Procedures & surgery prices at St. Anthony Community Hospital

Warwick, NY · 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) $3,309 $3,309 2.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $3,827 $3,827 3.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $6,597 $6,597 2.6×
Allogeneic lymphocyte infusions (38242) $5,129 $5,129 2.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $11,276 $11,276 2.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $12,404 $12,404 3.0×
Amputate Metacarpal Bone (26910) $11,276 $11,276 2.8×
Apheresis Platelets (36513) $1,951 $1,951 3.5×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $605 $605 3.0×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $1,192 $1,192 3.4×
Application cast elbow finger short arm (29075) $1,192 $1,192 3.4×
Application Cast Finger (29086) $605 $605 3.0×
Application finger splint static (29130) $1,228 $1,228 7.4×
Application Hip Spica Cast 1 Leg (29305) $1,192 $1,192 3.4×
Application long arm splint shoulder hand (29105) $1,313 $1,313 6.5×
Application Long Leg Splint (29505) $1,228 $1,228 6.1×
Application of cylinder cast (thigh to ankle) (29365) $1,192 $1,192 3.4×
Application of long leg cast (29345) $1,192 $1,192 3.4×
Application short arm splint forearm-hand static (29125) $1,311 $1,311 7.9×
Application short leg splint calf foot (29515) $807 $807 4.0×
Apply hand/wrist cast (29085) $605 $605 3.0×
Apply long arm cast (29065) $1,192 $1,192 3.4×
Apply Short Leg Cast (29405) $1,192 $1,192 3.4×
Apply short leg cast (29425) $1,192 $1,192 3.4×
Arterial puncture (36600) $444 $444 2.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,425 $1,425 3.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,667 $2,667 3.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,713 $1,713 4.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $2,935 $2,935 7.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,425 $1,425 3.7×
Aspirate pleura w/ imaging (32555) $10,651 $10,651 13.6×
Aspirate Pleura W/O Imaging (32554) $5,214 $5,214 6.7×
Aspiration and/or injection thyroid cyst (60300) $2,319 $2,319 2.6×
Aspiration bladder insert suprapubic catheter (51102) $6,521 $6,521 2.5×
Avulsion nail plate partial/complete simple 1 (11730) $1,665 $1,665 6.6×
Biopsy bone open superficial (20240) $9,390 $9,390 2.6×
Biopsy of palate, uvula (42100) $5,236 $5,236 2.7×
Biopsy of rectum (45100) $9,691 $9,691 2.8×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $13,200 $13,200 3.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $2,654 $2,654 2.3×
Bladder Irrigation (51700) $1,417 $1,417 4.5×
Bladder Scan (51798) $1,197 $1,197 16.3×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $5,129 $5,129 2.6×
Blepharotomy drainage abscess eyelid (67700) $1,355 $1,355 3.4×
Blood Transfusion Service (36430) $3,312 $3,312 6.0×
Bx Cervix (57500) $2,654 $2,654 2.3×
Canthotomy Separate Procedure (67715) $7,974 $7,974 2.7×
Change Cystostomy Tube Simple (51705) $2,037 $2,037 6.5×
Change of Windpipe Airway (31502) $703 $703 2.4×
Chemical Cautery Tissue (17250) $980 $980 3.9×
Chest tube placement (32551) $1,983 $1,983 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $13,407 $13,407 3.0×
Cl Tx Tib Shft Fx W Manip (27752) $5,628 $5,628 2.8×
Clear outer ear canal (69200) $766 $766 4.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,024 $1,024 3.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $5,628 $5,628 2.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $926 $926 3.0×
Closed Treatment Ulnar Styloid Fracture (25650) $926 $926 3.0×
Closed tx ankle dislocation w/o anesthesia (27840) $1,009 $1,009 3.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $6,752 $6,752 3.4×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $926 $926 3.0×
Closed tx carpal scaphoid fracture w/manj (25624) $5,628 $5,628 2.8×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $11,157 $11,157 5.6×
Closed Tx Knee Dislocation W/Anesthesia (27552) $5,628 $5,628 2.8×
Closed tx knee dislocation w/o anesthesia (27550) $1,019 $1,019 3.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $5,628 $5,628 2.8×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $785 $785 1.2×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $20,137 $20,137 2.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $6,224 $6,224 3.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,024 $1,024 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,024 $1,024 0.2×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $10,730 $10,730 2.6×
