Procedures & surgery prices at St. Francis Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,761.12 $2,446 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $7,008.48 $9,734 2.0×
Application cast elbow finger short arm (29075) $498.96 $693 1.7×
Application Finger Splint Dynamic (29131) $206.64 $287 3.3×
Application finger splint static (29130) $241.92 $336 1.7×
Application long arm splint shoulder hand (29105) $324.72 $451 1.9×
Application Long Leg Splint (29505) $340.56 $473 2.0×
Application of cylinder cast (thigh to ankle) (29365) $573.84 $797 1.9×
Application of long leg cast (29345) $498.96 $693 1.7×
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines
$498.96–$745.92 $693–$1,036 varies
Application Short Arm Splint Dynamic (29126) $411.84 $572 2.9×
Application short arm splint forearm-hand static (29125) $241.92 $336 1.7×
Application short leg splint calf foot (29515) $296.64 $412 1.7×
Apply hand/wrist cast (29085) $345.60 $480 2.0×
Apply long arm cast (29065) $498.96 $693 1.7×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines
$337.68–$454.32 $469–$631 varies
Apply Short Leg Cast (29405) $498.96 $693 1.7×
Apply short leg cast (29425) $573.84 $797 1.9×
Arterial puncture (36600) $241.92 $336 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines
$810–$1,056.24 $1,125–$1,467 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,637.28 $2,274 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines
$1,010.88–$1,516.32 $1,404–$2,106 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,177.20 $1,635 3.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines
$718.56–$1,077.84 $998–$1,497 varies
Arthroscopy hip w/femoroplasty (29914) $15,430.32 $21,431 2.0×
Arthroscopy shoulder distal claviculectomy (29824) $7,008.48 $9,734 2.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $15,430.32 $21,431 2.0×
Arthroscopy, knee, surgical; with lateral release (29873) $7,008.48 $9,734 2.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $15,430.32 $21,431 2.0×
Arthrotomy ankle w/expl drainage/removal fb (27610) $142.56 $198 0.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $15,430.32 $21,431 2.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $7,008.48 $9,734 2.0×
Aspirate pleura w/ imaging (32555) $1,229.04 $1,707 1.8×
Aspirate Pleura W/O Imaging (32554) $1,335.60 $1,855 2.0×
Aspirate/Inj Ganglion Cyst (20612) $554.40 $770 1.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$429.12–$596 $596 varies
Biopsy bone open superficial (20240) $6,181.92 $8,586 2.0×
Biopsy Bone Trocar/Needle Superficial (20220) $3,499.92 $4,861 2.0×
Biopsy external ear (69100) $689.76 $958 2.7×
Biopsy muscle percutaneous needle (20206) $3,499.92 $4,861 2.0×
Biopsy of liver, needle; percutaneous (47000) $3,499.92 $4,861 2.0×
Bladder instillation anticarcinogenic agent (51720) $1,253.52 $1,741 1.7×
Bladder Irrigation (51700) $525.60 $730 2.0×
Bladder Scan (51798) $930.96 $1,293 14.7×
Blepharotomy drainage abscess eyelid (67700) $645.84 $897 1.9×
Blood Transfusion Service (36430) $1,512.72 $2,101 3.2×
Bone Marrow Biopsy (38221) $743.76 $1,033 0.4×
Bone Marrow; Aspiration Only (38220) $660.24 $917 0.4×
Bx breast 1st lesion us imag (19083) $3,359.52 $4,666 1.9×
Change Cystostomy Tube Simple (51705) $630.72 $876 2.4×
Chemical Cautery Tissue (17250) $372.96 $518 1.7×
Chest tube placement (32551) $2,917.44 $4,052 1.7×
Circumcision Neonate (54160) $1,253.52 $1,741 1.7×
Circumcision w/clamp/oth dev w/block (54150) $4,425.12 $6,146 2.0×
Cl Tx Scapular Fx; W Manip (23575) $3,456.72 $4,801 2.0×
Cl Tx Tib Shft Fx W Manip (27752) $3,456.72 $4,801 2.0×
Clear outer ear canal (69200) $343.44 $477 2.4×
Closed Rx Metacarpal Fx,Percut (26608) $7,008.48 $9,734 2.0×
Closed Rx Spontaneous Hip Disloc (27256) $518.40 $720 2.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,456.72 $4,801 2.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,601.28 $2,224 6.1×
Closed tx ankle dislocation w/o anesthesia (27840) $539.28 $749 2.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,456.72 $4,801 2.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $1,370.88 $1,904 5.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,728 $2,400 6.5×
Closed tx knee dislocation w/o anesthesia (27550) $518.40 $720 2.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $3,456.72 $4,801 2.0×
Closed tx metatarsal fracture w/o manipulation (28470) $568.80 $790 2.2×
Closed tx patellar dislocation w/o anesthesia (27560) $518.40 $720 2.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,833.84 $2,547 6.9×
Closed tx radial head/neck fx w/manipulation (24655) $2,746.08 $3,814 1.6×
Closed tx radial head/neck fx w/o manipulation (24650) $1,474.56 $2,048 5.6×
