Procedures & surgery prices at Bon Secours Southern Virginia Medical Center

Emporia, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $344.40 $1,148 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $344.40–$860.40 $1,148–$2,868 varies
Acne surgery (10040) $237.60 $792 1.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $719.70 $2,399 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,240.80 $4,136 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,240.80 $4,136 0.4×
Amputation toe metatarsophalangeal joint (28820) $3,060.30 $10,201 1.0×
Anoscopy diagnostic (46600) $48.60 $162 0.4×
Application cast elbow finger short arm (29075) $99.90 $333 0.4×
Application Finger Splint Dynamic (29131) $243.60 $812 4.2×
Application finger splint static (29130) $243.60 $812 1.9×
Application long arm splint shoulder hand (29105) $243.60 $812 1.5×
Application Long Leg Splint (29505) $243.60 $812 1.5×
Application of long leg cast (29345) $99.90 $333 0.4×
Application Short Arm Splint Dynamic (29126) $243.60 $812 1.9×
Application short arm splint forearm-hand static (29125) $243.60 $812 1.9×
Application short leg splint calf foot (29515) $243.60 $812 1.5×
Apply long arm cast (29065) $99.90 $333 0.4×
Apply Short Leg Cast (29405) $99.90 $333 0.4×
Apply short leg cast (29425) $99.90 $333 0.4×
Arterial puncture (36600) $196.20 $654 1.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $131.10 $437 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,074.30 $3,581 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $131.10 $437 0.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $597.90 $1,993 0.4×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $597.90 $1,993 0.4×
Aspirate Pleura W/O Imaging (32554) $241.50 $805 0.4×
Aspiration bladder insert suprapubic catheter (51102) $1,935.90 $6,453 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $321.30 $1,071 1.6×
Bladder Irrigation (51700) $138 $460 0.6×
Bladder Scan (51798)
range across 2 matching MRF lines		 $24–$97.20 $80–$324 varies
Blepharotomy drainage abscess eyelid (67700) $110.70 $369 0.4×
Blood Transfusion Service (36430) $977.40 $3,258 2.3×
Bronchoscopy W/Biopsy(S) (31625) $1,290 $4,300 0.7×
Canthotomy Separate Procedure (67715) $881.40 $2,938 0.4×
Catheter aspiration nasotracheal spx (31720) $95.40 $318 0.4×
Change Cystostomy Tube Simple (51705) $89.70 $299 0.4×
Change of Windpipe Airway (31502) $87 $290 0.4×
Chemical Cautery Tissue (17250) $75.30 $251 0.4×
Chest tube placement (32551) $620.10 $2,067 0.4×
Circumcision 28 days or older (54161) $773.10 $2,577 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $597.90 $1,993 0.4×
Clear outer ear canal (69200) $125.70 $419 1.0×
Closed Rx Spontaneous Hip Disloc (27256) $86.40 $288 0.4×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $86.40 $288 0.4×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $597.90 $1,993 0.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $343.50 $1,145 1.4×
Closed tx ankle dislocation w/o anesthesia (27840) $86.40 $288 0.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $597.90 $1,993 0.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $86.40 $288 0.4×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $86.40 $288 0.4×
Closed tx carpal scaphoid fracture w/manj (25624) $597.90 $1,993 0.4×
Closed tx knee dislocation w/o anesthesia (27550) $86.40 $288 0.4×
Closed Tx Lunate Dislocation W/Manipulation (25690) $597.90 $1,993 0.4×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $597.90 $1,993 0.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,023.90 $3,413 0.7×
Closed tx patellar dislocation w/anesthesia (27562) $86.40 $288 0.4×
Closed tx patellar dislocation w/o anesthesia (27560) $86.40 $288 0.4×
Closed tx radial head/neck fx w/manipulation (24655) $597.90 $1,993 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $86.40 $288 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $597.90 $1,993 0.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $597.90 $1,993 0.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $86.40 $288 0.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $215.70 $719 0.9×
Closed tx talotarsal joint dislc w/o anes (28570) $86.40 $288 0.4×
Closed Tx Talus Fracture W/Manipulation (28435) $597.90 $1,993 0.4×
Closed tx tarsometatarsal dislocation w/o anes (28600) $86.40 $288 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $86.40 $288 0.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $597.90 $1,993 0.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $87 $290 0.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $215.70 $719 0.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $86.40 $288 0.4×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $597.90 $1,993 0.4×