Closed tx patellar dislocation w/anesthesia (27562) $926 $926 3.0×
Closed tx patellar dislocation w/o anesthesia (27560) $1,110 $1,110 3.6×
Closed tx radial head/neck fx w/manipulation (24655) $5,628 $5,628 2.8×
Closed tx radial shaft fracture w/manipulation (25505) $5,628 $5,628 2.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $6,847 $6,847 3.4×
Closed Tx Talus Fracture W/Manipulation (28435) $5,628 $5,628 2.8×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $5,236 $5,236 2.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,080 $1,080 3.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $6,191 $6,191 3.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $785 $785 2.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $785 $785 1.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,019 $1,019 3.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $5,628 $5,628 2.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,793 $3,793 1.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $2,070 $2,070 6.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $5,630 $5,630 2.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $5,628 $5,628 2.8×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $926 $926 3.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $5,628 $5,628 2.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,570 $1,570 5.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,092 $1,092 3.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,019 $1,019 3.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,019 $1,019 3.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $7,223 $7,223 3.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $5,628 $5,628 2.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $5,628 $5,628 2.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $926 $926 3.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $926 $926 3.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $5,628 $5,628 2.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $5,710 $5,710 2.8×
Cltx hip dislocation traumatic req anesthesia (27252) $5,631 $5,631 2.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,009 $1,009 3.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $5,628 $5,628 2.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $5,628 $5,628 2.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,009 $1,009 3.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,192 $1,192 3.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,188 $1,188 3.9×
Cltx Med Ankle Fx W/Mnpj (27762) $5,628 $5,628 2.8×
Cltx metacarpal fx w/manipulation each bone (26605) $993 $993 3.2×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $5,628 $5,628 2.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $993 $993 3.2×
Cltx post hip arthrp dislc req anes (27266) $6,751 $6,751 3.4×
Cltx post hip arthrp dislc w/o anes (27265) $1,092 $1,092 3.5×
Cltx prox fibula/shft fx w/manj (27781) $5,628 $5,628 2.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $5,628 $5,628 2.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $2,070 $2,070 6.7×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $5,628 $5,628 2.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $6,751 $6,751 3.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $5,628 $5,628 2.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $5,628 $5,628 2.8×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $4,132 $4,132 2.1×
Cltx tibial shaft fx w/o manipulation (27750) $1,019 $1,019 3.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $6,566 $6,566 3.3×
Collect Blood From Catheter Venous Nos (36592) $2,033 $2,033 12.2×
Collection of venous blood by venipuncture (36415) $45 $45 4.8×
Colposcopy cervix upper/adjacent vagina (57452) $768 $768 3.0×
Colposcopy entire vagina w/cervix if present (57420) $1,392 $1,392 3.7×
Complex drainage wound (10180) $4,003 $4,003 1.1×
Composite Skin Graft (15760) $6,597 $6,597 2.6×
Control Nasal Hemorrhage Anterior Simple (30901) $1,101 $1,101 6.6×
Control oropharyngeal hemorrhage simple (42960) $785 $785 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $1,101 $1,101 6.6×
Cysto Bladder W/Ureteral Catheterization (52005) $6,996 $6,996 2.7×
Cysto calibration dilat urtl strix/stenosis (52281) $7,509 $7,509 2.9×
Cysto W/Simple Removal Stone & Stent (52310) $6,996 $6,996 2.7×
Cystourethroscopy (52000) $2,388 $2,388 2.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $2,365 $2,365 4.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $9,938 $9,938 2.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,476 $2,476 2.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,217 $2,217 2.4×
