Procedures & surgery prices at St. Bernard Hospital

Chicago, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $566 $566 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $259 $259 0.3×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $272 $272 1.6×
Application cast elbow finger short arm (29075) $188 $188 0.6×
Application finger splint static (29130)
range across 2 matching MRF lines		 $136–$200 $136–$200 varies
Application long arm splint shoulder hand (29105)
range across 9 matching MRF lines		 $114–$276 $114–$276 varies
Application Long Leg Cast Brace (29358) $272 $272 0.9×
Application Long Leg Cast Walker/Ambulatory Type (29355) $272 $272 0.9×
Application Long Leg Splint (29505)
range across 5 matching MRF lines		 $272–$417 $272–$417 varies
Application of cylinder cast (thigh to ankle) (29365) $324 $324 1.1×
Application of long leg cast (29345)
range across 4 matching MRF lines		 $171–$456 $171–$456 varies
Application of rigid total contact leg cast (29445) $188 $188 0.6×
Application Patellar Tendon Bearing Cast (29435) $272 $272 0.9×
Application Short Arm Splint Dynamic (29126) $276 $276 1.9×
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines		 $135–$317 $135–$317 varies
Application short leg splint calf foot (29515) $506 $506 2.9×
Apply hand/wrist cast (29085)
range across 3 matching MRF lines		 $136–$171 $136–$171 varies
Apply long arm cast (29065) $313 $313 1.0×
Apply Multlay Comprs Lwr Leg (29581) $193 $193 1.1×
Apply Short Leg Cast (29405)
range across 5 matching MRF lines		 $136–$313 $136–$313 varies
Apply short leg cast (29425) $272 $272 0.9×
Arterial puncture (36600) $88 $88 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $380 $380 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $124 $124 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $549 $549 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $597 $597 1.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $380 $380 1.2×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $554–$747 $554–$747 varies
Aspirate Pleura W/O Imaging (32554) $479 $479 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $173 $173 0.8×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $975 $975 1.0×
Bladder Irrigation (51700) $206 $206 0.8×
Blepharoplasty Lower Eyelid (15820) $691 $691 0.3×
Blepharoplasty upper eyelid (15822) $529 $529 0.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $728 $728 0.3×
Blepharotomy drainage abscess eyelid (67700) $424 $424 1.2×
Blood Transfusion Service (36430) $624 $624 1.3×
Bx breast 1st lesion strtctc (19081) $1,439 $1,439 0.8×
Bx breast 1st lesion us imag (19083) $1,439 $1,439 0.8×
Canthoplasty (67950) $601 $601 0.2×
Canthotomy Separate Procedure (67715) $2,060 $2,060 0.8×
Cataract surg w/iol 1 stage (66983) $3,323 $3,323 1.3×
Cataract surgery complex (66982) $3,815 $3,815 1.5×
Change Cystostomy Tube Simple (51705) $382 $382 1.4×
Chemical Cautery Tissue (17250) $268 $268 1.2×
Chest tube placement (32551) $479 $479 0.3×
Circumcision w/clamp/oth dev w/block (54150) $1,198 $1,198 0.5×
Cl Tx Scapular Fx; W Manip (23575) $304 $304 0.2×
Cl Tx Tib Shft Fx W Manip (27752) $342 $342 0.2×
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $80–$166 $80–$166 varies
Closed rx talotarsal disloc,anesth (28575) $304 $304 0.1×
Closed Treat Vert Body Fract (22310) $304 $304 1.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $440 $440 1.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $342 $342 0.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $304 $304 1.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $342 $342 1.3×
Closed Treatment Sesamoid Fracture (28530) $304 $304 1.2×
Closed Treatment Sternum Fracture (21820) $304 $304 1.2×
Closed Treatment Ulnar Styloid Fracture (25650) $304 $304 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $342 $342 1.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $342 $342 0.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $342 $342 1.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $304 $304 1.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $304 $304 1.2×
Closed tx carpal scaphoid fracture w/manj (25624) $992 $992 0.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $304 $304 1.2×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $298 $298 1.1×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,361 $2,361 1.4×
Closed tx knee dislocation w/o anesthesia (27550) $304 $304 1.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $285 $285 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $304 $304 1.2×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $304 $304 0.2×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $105 $105 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $105 $105 0.0×
Closed tx patellar dislocation w/anesthesia (27562) $2,361 $2,361 8.9×
Closed tx patellar dislocation w/o anesthesia (27560) $304 $304 1.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $304 $304 1.2×
Closed tx radial head/neck fx w/manipulation (24655) $304 $304 0.2×
Closed tx radial head/neck fx w/o manipulation (24650) $304 $304 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $304 $304 0.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $304 $304 1.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $304 $304 1.2×
Closed tx septal&nose fx (21337) $2,599 $2,599 0.7×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $304 $304 1.2×
Closed tx talotarsal joint dislc w/o anes (28570) $304 $304 1.2×