Closed tx radial shaft fracture w/manipulation (25505) $3,456.72 $4,801 2.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,599.12 $2,221 6.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $561.60 $780 2.1×
Closed tx talus fracture w/o manipulation (28430) $1,333.44 $1,852 5.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $518.40 $720 2.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,648.80 $2,290 6.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $655.92 $911 2.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $509.04 $707 2.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $518.40 $720 2.0×
Clsd tx clavicular fracture w/o manipulation (23500) $1,254.24 $1,742 4.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,456.72 $4,801 2.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $450.72 $626 1.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $1,724.40 $2,395 6.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $596.16 $828 2.3×
Cltx dstl fibular fx lat malls w/manj (27788) $1,211.04 $1,682 4.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $645.12 $896 2.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $518.40 $720 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,053.36 $1,463 4.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $518.40 $720 2.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,006 $4,175 1.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $771.12 $1,071 2.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 9 matching MRF lines
$558.72–$776 $776 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $652.32 $906 2.5×
Cltx greater humeral tuberosity fx w/o manj (23620) $1,526.40 $2,120 5.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $3,847.68 $5,344 2.2×
Cltx humeral condylar fx medial/lateral w/manj (24577) $3,456.72 $4,801 2.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $1,873.44 $2,602 7.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $518.40 $720 2.0×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,007.44 $4,177 1.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $518.40 $720 2.0×
Cltx Med Ankle Fx W/Mnpj (27762) $3,456.72 $4,801 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $1,105.20 $1,535 4.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $551.52 $766 2.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,456.72 $4,801 2.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $907.92 $1,261 3.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $699.84 $972 2.6×
Cltx post hip arthrp dislc req anes (27266) $3,456.72 $4,801 2.0×
Cltx post hip arthrp dislc w/o anes (27265) $518.40 $720 2.0×
Cltx prox fibula/shft fx w/o manj (27780) $1,742.40 $2,420 6.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,456.72 $4,801 2.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $518.40 $720 2.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $518.40 $720 2.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $4,217.04 $5,857 2.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,456.72 $4,801 2.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $3,456.72 $4,801 2.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $2,154.96 $2,993 8.2×
Cltx tibial fx proximal w/o manipulation (27530) $642.24 $892 2.4×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $518.40 $720 2.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,456.72 $4,801 2.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $803.52 $1,116 3.0×
Collect Blood From Catheter Venous Nos (36592) $254.88 $354 1.8×
Collection of venous blood by venipuncture (36415) $23.04 $32 2.5×
Complex drainage wound (10180) $6,181.92 $8,586 2.0×
Control Nasal Hemorrhage Anterior Complex (30903) $278.64 $387 2.0×
Control Nasal Hemorrhage Anterior Simple (30901) $241.92 $336 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $278.64 $387 2.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $501.84 $697 2.0×
Cysto calibration dilat urtl strix/stenosis (52281) $4,425.12 $6,146 2.0×
Cystourethroscopy (52000) $5,706 $7,925 7.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,440 $2,000 1.8×
Debride nail 1-5 (11720) $151.92 $211 2.4×
Debride nail 6 or more (11721) $246.24 $342 3.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,043.44 $4,227 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $973.44 $1,352 2.2×
Declot vascular device (36593) $638.64 $887 1.8×
Dilation Salivary Duct (42650) $3,729.60 $5,180 2.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,519.92 $2,111 2.0×
Drainage Finger Abscess Complicated (26011) $3,499.92 $4,861 2.0×
Drainage of finger abscess simple (26010) $908.64 $1,262 4.2×