Debride nail 1-5 (11720) $639 $639 8.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $5,722 $5,722 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,260 $2,260 4.5×
Declot vascular device (36593)
range across 3 matching MRF lines
$1,270–$1,559 $1,270–$1,559 varies
Dilate Urethra Stricture (53600) $574 $574 1.8×
Drain Cerebro Spinal Fluid (62272) $2,496 $2,496 2.8×
Drainage abscess parotid simple (42300) $5,236 $5,236 2.7×
Drainage Abscess/Hematoma Nasal Septum (30020) $785 $785 1.2×
Drainage external auditory canal abscess (69020) $2,718 $2,718 3.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $2,745 $2,745 3.1×
Drainage Finger Abscess Complicated (26011) $5,656 $5,656 2.7×
Drainage Mouth Roof Lesion (42000) $785 $785 2.7×
Drainage of eye (65800) $8,857 $8,857 3.1×
Drainage of finger abscess simple (26010) $1,038 $1,038 4.1×
Drainage of gum lesion (41800) $505 $505 3.0×
Drainage of hematoma/fluid (10140) $6,808 $6,808 3.3×
Drainage of hydrocele (55000) $2,476 $2,476 2.8×
Drainage of mouth lesion (41017) $10,730 $10,730 2.6×
Drainage of nose lesion (30000) $785 $785 2.7×
Drainage of scrotal wall abscess (55100) $5,656 $5,656 2.7×
Draw Blood Off Venous Device (36591) $2,033 $2,033 12.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $785 $785 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $2,476 $2,476 2.8×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $785 $785 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,420 $1,420 2.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $792 $792 3.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $689 $689 2.8×
Dx Bone Marrow Bx & Aspir (38222) $10,161 $10,161 2.8×
Dx Bronchoscope/Wash (31622) $6,357 $6,357 2.9×
Dx Laryngoscopy Excl Nb (31525) $4,749 $4,749 2.1×
Egd Flexible Foreign Body Removal (43247) $4,335 $4,335 3.8×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $2,003 $2,003 5.2×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $1,828 $1,828 4.8×
Endometrial Biopsy (58100) $768 $768 3.0×
Epidural Blood Patch (62273) $2,719 $2,719 3.1×
Escharotomy; initial incision (16035) $1,420 $1,420 2.8×
Evacuation of subungual hematoma (11740) $444 $444 2.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $2,476 $2,476 2.8×
Exc Frenum Labial/Buccal (40819) $5,236 $5,236 2.7×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,476 $2,476 2.8×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $10,730 $10,730 2.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $6,977 $6,977 4.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $12,425 $12,425 4.8×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $7,363 $7,363 3.1×
Excis Mouth Mucosa/Sub,No Repair (40810) $10,730 $10,730 2.6×
Excise mandible lesion (21040) $10,730 $10,730 2.6×
Excision lesion mouth roof (42104) $10,730 $10,730 2.6×
Excision Maxillary Torus Palatinus (21032) $10,730 $10,730 2.6×
Expl penetrating wound spx abdomen/flank/back (20102) $5,656 $5,656 2.2×
Explo/Drain Breast Abscess (19020) $8,313 $8,313 4.0×
Exploration penetrating wound spx extremity (20103) $8,740 $8,740 4.2×
Fetal Contraction Stress Test (59020) $871 $871 3.5×
Fine needle aspiration without imaging guidance (10021) $4,112 $4,112 8.1×
Foreskin manipulation (54450) $1,000 $1,000 3.2×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $20,137 $20,137 2.7×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $20,137 $20,137 2.7×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $10,730 $10,730 2.6×
I&d abscess peritonsillar (42700) $3,021 $3,021 10.2×
I&d abscess simple (10060) $2,253 $2,253 9.0×
I&D Intramural Im/Absc Transanal Anes (46045) $9,691 $9,691 2.8×
I&d perianal abscess superficial (46050) $3,704 $3,704 3.2×
I&d pilonidal cyst simple (10080) $2,424 $2,424 2.7×
Image Cath Fluid Trns/Vgnl (49407) $6,743 $6,743 3.3×
Incise external hemorrhoid (46083) $1,000 $1,000 3.2×
Incision & drainage abscess complicated/multiple (10061) $2,113 $2,113 4.2×
Incision & removal foreign body subq tiss compl (10121) $5,480 $5,480 2.7×
Incision & removal foreign body subq tiss simple (10120) $2,260 $2,260 4.5×
Incision and drainage of bartholin's gland abscess (56420) $845 $845 3.3×
Incision and drainage of vulva or perineal abscess (56405) $1,392 $1,392 3.7×
Incision of iris (66500) $8,857 $8,857 3.1×
Incision of lingual frenum (frenotomy) (41010) $5,236 $5,236 2.7×
Incision of rectal abscess (46040) $4,085 $4,085 2.7×
Initial Tx 1st Degree Burn Local Tx (16000) $691 $691 2.8×