Closed Tx Talus Fracture W/Manipulation (28435) $304 $304 0.2×
Closed tx talus fracture w/o manipulation (28430) $304 $304 1.2×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $476 $476 1.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $285 $285 1.1×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $304 $304 0.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $304 $304 1.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $304 $304 1.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $285 $285 1.1×
Closure lacrimal punctum (68760) $176 $176 0.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $304 $304 1.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $304 $304 1.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $304 $304 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $304 $304 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,361 $2,361 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $440 $440 1.7×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $304 $304 0.2×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $587 $587 2.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,451 $2,451 1.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $254 $254 0.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $254 $254 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $304 $304 0.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $304 $304 1.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $304 $304 1.2×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,885 $1,885 1.1×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $298 $298 1.1×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $298 $298 0.2×
Cltx dstl fibular fx lat malls w/manj (27788) $342 $342 1.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $342 $342 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $254 $254 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $254–$298 $254–$298 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $304 $304 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $304 $304 0.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $298 $298 0.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $298 $298 1.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $587 $587 2.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $304 $304 1.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $304 $304 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $304 $304 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $304 $304 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,094 $2,094 1.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $342 $342 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $304 $304 1.2×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $304 $304 0.2×
Cltx hip dislocation traumatic req anesthesia (27252) $1,233 $1,233 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $253–$298 $253–$298 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $304 $304 1.2×
Cltx humeral condylar fx medial/lateral w/manj (24577) $304 $304 0.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $304 $304 0.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $304 $304 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $304 $304 1.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,361 $2,361 7.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $304 $304 1.2×
Cltx Med Ankle Fx W/Mnpj (27762) $342 $342 0.2×
Cltx Medial Ankle Fx (27760) $342 $342 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $304 $304 1.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $304 $304 1.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,885 $1,885 1.1×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $476 $476 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $304 $304 1.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $99 $99 0.4×
Cltx post hip arthrp dislc req anes (27266) $2,536 $2,536 1.5×
Cltx prox fibula/shft fx w/manj (27781) $342 $342 0.2×
Cltx prox fibula/shft fx w/o manj (27780) $342 $342 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $304 $304 0.2×
Cltx prox tibfib jt dislc w/o anes (27830) $342 $342 1.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $304 $304 1.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $304 $304 1.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $304 $304 0.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $304 $304 1.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $298 $298 1.1×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $2,451 $2,451 0.7×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $304 $304 1.2×
Cltx tibial fx proximal w/o manipulation (27530) $298 $298 1.1×
Cltx tibial shaft fx w/o manipulation (27750) $342 $342 1.3×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $304 $304 1.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $342 $342 0.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $342 $342 1.3×
Collection of venous blood by venipuncture (36415) $26 $26 2.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $526 $526 1.6×
Colposcopy Cervix Endocervical Curettage (57456) $526 $526 1.6×
Colposcopy cervix upper/adjacent vagina (57452) $296 $296 1.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $526 $526 1.6×
Complex drainage wound (10180) $1,792 $1,792 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $262 $262 1.8×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $262–$515 $262–$515 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $228 $228 0.1×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $682 $682 0.2×