Clsd tx clavicular fracture w/o manipulation (23500) $238.20 $794 1.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $190.50 $635 0.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $597.90 $1,993 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $86.40 $288 0.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $597.90 $1,993 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $86.40 $288 0.4×
Cltx dstl fibular fx lat malls w/manj (27788) $86.40 $288 0.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $86.40 $288 0.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $86.40 $288 0.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $597.90 $1,993 0.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,023.90 $3,413 0.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $597.90 $1,993 0.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $86.40 $288 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $86.40 $288 0.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $597.90 $1,993 0.4×
Cltx greater humeral tuberosity fx w/o manj (23620) $86.40 $288 0.4×
Cltx Greater Trochanteric Fx W/O Manj (27246) $343.50 $1,145 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $86.40 $288 0.4×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,023.90 $3,413 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $597.90 $1,993 0.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $86.40 $288 0.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $86.40 $288 0.4×
Cltx Med Ankle Fx W/Mnpj (27762) $597.90 $1,993 0.4×
Cltx metacarpal fx w/manipulation each bone (26605) $86.40 $288 0.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $86.40 $288 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $86.40 $288 0.4×
Cltx post hip arthrp dislc req anes (27266) $1,519.50 $5,065 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $86.40 $288 0.4×
Cltx prox fibula/shft fx w/manj (27781) $597.90 $1,993 0.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $597.90 $1,993 0.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $86.40 $288 0.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $597.90 $1,993 0.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $597.90 $1,993 0.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $597.90 $1,993 0.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $597.90 $1,993 0.4×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $86.40 $288 0.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $597.90 $1,993 0.4×
Collect Blood From Catheter Venous Nos (36592) $72.60 $242 0.6×
Collection of venous blood by venipuncture (36415) $27.60 $92 3.0×
Colonoscopy w/submucosal inj (45381) $8,941.07 $14,901.78 7.7×
Colporrhaphy (57200) $1,178.40 $3,928 0.4×
Control Nasal Hemorrhage Anterior Complex (30903) $48.60 $162 0.4×
Control Nasal Hemorrhage Anterior Simple (30901) $104.10 $347 0.8×
Control oropharyngeal hemorrhage simple (42960) $190.50 $635 0.4×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $1,335.90 $4,453 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $126 $420 1.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $87 $290 0.4×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,185.90 $3,953 0.4×
Cysto Bladder W/Ureteral Catheterization (52005) $773.10 $2,577 0.4×
Cysto calibration dilat urtl strix/stenosis (52281) $773.10 $2,577 0.4×
Cysto w/complex removal stone & stent (52315) $773.10 $2,577 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $773.10 $2,577 0.4×
Cystourethroscopy (52000) $3,878.50 $6,464.17 5.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $242.70 $809 0.6×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,076.70 $3,589 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $242.70 $809 0.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $625.20 $2,084 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $155.70 $519 0.4×
Declot vascular device (36593) $318.30 $1,061 1.0×
Destruct B9 Lesion 1-14 (17110) $75.30 $251 0.4×
Dilate Esophagus 1/Mult Pass (43450) $4,274.40 $7,124 4.8×
Dilate Urethra Stricture (53620) $260.70 $869 0.4×
Drain Cerebro Spinal Fluid (62272) $552.90 $1,843 0.8×
Drainage external auditory canal abscess (69020) $270.60 $902 0.4×
Drainage external ear abscess/hematoma cmplx (69005) $625.20 $2,084 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $270.60 $902 0.4×
Drainage Finger Abscess Complicated (26011) $625.20 $2,084 0.4×
Drainage Mouth Roof Lesion (42000) $87 $290 0.4×
Drainage of finger abscess simple (26010) $216.60 $722 1.1×