Inject Intravitreal Pharmcologic (67028) $1,505 $1,505 3.7×
Injection Anes Superior Hypogastric Plexus (64517) $3,032 $3,032 2.7×
Injection anesthetic agent suprascapular nerve (64418) $3,533 $3,533 4.0×
Injection for identification of sentinel node (38792) $1,808 $1,808 3.6×
Injection single/mlt trigger point 1/2 muscles (20552) $5,656 $5,656 14.8×
Injection single/mlt trigger point 3/> muscles (20553) $1,425 $1,425 3.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $3,851 $3,851 4.4×
Insert Bladder Cath Complex (51703) $704 $704 4.4×
Insert cath pleura w/o image (32556) $8,100 $8,100 3.4×
Insert cervical dilator (59200) $2,865 $2,865 7.5×
Insert non-tunnel cv cath (36556) $8,486 $8,486 2.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $5,660 $5,660 2.9×
Insert Temp Bladder Cath (51702) $613 $613 3.7×
Insert,Non-Indwelling Bladder Catheter (51701) $663 $663 4.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $10,288 $10,288 5.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $11,235 $11,235 2.9×
Insj Picc Rs&I <5 Yr (36572) $9,786 $9,786 12.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $7,128 $7,128 3.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $14,997 $14,997 3.8×
Interdental fixation (21110) $5,236 $5,236 2.7×
Interdental Wiring Other Than Fracture (21497) $5,236 $5,236 2.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,420 $1,420 2.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $3,033 $3,033 6.0×
Intraoral i&d tongue/floor submental space (41007) $5,236 $5,236 2.7×
Intraoral i&d tongue/floor submndblr space (41008) $10,730 $10,730 2.6×
Intubation endotracheal emergency procedure (31500) $2,420 $2,420 8.2×
Iridotomy/irridectomy laser surg per session (66761) $2,003 $2,003 2.9×
Irrigation of corpora cavernosa for priapism (54220) $1,971 $1,971 6.3×
Laparoscopy, surgical, appendectomy (44970) $19,657 $19,657 2.6×
Laryngoscopy diagnostic (31505) $777 $777 3.1×
Laryngoscopy flexible diagnostic (31575) $777 $777 3.1×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $2,298 $2,298 4.7×
Laryngoscopy W/Foreign Body Removal (31530) $6,031 $6,031 2.7×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $777 $777 1.6×
Ligation Of Neck Artery (37615) $11,235 $11,235 2.9×
Ligation or biopsy temporal artery (37609) $5,656 $5,656 2.7×
Marsupialization of bartholin's gland cyst (56440) $10,664 $10,664 2.6×
Maternity Care Procedure (59899) $1,312 $1,312 5.2×
Myelography Lumbar Injection (62305) $9,142 $9,142 9.3×
Myelography Lumbar Injection (62304) $9,872 $9,872 10.1×
Myelography via lumbar injection rs&i cervical (62302) $9,058 $9,058 9.3×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $8,310 $8,310 8.5×
Nasal Endoscopy Dx (31231) $777 $777 3.1×
Nasal surgery procedure (30999) $785 $785 2.7×
Nasal/Orogastric W/Tube Plmt (43752) $1,524 $1,524 2.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $7,812 $7,812 3.5×
Needle Biopsy Lymph Nodes (38505) $3,846 $3,846 1.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $2,084 $2,084 5.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $2,087 $2,087 5.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $16,270 $16,270 3.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $6,460 $6,460 5.9×
Occipital Nerve Block (64405) $3,647 $3,647 9.5×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $20,137 $20,137 2.7×
Open Tx Distal Phalangeal Fracture Each (26765) $11,276 $11,276 2.8×
Open tx humeral supracondylar fracture w/o xtn (24545) $11,276 $11,276 0.7×
Open tx interphalangeal joint dislocation (26785) $11,276 $11,276 2.8×
Penile Injection (54235) $1,000 $1,000 3.2×
Pericardiocentesis W/Imaging (33016) $5,515 $5,515 2.8×
Peritoneal Lavage (49084) $3,827 $3,827 3.4×
Perq dev breast 1st us imag (19285) $10,443 $10,443 11.8×
Perq device breast 1st imag (19281) $11,165 $11,165 5.4×
Photopheresis extracorporeal (36522) $15,690 $15,690 2.9×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $3,292 $3,292 2.6×
Placement of needle for intraosseous infusion (36680) $1,676 $1,676 3.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $13,500 $13,500 5.2×
Probing nasolacrimal duct (68810) $1,355 $1,355 3.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $11,276 $11,276 1.2×
Pseudoaneurysm Injection Trt (36002) $2,256 $2,256 2.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,424 $1,424 2.8×
Puncture shunt tube/reservoir aspiration/inj px (61070) $2,496 $2,496 2.8×
Reduction of rectal prolapse (45900) $3,089 $3,089 2.7×
Removal Embedded Foreign Body Eyelid (67938) $1,491 $1,491 3.8×