Correction of trichiasis; epilation, by forceps only (67820) $194 $194 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $262 $262 1.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $212 $212 0.8×
Cystourethroscopy (52000) $558 $558 0.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $934 $934 2.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $789 $789 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $579 $579 0.7×
Debride nail 1-5 (11720) $130 $130 2.1×
Debride nail 6 or more (11721) $130 $130 2.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $480 $480 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $480 $480 1.1×
Destruct B9 Lesion 1-14 (17110) $146 $146 0.7×
Destruction Lesions Vulva Simple (56501) $306 $306 0.1×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $159 $159 0.3×
Drain Cerebro Spinal Fluid (62272) $726 $726 1.0×
Drain/inj small joint/bursa w/us (20604) $76 $76 0.2×
Drainage external auditory canal abscess (69020) $277 $277 0.4×
Drainage external ear abscess/hematoma cmplx (69005) $1,821 $1,821 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $277 $277 0.4×
Drainage Mouth Roof Lesion (42000) $403 $403 1.6×
Drainage of eye (65800) $111 $111 0.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $279–$388 $279–$388 varies
Drainage of gum lesion (41800) $285 $285 2.0×
Drainage of hematoma/fluid (10140) $210 $210 0.1×
Drainage of nose lesion (30000) $569 $569 2.2×
Drainage of scrotal wall abscess (55100) $1,819 $1,819 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $285 $285 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $210 $210 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $135 $135 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $191 $191 0.9×
Dstrj lesion penis simple surg excision (54060) $578 $578 0.3×
Endometrial Biopsy (58100) $256 $256 1.2×
Epidural Blood Patch (62273) $726 $726 1.0×
Evacuation of subungual hematoma (11740) $114 $114 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $745 $745 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $813 $813 1.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $965 $965 1.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,154 $1,154 1.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,203 $1,203 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $519 $519 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $644 $644 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $868 $868 2.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,771 $2,771 1.6×
Excision Chalazion Multiple Same Lid (67801) $263 $263 0.2×
Excision Chalazion Single (67800) $205 $205 0.6×
Excision Lesion Conjunctiva </1 Cm (68110) $809 $809 0.3×
Excision lesion conjunctiva > 1 cm (68115) $869 $869 0.3×
Excision of chalazion; multiple, different lids (67805) $287 $287 0.8×
Expl penetrating wound spx abdomen/flank/back (20102) $2,797 $2,797 1.3×
Explo/Drain Breast Abscess (19020) $416 $416 0.2×
Exploration penetrating wound spx chest (20101) $2,797 $2,797 1.3×
Exploration penetrating wound spx extremity (20103) $464 $464 0.3×
Exploration Penetrating Wound Spx Neck (20100) $464 $464 0.8×
Fetal non-stress test (59025) $321 $321 1.5×
Fine needle aspiration without imaging guidance (10021) $200 $200 0.5×
Foreskin manipulation (54450) $91 $91 0.3×
I&d abscess peritonsillar (42700) $403 $403 1.6×
I&d abscess simple (10060) $506 $506 2.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,995 $2,995 0.9×
I&d forearm/wrist bursa (25031) $2,995 $2,995 1.7×
I&d perianal abscess superficial (46050) $448 $448 0.4×
I&d pilonidal cyst complicated (10081) $1,819 $1,819 2.4×
I&d pilonidal cyst simple (10080) $416 $416 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,993 $2,993 1.0×
Incise external hemorrhoid (46083) $644 $644 2.4×
Incise/Drain Conjunctiva (68020) $211 $211 0.2×
Incision & drainage abscess complicated/multiple (10061) $420 $420 1.0×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $400–$2,515 $400–$2,515 varies
Incision & removal foreign body subq tiss simple (10120) $416 $416 1.0×
Incision and drainage of bartholin's gland abscess (56420) $448 $448 2.1×
Incision and drainage of the tear gland (68400) $611 $611 0.6×
Incision and drainage of vulva or perineal abscess (56405) $448 $448 1.4×
Incision Drainage Lacrimal Sac (68420) $611 $611 0.2×
Incision of rectal abscess (46040) $749 $749 0.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,821 $1,821 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $135 $135 0.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $63 $63 0.2×
Injection aa&/strd axillary nerve w/img gdn (64417) $101 $101 0.1×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $119 $119 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $83 $83 0.3×
Injection anesthetic agent suprascapular nerve (64418) $90 $90 0.1×
Injection for identification of sentinel node (38792) $466 $466 1.1×
Injection medication/other subst tenon capsule (67515) $611 $611 1.8×
Injection single tendon origin/insertion (20551) $63 $63 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $61 $61 0.2×
Injection single/mlt trigger point 3/> muscles (20553) $296 $296 0.9×
Injection, anesthetic agent; brachial plexus, single (64415) $111 $111 0.1×
Injection, anesthetic agent; femoral nerve, single (64447) $96 $96 0.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $541 $541 0.7×