Drainage of gum lesion (41800) $278.64 $387 2.0×
Drainage of hematoma/fluid (10140) $3,499.92 $4,861 2.0×
Drainage of skene's gland abscess or cyst (53060) $4,425.12 $6,146 2.0×
Draw Blood Off Venous Device (36591) $253.44 $352 1.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,519.92 $2,111 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $863.28 $1,199 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $522.72 $726 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $474.48 $659 2.2×
Dx Bone Marrow Bx & Aspir (38222) $743.76 $1,033 0.2×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $4,605.12 $6,396 2.1×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $4,605.12 $6,396 2.1×
Epidural Blood Patch (62273) $1,496.16 $2,078 2.0×
Evacuation of subungual hematoma (11740) $278.64 $387 2.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,519.92 $2,111 2.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $3,499.92 $4,861 2.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,734.48 $2,409 2.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $3,499.92 $4,861 2.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,591.20 $2,210 2.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,519.92 $2,111 2.0×
Excision prepatellar bursa (27340) $7,008.48 $9,734 2.0×
Excision; trochanteric bursa or calcification (27062) $7,008.48 $9,734 2.0×
Explo/Drain Breast Abscess (19020) $3,499.92 $4,861 2.0×
Fetal non-stress test (59025)
range across 2 matching MRF lines
$440.64–$1,066.32 $612–$1,481 varies
Fine needle aspiration without imaging guidance (10021) $863.28 $1,199 2.0×
Fluoro exam of g/colon tube (49465) $522 $725 2.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $4,097.52 $5,691 2.0×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $7,561.44 $10,502 2.1×
I&d abscess simple (10060) $372.96 $518 1.7×
I&d perianal abscess superficial (46050) $1,969.20 $2,735 2.0×
I&d pilonidal cyst complicated (10081) $1,629.36 $2,263 2.1×
I&d pilonidal cyst simple (10080) $1,519.92 $2,111 2.0×
Incise external hemorrhoid (46083) $525.60 $730 2.0×
Incision & drainage abscess complicated/multiple (10061) $750.24 $1,042 1.7×
Incision & removal foreign body subq tiss compl (10121) $3,499.92 $4,861 2.0×
Incision & removal foreign body subq tiss simple (10120) $750.24 $1,042 1.7×
Incision and drainage of bartholin's gland abscess (56420) $482.40 $670 2.2×
Incision and drainage of vulva or perineal abscess (56405) $657.36 $913 2.0×
Incision of rectal abscess (46040) $2,864.88 $3,979 2.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $3,499.92 $4,861 2.0×
Incisional biopsy skin single lesion (11106) $1,933.92 $2,686 2.4×
Initial Tx 1st Degree Burn Local Tx (16000) $429.12 $596 2.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,923.12 $2,671 2.0×
Inj W/Fluor Eval Cv Device (36598) $455.04 $632 2.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,923.12 $2,671 2.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,923.12 $2,671 2.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $662.40 $920 2.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,923.12 $2,671 2.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,923.12 $2,671 2.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,867.68 $2,594 2.5×
Injection for identification of sentinel node (38792) $1,916.64 $2,662 4.5×
Injection single tendon origin/insertion (20551) $637.92 $886 1.9×
Injection single/mlt trigger point 1/2 muscles (20552) $554.40 $770 1.7×
Injection therapeutic carpal tunnel (20526) $554.40 $770 1.7×
Injection, anesthetic agent; brachial plexus, single (64415) $1,923.12 $2,671 2.0×
Injection, anesthetic agent; femoral nerve, single (64447) $1,624.32 $2,256 2.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,777.68 $2,469 2.4×
Injection, intralesional; up to and including 7 lesions (11900) $429.12 $596 2.0×
Insert Bladder Cath Complex (51703) $425.52 $591 3.1×
Insert cervical dilator (59200) $656.64 $912 2.0×
Insert non-tunnel cv cath (36556) $5,911.92 $8,211 1.7×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $3,355.20 $4,660 2.0×
Insert Temp Bladder Cath (51702) $444.96 $618 3.1×
Insert,Non-Indwelling Bladder Catheter (51701) $370.80 $515 2.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $4,011.84 $5,572 2.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,355.20 $4,660 2.0×
Intubation endotracheal emergency procedure (31500) $690.48 $959 2.7×
Irrigation of corpora cavernosa for priapism (54220) $562.32 $781 2.1×
Laryngoscopy diagnostic (31505) $419.04 $582 2.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $838.80 $1,165 2.0×