Removal Foreign Body Foot Subcutaneous (28190) $4,095 $4,095 4.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $8,740 $8,740 4.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $251 $251 3.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $719 $719 9.8×
Removal Implant Superficial Separate Procedure (20670) $5,656 $5,656 2.7×
Removal of foreign body from pharynx (42809) $2,212 $2,212 4.0×
Removal of nail bed (11750) $1,424 $1,424 2.8×
Removal or bivalving full arm or full leg cast (29705) $1,192 $1,192 3.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $691 $691 2.8×
Removal tong/halo applied by another individual (20665) $2,362 $2,362 4.2×
Remove Brain Cavity Fluid (61020) $3,214 $3,214 2.9×
Remove drug implant device (11982) $1,524 $1,524 2.7×
Remove foreign body from eye (65205) $1,130 $1,130 6.8×
Remove Intrauterine Device (58301) $1,392 $1,392 3.7×
Remove Nasal Foreign Body (30300) $686 $686 4.1×
Repair Achilles Tendon (27650) $11,276 $11,276 1.2×
Repair Blood Vessel Direct Hand Finger (35207) $11,235 $11,235 2.9×
Repair Blood Vessel Direct Upper Extremity (35206) $11,235 $11,235 2.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $5,166 $5,166 5.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $5,166 $5,166 5.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $5,166 $5,166 10.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $5,683 $5,683 11.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $2,603 $2,603 5.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,306 $2,306 4.5×
Repair complex trunk 2.6-7.5 cm (13101) $2,603 $2,603 2.8×
Repair extensor tendon finger w/o graft each (26418) $5,628 $5,628 2.8×
Repair Eyelid Wound (67935) $7,974 $7,974 2.7×
Repair Finger Tendon (26433) $11,276 $11,276 2.8×
Repair Finger/Hand Tendon (26350) $11,276 $11,276 2.8×
Repair Hand Joint (26540) $11,276 $11,276 2.8×
Repair Hand Tendon (26410) $5,628 $5,628 2.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $3,635 $3,635 7.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $3,635 $3,635 7.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $3,305 $3,305 6.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $3,305 $3,305 6.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $2,365 $2,365 2.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $3,305 $3,305 6.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $3,305 $3,305 6.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $3,305 $3,305 3.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $3,635 $3,635 7.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $3,305 $3,305 6.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $3,635 $3,635 7.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $2,096 $2,096 2.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $3,890 $3,890 7.7×
Repair Laceration Palate </2 Cm (42180) $785 $785 1.2×
Repair Laceration Palate >2 Cm/Complex (42182) $20,137 $20,137 2.7×
Repair of nail bed (11760) $2,603 $2,603 2.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $12,404 $12,404 3.0×
Repair tongue laceration (41252) $785 $785 2.7×
Repair tongue laceration (41250) $1,463 $1,463 2.6×
Replace duodenostomy/jejunostomy tube perq (49451) $3,561 $3,561 3.1×
Replantation digit complete (20822) $5,628 $5,628 2.8×
Reposition Gastrostomy Tube (43761) $1,000 $1,000 3.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,441 $1,441 2.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $1,130 $1,130 6.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,524 $1,524 2.7×
Rmvl fecal impaction/fb spx under anes (45915) $4,085 $4,085 2.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $5,713 $5,713 2.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $3,230 $3,230 4.1×
Rplc Gtube No Revj Trc (43762) $2,034 $2,034 6.5×
Rpr blood vessel direct lower extremity (35226) $2,476 $2,476 2.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $5,660 $5,660 2.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,222 $1,222 4.9×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $8,857 $8,857 3.1×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $7,974 $7,974 2.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $11,276 $11,276 2.8×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $11,276 $11,276 2.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $2,256 $2,256 2.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,110 $1,110 2.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $1,304 $1,304 5.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,306 $1,306 5.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,222 $1,222 4.9×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $691 $691 2.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $1,197 $1,197 4.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $691 $691 2.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $1,222 $1,222 4.9×