Ins cath ren art 1st bilat (36252) $3,164 $3,164 0.9×
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $1,244–$1,559 $1,244–$1,559 varies
Insert Bladder Cath Complex (51703) $162 $162 1.2×
Insert cath pleura w/ image (32557) $771 $771 0.5×
Insert cath pleura w/o image (32556) $662 $662 0.3×
Insert non-tunnel cv cath (36556) $662 $662 0.2×
Insert Temp Bladder Cath (51702) $93 $93 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $93 $93 0.7×
Insertion indwelling tunneled pleural catheter (32550) $1,198 $1,198 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,731 $2,731 1.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $662 $662 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,066 $1,066 0.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,297 $1,297 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $594 $594 1.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $787 $787 1.8×
Intraoral i&d tongue/floor lingual (41000) $2,599 $2,599 4.5×
Intraoral i&d tongue/floor sublngl supfc (41005) $285 $285 1.1×
Intraoral i&d tongue/floor submndblr space (41008) $726 $726 0.2×
Intubation endotracheal emergency procedure (31500) $705 $705 2.8×
Iridotomy/irridectomy laser surg per session (66761) $540 $540 0.9×
Irrigation of corpora cavernosa for priapism (54220) $647 $647 2.4×
Laryngoscopy diagnostic (31505) $87 $87 0.4×
Laryngoscopy flexible diagnostic (31575) $198 $198 0.9×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $252 $252 1.2×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $3,044 $3,044 7.3×
Manipulation Elbow Under Anesthesia (24300) $2,361 $2,361 1.4×
N block inj intercost sng (64420) $96 $96 0.1×
N Block Inj Plantar Digit (64455) $54 $54 0.2×
Nasal Endoscopy Dx (31231) $322 $322 1.5×
Nasal/Orogastric W/Tube Plmt (43752) $479 $479 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $382 $382 1.2×
Occipital Nerve Block (64405) $83 $83 0.3×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $3,719 $3,719 0.5×
Penile Injection (54235) $262 $262 1.0×
Percut Drain/Inject Renal Cyst (50390) $115 $115 0.2×
Peritoneal Lavage (49084) $164 $164 0.2×
Perq dev breast 1st us imag (19285) $509 $509 0.7×
Perq device breast 1st imag (19281) $394 $394 0.2×
Place Duod/Jej Tube Perc (49441) $228 $228 0.1×
Placement of needle for intraosseous infusion (36680) $1,297 $1,297 2.7×
Probe lacrimal canaliculi w/wo irrigation (68840) $611 $611 1.8×
Probing nasolacrimal duct (68810) $169 $169 0.5×
Punch biopsy skin single lesion (11104) $373 $373 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $232 $232 0.5×
Puncture Aspiration Cyst Breast (19000) $416 $416 0.5×
Removal Embedded Foreign Body Eyelid (67938) $176 $176 0.5×
Removal foreign body foot deep (28192) $2,421 $2,421 1.4×
Removal Foreign Body Foot Subcutaneous (28190) $716 $716 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $681 $681 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $192 $192 3.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $105 $105 1.7×
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,504 $3,504 1.0×
Removal of foreign body from pharynx (42809) $110 $110 0.2×
Removal of nail bed (11750) $679 $679 1.6×
Removal or bivalving full arm or full leg cast (29705) $74 $74 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $438 $438 2.0×
Removal/bivalving gauntlet boot/body cast (29700) $74 $74 0.2×
Remove Forearm Foreign Body (25248) $1,177 $1,177 0.7×
Remove foreign body from eye (65205) $176 $176 1.2×
Remove Intrauterine Device (58301) $535 $535 1.6×
Remove lung catheter (32552) $424 $424 0.6×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $137–$227 $137–$227 varies
Remove Shoulder Foreign Body (23330) $1,177 $1,177 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $594 $594 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $787 $787 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $399 $399 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $594 $594 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $399 $399 0.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $594 $594 1.4×
Repair complex trunk 1.1-2.5 cm (13100) $399 $399 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $594 $594 0.8×
Repair Ectropion Excision Tarsal Wedge (67916) $561 $561 0.2×
Repair Ectropion Thermocauterization (67915) $271 $271 0.1×
Repair Entropion Excision Tarsal Wedge (67923) $562 $562 0.2×
Repair Entropion Extensive (67924) $626 $626 0.2×
Repair Entropion Suture (67921) $418 $418 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $743 $743 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $324 $324 0.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $778 $778 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $754 $754 1.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,269 $1,269 2.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $594 $594 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $256 $256 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $480 $480 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $541 $541 0.7×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,269 $1,269 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $594 $594 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $370 $370 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $554 $554 1.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $787 $787 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $440 $440 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,367 $1,367 0.6×
