) $2,878 $3,597 0.9×
Intubation endotracheal (31500) $572 $715 2.3×
Laryngoscopy flx rmvl foreign body(s) (31577) $1,020 $1,275 2.5×
Lumbar puncture (62270) $1,380 $1,725 1.9×
Meas post-voiding residual urine&/bladder cap (51798) $145 $181 2.3×
Njx aa&/strd tfrm epi c/t 1 (64479) $1,727 $2,159 1.9×
Njx anes stellate ganglion crv sympathetic (64510) $1,814 $2,267 1.9×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,333 $1,666 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $742 $927.50 1.0×
Perq replacement gtube not req revj gstrst trc (43762) $718 $898 2.7×
Punch biopsy skin single lesion (11104) $940 $1,175 2.2×
Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) $564 $705 1.3×
Pvb thoracic single injection site w/img gid (64461) $1,333 $1,666 1.8×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,094 $3,868 1.5×
Removal foreign body foot complicated (28193) $2,519 $3,149 1.4×
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) $1,363 $1,704 1.8×
Removal foreign body mouth (40804) $1,100 $1,375 1.1×
Removal foreign body shoulder subcutaneous (23330) $1,399 $1,749 0.8×
Removal foreign body upper arm/elbow deep (24201) $4,264 $5,330 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $150 $188 2.4×
Removal impacted cerumen requiring instrumentation, unilateral (69210) $150 $188 2.4×
Removal implantable contraceptive capsules (11976) $1,363 $1,704 1.8×
Removal of foreign body in muscle or tendon sheath; simple (20520) $1,260 $1,575 0.7×
Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) $2,531 $3,164 1.5×
Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) $2,170 $2,712 0.7×
Removal of foreign body, external eye; conjunctival superficial (65205) $302 $378 2.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $951 $1,189 2.0×
Removal of foreign body, foot; deep (28192) $2,519 $3,149 1.4×
Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) $5,093 $6,366 1.5×
Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) $4,264 $5,330 1.4×
Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) $2,158 $2,698 0.7×
Removal tunneled cv cath (36590) $2,499 $3,124 1.5×
Removal with reinsertion, non-biodegradable drug delivery implant (11983) $1,246 $1,557 2.6×
Removal, non-biodegradable drug delivery implant (11982) $951 $1,189 2.0×
Removal/revision of cast (29700) $645 $806 2.2×
Remove eyelid foreign body (67938) $486 $608 1.5×
Remove foreign body from eye (65210) $951 $1,189 2.0×
Remove hip foreign body (27086) $4,264 $5,330 1.4×
Remove pharynx foreign body (42809) $654 $818 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $862 $1,078 2.0×
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) $1,342 $1,677 3.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $894 $1,118 2.1×
Repair complex trunk 2.6-7.5 cm (13101) $1,298 $1,622 1.7×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) $940 $1,175 2.2×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) $930 $1,162 2.2×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) $1,125 $1,406 2.6×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,237 $1,546 2.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,347 $1,684 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $940 $1,175 2.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $940 $1,175 2.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,220 $1,525 1.6×
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) $552 $690 1.3×
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) $690 $862 1.6×
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) $1,414 $1,768 1.8×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) $1,022 $1,278 2.4×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) $1,361 $1,701 3.2×
Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) $1,497 $1,871 3.5×
Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) $3,086 $3,858 1.4×
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) $951 $1,189 2.0×
Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) $544 $680 2.2×
Repair tongue lacer,post 1/3 (41251) $571 $714 2.3×
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) $1,342 $1,677 1.7×
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) $1,610 $2,012 2.1×
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) $732 $915 1.7×
Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) $1,179 $1,474 1.5×
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) $2,939 $3,674 1.4×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,166 $1,458 0.7×
Rmvl embedded fb vestibule mouth comp (40805) $1,222 $1,528 2.1×
RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) $305 $381 2.2×
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) $327 $409 2.3×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,347 $1,684 1.7×
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) $308 $385 1.5×
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) $486 $607 2.3×
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) $534 $667 2.5×
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) $587 $734 2.8×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $1,130 $1,413 5.3×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) $314 $393 1.5×
Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) $1,027 $1,284 2.4×
Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) $934 $1,168 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $453 $566 2.1×
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) $377 $471 1.8×
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) $543 $679 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $934 $1,167 2.2×
Strapping ankle (29540) $361 $451 2.1×
Strapping elbow or wrist (29260) $85 $106 1.4×
Strapping hand/finger (29280) $150 $188 2.4×
Strapping of knee (29530) $302 $378 2.2×
Strapping of shoulder (29240) $302 $378 2.2×
Strapping of toes (29550) $150 $188 2.4×
Strapping unna boot (29580) $392 $490 2.3×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $1,399 $1,749 1.9×
Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) $1,462 $1,827 2.2×
Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) $571 $714 2.3×
Transfusion, blood or blood components (36430) $1,078 $1,348 2.3×
Treat big toe fracture (28495) $613 $766 2.4×
Treat finger dislocation (26775) $620 $775 2.1×
Treat lower leg fracture (27825) $2,506 $3,132 1.5×
Treat ulnar fracture (24675) $2,506 $3,132 1.5×
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) $2,506 $3,132 1.5×
Treatment of closed elbow dislocation; without anesthesia (24600) $557 $696 2.1×
Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) $557 $696 2.1×
Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) $2,506 $3,132 1.5×
Tx superficial wound dehiscence simple closure (12020) $832 $1,040 1.1×
Unlisted procedure anus (46999) $1,829 $2,286 1.9×
Vaginal delivery (59409) $4,720 $5,900 1.4×
Venipuncture (36415) $30 $37 3.2×