Drainage of gum lesion (41800) $48.60 $162 0.4×
Drainage of hematoma/fluid (10140) $624.60 $2,082 0.4×
Drainage of rectal abscess (45005) $561 $1,870 0.5×
Drainage of scrotal wall abscess (55100) $625.20 $2,084 0.4×
Drainage of scrotum (54700) $773.10 $2,577 0.4×
Draw Blood Off Venous Device (36591) $78.90 $263 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $270.60 $902 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $155.70 $519 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $75.30 $251 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $143.10 $477 0.7×
Dx Bronchoscope/Wash (31622) $1,665.60 $5,552 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $6,067.30 $10,112.17 3.2×
Egd Flexible Foreign Body Removal (43247) $344.40 $1,148 0.4×
Egd remove lesion snare (43251) $8,459.09 $14,098.48 4.5×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $269.10–$671.70 $897–$2,239 varies
Escharotomy; initial incision (16035) $155.70 $519 0.4×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $726 $2,420 0.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $726 $2,420 0.4×
Evacuation of subungual hematoma (11740) $48.60 $162 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $270.60 $902 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $270.60 $902 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $625.20 $2,084 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $554.40 $1,848 0.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $155.70 $519 0.4×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $881.40 $2,938 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $1,076.70 $3,589 0.4×
Explo/Drain Breast Abscess (19020) $625.20 $2,084 0.4×
Exploration penetrating wound spx extremity (20103) $625.20 $2,084 0.4×
Fluid Pressure Muscle (20950) $270.60 $902 0.4×
Foreskin manipulation (54450) $89.70 $299 0.4×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $1,185.90 $3,953 0.4×
I&d abscess peritonsillar (42700) $87 $290 0.4×
I&d abscess simple (10060) $177.90 $593 0.9×
I&D Mouth/Tong Intra,Masticator (41009) $481.20 $1,604 0.9×
I&d perianal abscess superficial (46050) $346.50 $1,155 0.4×
I&d pilonidal cyst complicated (10081) $177.90 $593 0.3×
I&d pilonidal cyst simple (10080) $177.90 $593 0.3×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,076.70 $3,589 0.4×
Incise external hemorrhoid (46083) $425.40 $1,418 1.7×
Incise finger tendon sheath (26055) $597.90 $1,993 0.4×
Incision & drainage abscess complicated/multiple (10061) $177.90 $593 0.4×
Incision & removal foreign body subq tiss compl (10121) $624.60 $2,082 0.4×
Incision & removal foreign body subq tiss simple (10120) $624.60 $2,082 1.6×
Incision and drainage of bartholin's gland abscess (56420) $74.40 $248 0.4×
Incision and drainage of vulva or perineal abscess (56405) $230.10 $767 0.8×
Incision of rectal abscess (46040) $451.50 $1,505 0.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $625.20 $2,084 0.4×
Incisional biopsy skin single lesion (11106) $242.70 $809 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $216.90 $723 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $887.70 $2,959 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $887.70 $2,959 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,094.40 $3,648 1.3×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $887.70 $2,959 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $887.70 $2,959 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $887.70 $2,959 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $671.70 $2,239 1.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $887.70 $2,959 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $113.40 $378 0.4×
Injection anesthetic agent suprascapular nerve (64418) $671.70 $2,239 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $113.40 $378 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $113.40 $378 0.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $355.20–$887.70 $1,184–$2,959 varies
Injection, anesthetic agent; femoral nerve, single (64447) $671.70 $2,239 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $533.10–$594 $1,777–$1,980 varies
Insert and remove bone pin (20650) $1,240.80 $4,136 0.4×
Insert Bladder Cath Complex (51703) $60.90 $203 0.5×
Insert cath pleura w/o image (32556) $726 $2,420 0.4×
Insert non-tunnel cv cath (36556) $1,241.70 $4,139 0.4×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $66.90–$120.60 $223–$402 varies