Repair Laceration Palate </2 Cm (42180) $285 $285 0.5×
Repair of nail bed (11760) $303 $303 0.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,536 $2,536 0.7×
Repair tongue laceration (41252) $305 $305 1.2×
Repair tongue laceration (41250) $285 $285 0.6×
Replace g/c tube perc (49450) $936 $936 1.0×
Reposition Gastrostomy Tube (43761) $382 $382 1.4×
Rerepair ing hernia reduce (49520) $1,135 $1,135 0.3×
Retrobulbar inject,alcohol (67505) $611 $611 1.8×
Revise eyelashes (67825) $236 $236 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $105 $105 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $166 $166 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $423 $423 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $423 $423 3.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $423 $423 0.9×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $611 $611 1.8×
Rmvl fecal impaction/fb spx under anes (45915) $385 $385 0.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,220 $3,220 1.0×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,251 $1,251 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $679 $679 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $926 $926 0.5×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $2,305 $2,305 0.9×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $133 $133 0.4×
Rplc Gtube No Revj Trc (43762) $382 $382 1.4×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $102 $102 0.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $294 $294 0.1×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $908 $908 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $559 $559 2.6×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $787 $787 1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $845 $845 1.5×
Rpr Lip Full Thickness Vermilion Only (40650) $845 $845 1.5×
Severing Adhesions Anterior Segment Laser Spx (65860) $176 $176 0.3×
Severing tarsorrhaphy (67710) $132 $132 0.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $493 $493 2.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $588 $588 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $457 $457 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $486 $486 2.3×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $610 $610 1.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $531 $531 2.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $644 $644 3.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $457 $457 2.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $571 $571 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $479 $479 2.2×
Skin sub graft face/nk/hf/g (15275) $2,845 $2,845 3.6×
Skin sub graft trnk/arm/leg (15271) $2,845 $2,845 3.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $472 $472 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $486 $486 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $520 $520 1.2×
Snip Incision Lacrimal Punctum (68440) $176 $176 0.5×
Spinal puncture lumbar diagnostic (62270) $726 $726 1.0×
Strapping ankle (29540) $276 $276 1.6×
Strapping elbow or wrist (29260) $276 $276 4.4×
Strapping hand/finger (29280) $276 $276 4.4×
Strapping Hip (29520) $276 $276 1.9×
Strapping knee (29530) $95 $95 0.7×
Strapping shoulder (29240)
range across 3 matching MRF lines		 $140–$276 $140–$276 varies
Strapping thorax (29200) $276 $276 1.6×
Strapping toes (29550) $199 $199 3.1×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $102–$157 $102–$157 varies
Subconjunctival injection (68200) $611 $611 1.3×
Tangential biopsy skin single lesion (11102) $373 $373 0.9×
Temporary Closure Eyelids Suture (67875) $176 $176 0.2×
Thrombolytic Therapy Stroke (37195) $589 $589 1.7×
Thrombolytic Venous Therapy (37212) $576 $576 0.2×
Tooth extraction (41899) $682 $682 2.7×
Trabeculoplasty by laser surgery (65855) $263 $263 0.4×
Tracheal pnxr prq w/transtracheal aspir&/njx (31612) $3,531 $3,531 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $747 $747 2.9×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,093 $1,093 0.7×
Treat humerus fracture (24500) $304 $304 1.2×
Treat Humerus Fracture (24505) $304 $304 0.2×
Treat humerus fracture (23600) $304 $304 1.2×
Treat Knuckle Dislocation (26700) $304 $304 1.2×
Treat Metatarsal Fracture (28475) $304 $304 1.2×
Treat Tail Bone Fracture (27200) $298 $298 1.1×
Treat Thumb Dislocation (26641) $304 $304 1.2×
Treat Thumb Fracture (26645) $304 $304 0.2×
Treat toe dislocation (28630) $304 $304 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,361 $2,361 1.4×
Treatment closed elbow dislocation w/o anes (24600) $304 $304 1.2×
Trim skin lesion (11055) $130 $130 0.6×
Trim skin lesions 2 to 4 (11056) $130 $130 0.6×
Trim skin lesions over 4 (11057) $130 $130 0.6×
Trimming Nondystrophic Nails Any Number (11719) $130 $130 2.1×
Tx Gastro Intub W/Asp (43753) $333 $333 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $155 $155 0.2×
Tx superficial wound dehiscence w/packing (12021) $280 $280 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $304 $304 0.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $304 $304 1.2×
Vein Access Cutdown < 1 Yr (36420) $38 $38 0.3×
Venous Cutdown >1 Y/O (36425) $38 $38 0.1×
Wedge excision skin nail fold (11765) $210 $210 0.5×
Wound Prep F/N/Hf/G (15004) $559 $559 1.3×
Wound Prep Trk/Arm/Leg (15002) $559 $559 0.7×

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.