Skin Full Grft Face/Genit/Hf (15240) $6,597 $6,597 2.6×
Skin sub graft face/nk/hf/g (15275) $6,585 $6,585 7.1×
Skin sub graft trnk/arm/leg (15271) $6,585 $6,585 7.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $1,227 $1,227 4.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,625 $1,625 3.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,424 $1,424 2.8×
Spinal puncture lumbar diagnostic (62270) $4,462 $4,462 5.1×
Strapping ankle (29540) $605 $605 3.0×
Strapping elbow or wrist (29260) $1,024 $1,024 13.9×
Strapping knee (29530) $505 $505 3.0×
Strapping shoulder (29240) $1,024 $1,024 6.2×
Strapping toes (29550) $1,116 $1,116 15.2×
Subconjunctival injection (68200) $1,524 $1,524 2.7×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $7,974 $7,974 2.7×
Suture 1 Nerve Ulnar Motor (64836) $23,301 $23,301 5.5×
T-cell depletion of harvest (38210) $1,951 $1,951 3.5×
Temporary Closure Eyelids Suture (67875) $3,289 $3,289 2.6×
Thaw preserved stem cells (38208) $1,951 $1,951 3.5×
Ther Apheresis,Red Blood Cells (36512) $5,129 $5,129 2.6×
Therapeutic Apheresis White Blood Cells (36511) $5,129 $5,129 2.6×
Therapeutic plasma exchange (36514) $5,129 $5,129 2.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $7,232 $7,232 2.8×
Tooth extraction (41899) $785 $785 2.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $785 $785 2.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $7,004 $7,004 3.6×
Treat Dental Ridge Fracture (21440) $10,730 $10,730 2.6×
Treat Humerus Fracture (24505) $5,628 $5,628 2.8×
Treat knee fracture (27532) $11,276 $11,276 2.8×
Treat Knee Fracture(S) (27538) $926 $926 3.0×
Treat Knuckle Dislocation (26700) $1,110 $1,110 3.6×
Treat lower jaw fracture (21452) $20,137 $20,137 2.7×
Treat Metatarsal Fracture (28475) $926 $926 3.0×
Treat Thumb Dislocation (26641) $926 $926 3.0×
Treat Thumb Fracture (26645) $5,628 $5,628 2.8×
Treat toe dislocation (28630) $926 $926 3.0×
Treat Vaginal Bleeding (57180) $768 $768 3.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $6,138 $6,138 3.1×
Treatment closed elbow dislocation w/o anes (24600) $1,009 $1,009 3.3×
Trimming Nondystrophic Nails Any Number (11719) $286 $286 3.9×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $1,951 $1,951 3.5×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $1,951 $1,951 3.5×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $1,951 $1,951 3.5×
Trnspl Prepj Hematop Progen Pltlt Deplj (38213) $1,951 $1,951 3.5×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $1,951 $1,951 3.5×
Trnspl prepj hematop progen tum cell deplj (38211) $1,951 $1,951 3.5×
Trnsplj autologous hematopoietic cells per donor (38241) $5,129 $5,129 2.6×
Trnsplj Hematopoietic Cell Boost (38243) $5,129 $5,129 2.6×
Tx Gastro Intub W/Asp (43753) $366 $366 1.4×
Tx Missed Abortion First Trimester Surgical (59820) $11,730 $11,730 2.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,634 $2,634 2.9×
Tx superficial wound dehiscence w/packing (12021) $1,871 $1,871 3.7×
Unlisted procedure anus (46999) $3,367 $3,367 2.9×
Unlisted Procedure Endocrine System (60699) $19,657 $19,657 2.6×
Unlisted Procedure Hands/Fingers (26989) $1,280 $1,280 4.2×
Unlisted procedure humerus/elbow (24999) $926 $926 3.0×
Unlisted Procedure Intestine (44799) $3,827 $3,827 3.4×
Unlisted procedure larynx (31599) $785 $785 2.7×
Unlisted Procedure Leg/Ankle (27899) $926 $926 3.0×
Unlisted Procedure Male Genital System (55899) $1,000 $1,000 3.2×
Unlisted procedure nervous system (64999) $1,528 $1,528 4.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $785 $785 2.7×
Unlisted Procedure Rectum (45999) $3,367 $3,367 2.9×
Unlisted procedure stomach (43999) $3,827 $3,827 3.4×
Unlisted Procedure Tongue Floor Mouth (41599) $785 $785 2.7×
Unlisted Procedure Vascular Surgery (37799) $2,256 $2,256 2.9×
Unlisted Px Salivary Glands/Ducts (42699) $785 $785 2.7×
Vaginal delivery only (59409) $13,699 $13,699 3.4×
Vasc Embolize/Occlude Bleed (37244) $40,260 $40,260 2.8×
Wash harvest stem cells (38209) $1,951 $1,951 3.5×
Wedge excision skin nail fold (11765) $1,213 $1,213 2.4×
Wound Prep F/N/Hf/G (15004) $2,365 $2,365 4.7×

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.