Insert tun ip cath perc (49418) $3,535.80 $11,786 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $62.10 $207 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $620.10–$1,840.20 $2,067–$6,134 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,398.30 $4,661 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $620.10–$1,159.50 $2,067–$3,865 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $3,402 $11,340 0.4×
Interdental fixation (21110) $578.40 $1,928 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $554.40 $1,848 1.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $554.40 $1,848 1.4×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $396.90–$458.40 $1,323–$1,528 varies
Irrigation of corpora cavernosa for priapism (54220) $297.60 $992 1.2×
Laryngoscopy flexible diagnostic (31575) $74.70 $249 0.4×
Late closure of wound (13160) $1,724.40 $5,748 0.5×
Ligation Internal/Common Carotid Artery (37605) $1,241.70 $4,139 0.4×
Lip Surgery Procedure (40799) $87 $290 0.4×
N Block Inj Ilio-Ing/Hypogi (64425) $671.70 $2,239 1.0×
N block inj intercost sng (64420) $671.70 $2,239 1.0×
N Block Inj Plantar Digit (64455) $283.50 $945 0.9×
N Block Lumbar/Thoracic (64520) $887.70 $2,959 1.0×
Nasal Endoscopy Dx (31231) $74.70 $249 0.4×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $666.60 $2,222 0.4×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $3,189.30 $10,631 1.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $594 $1,980 2.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $887.70 $2,959 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $979.20 $3,264 1.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,073.10 $3,577 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $908.10 $3,027 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $671.70 $2,239 1.0×
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) $135 $450 1.0×
Occipital Nerve Block (64405) $594 $1,980 2.0×
Partial Excision Distal Phalanx Finger (26236) $597.90 $1,993 0.4×
Pericardiocentesis W/Imaging (33016) $620.10 $2,067 0.4×
Placement of needle for intraosseous infusion (36680) $176.10 $587 0.4×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,071 $3,570 0.4×
Punch biopsy skin single lesion (11104) $155.70 $519 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $213.60 $712 0.5×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $671.70 $2,239 1.0×
Reduction of rectal prolapse (45900) $346.50 $1,155 0.4×
Removal Embedded Foreign Body Eyelid (67938) $110.70 $369 0.4×
Removal Foreign Body Foot Subcutaneous (28190) $270.60 $902 0.4×
Removal foreign body jawbone (41806) $578.40 $1,928 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $624.60 $2,082 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $74.70 $249 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $97.20 $324 1.7×
Removal of foreign body from pharynx (42809) $213.60 $712 0.5×
Removal of nail bed (11750) $155.70 $519 0.4×
Removal of tunneled intraperitoneal catheter (49422) $3,103.80 $10,346 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $75.30 $251 0.4×
Remove foreign body from eye (65235) $900.30 $3,001 0.4×
Remove foreign body from eye (65205) $48.60 $162 0.4×
Remove Intrauterine Device (58301) $121.80 $406 0.4×
Remove Nasal Foreign Body (30300) $139.20 $464 1.1×
Repair Blood Vessel Direct Upper Extremity (35206) $1,241.70 $4,139 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $960.90 $3,203 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $388.80 $1,296 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $605.40 $2,018 1.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $960.90 $3,203 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $960.90 $3,203 2.4×
Repair complex trunk 1.1-2.5 cm (13100) $960.90 $3,203 1.3×
Repair complex trunk 2.6-7.5 cm (13101) $960.90 $3,203 1.3×
Repair extensor tendon finger w/o graft each (26418) $597.90 $1,993 0.4×
Repair Eyelid Wound (67935) $881.40 $2,938 0.4×
Repair Finger/Hand Tendon (26350) $1,240.80 $4,136 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $554.40 $1,848 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $554.40 $1,848 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $554.40 $1,848 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $554.40 $1,848 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $554.40 $1,848 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $554.40 $1,848 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $554.40 $1,848 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $554.40 $1,848 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $554.40 $1,848 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $554.40 $1,848 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $554.40 $1,848 1.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $554.40 $1,848 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $554.40 $1,848 1.4×
Repair of nail bed (11760) $242.70 $809 0.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,240.80 $4,136 0.4×
Repair tongue laceration (41252) $87 $290 0.4×
Repair tongue laceration (41250) $157.80 $526 0.4×
Replace duodenostomy/jejunostomy tube perq (49451) $344.40 $1,148 0.4×
Replace G-J Tube Perc (49452) $701.40 $2,338 0.8×
Replace g/c tube perc (49450) $344.40 $1,148 0.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $344.40 $1,148 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $206.40 $688 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $206.40 $688 1.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $157.80 $526 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $835.80 $2,786 1.4×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $432.60–$1,038.60 $1,442–$3,462 varies
Rpr blood vessel direct lower extremity (35226) $270.60 $902 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $470.70 $1,569 2.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $87 $290 0.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $190.50 $635 0.4×
Rpr Lip Full Thickness Vermilion Only (40650) $190.50 $635 0.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,240.80 $4,136 0.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $241.50 $805 0.4×
Shave skin lesion 0.5 cm/< (11300) $155.70 $519 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $470.70 $1,569 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $470.70 $1,569 2.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $470.70 $1,569 2.4×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $470.70 $1,569 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $470.70 $1,569 2.4×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $470.70 $1,569 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $470.70 $1,569 2.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $470.70 $1,569 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $470.70 $1,569 2.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $470.70 $1,569 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $470.70 $1,569 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $470.70 $1,569 1.2×
Spinal puncture lumbar diagnostic (62270) $902.40 $3,008 1.3×
Strapping ankle (29540) $60.90 $203 0.4×
Strapping elbow or wrist (29260) $24 $80 0.4×
Strapping hand/finger (29280) $24 $80 0.4×
Strapping knee (29530) $48.60 $162 0.4×
Strapping shoulder (29240) $243.60 $812 1.9×
Strapping Unna Boot (29580)
range across 6 matching MRF lines		 $60.90–$205.50 $203–$685 varies
Tangential biopsy skin single lesion (11102) $75.30 $251 0.2×
Thrombolytic Therapy Stroke (37195) $4,366.50 $14,555 13.5×
Thrombolytic Venous Therapy (37212) $1,241.70 $4,139 0.4×
Tooth extraction (41899) $87 $290 0.4×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,178.40 $3,928 0.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $190.50 $635 0.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $87 $290 0.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $578.40 $1,928 0.4×
Treat humerus fracture (24500) $226.80 $756 0.9×
Treat Humerus Fracture (24505) $597.90 $1,993 0.4×
Treat knee fracture (27532) $1,240.80 $4,136 0.4×
Treat Knuckle Dislocation (26700) $86.40 $288 0.4×
Treat Metatarsal Fracture (28475) $86.40 $288 0.4×
Treat Tail Bone Fracture (27200) $86.40 $288 0.4×
Treat Thumb Dislocation (26641) $86.40 $288 0.4×
Treat Thumb Fracture (26645) $597.90 $1,993 0.4×
Treat toe dislocation (28630) $86.40 $288 0.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $597.90 $1,993 0.4×
Treatment closed elbow dislocation w/o anes (24600) $86.40 $288 0.4×
Trim skin lesion (11055) $75.30 $251 0.4×
Tx Gastro Intub W/Asp (43753) $212.40 $708 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,178.40 $3,928 0.4×
Tx Missed Abortion First Trimester Surgical (59820) $1,178.40 $3,928 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $242.70 $809 0.3×
Unlisted Procedure Hands/Fingers (26989) $238.20 $794 1.0×
Unlisted Procedure Intestine (44799) $857.10 $2,857 1.0×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $316.20–$594 $1,054–$1,980 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $87 $290 0.4×
Unlisted Procedure Tongue Floor Mouth (41599) $87 $290 0.4×
Unlisted Procedure Vascular Surgery (37799) $241.80 $806 0.4×
Unlisted procedure, vestibule of mouth (40899) $230.70 $769 1.0×
Vaginal delivery only (59409) $2,026.20 $6,754 0.6×
Wedge excision skin nail fold (11765) $155.70 $519 0.4×

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.