Ligamentous Reconstruction Knee Extra-Articular (27427) $15,430.32 $21,431 2.0×
N Block Inj Plantar Digit (64455) $1,624.32 $2,256 4.9×
N Block Inj Pudendal (64430) $2,029.68 $2,819 2.1×
Nasal/Orogastric W/Tube Plmt (43752) $861.84 $1,197 1.8×
Needle Biopsy Lymph Nodes (38505) $3,499.92 $4,861 2.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $178.56 $248 5.8×
Needle insertion w/o injection 3 or more muscles (20561) $178.56 $248 5.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,077.84 $1,497 2.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$637.92–$643.68 $886–$894 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,923.12 $2,671 2.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,671.84 $2,322 1.8×
Occipital Nerve Block (64405) $637.92 $886 1.9×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $7,564.32 $10,506 2.2×
Penile Injection (54235) $655.92 $911 2.4×
Perq dev breast 1st us imag (19285) $3,172.32 $4,406 4.2×
Perq device breast 1st imag (19281) $3,499.92 $4,861 2.0×
Placement of needle for intraosseous infusion (36680) $861.84 $1,197 1.8×
Punch biopsy skin single lesion (11104) $1,933.92 $2,686 4.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $750.24 $1,042 1.7×
Puncture Aspiration Cyst Breast (19000) $1,519.92 $2,111 2.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $7,449.84 $10,347 2.0×
Reconstruct finger joint (26545) $7,564.32 $10,506 2.2×
Removal Embedded Foreign Body Eyelid (67938) $561.60 $780 1.7×
Removal Foreign Body Foot Subcutaneous (28190) $1,519.92 $2,111 2.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,499.92 $4,861 2.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $128.16 $178 2.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $128.16 $178 2.0×
Removal of nail bed (11750)
range across 3 matching MRF lines
$863.28–$1,854 $1,199–$1,854 varies
Remove foreign body from eye (65205) $278.64 $387 2.0×
Remove Intrauterine Device (58301) $657.36 $913 2.0×
Remove Nasal Foreign Body (30300) $241.92 $336 1.7×
Repair Blood Vessel Direct Upper Extremity (35206) $6,798.24 $9,442 2.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,321.92 $1,836 1.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,321.92 $1,836 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $863.28 $1,199 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,321.92 $1,836 3.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,321.92 $1,836 3.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,321.92 $1,836 3.0×
Repair Eyelid Wound (67935) $5,039.28 $6,999 2.0×
Repair Finger Tendon (26433) $1,239.84 $1,722 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $863.28 $1,199 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $750.24 $1,042 1.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $820.80 $1,140 1.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $863.28 $1,199 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $863.28 $1,199 2.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,321.92 $1,836 1.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $750.24 $1,042 1.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $750.24 $1,042 1.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $750.24 $1,042 1.7×
Repair of nail bed (11760) $1,321.92 $1,836 1.7×
Repair tongue laceration (41250) $861.84 $1,197 1.8×
Replace duodenostomy/jejunostomy tube perq (49451) $2,025.36 $2,813 2.1×
Replace G-J Tube Perc (49452) $2,025.36 $2,813 2.1×
Replace g/c tube perc (49450) $2,025.36 $2,813 2.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $861.84 $1,197 1.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $281.52 $391 2.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $861.84 $1,197 1.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $6,181.92 $8,586 2.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,499.92 $4,861 2.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,335.60 $1,855 2.0×
Rplc Gtube No Revj Trc (43762) $661.68 $919 2.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $3,355.20 $4,660 2.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $372.96 $518 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $372.96 $518 1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $372.96 $518 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $372.96 $518 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $372.96 $518 1.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $429.12 $596 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $429.12 $596 2.0×
Skin sub graft face/nk/hf/g (15275) $3,435.84 $4,772 4.3×
Skin sub graft trnk/arm/leg (15271) $3,435.84 $4,772 4.3×
Skin sub grft t/arm/lg child (15273) $7,907.76 $10,983 3.6×
Skn sub grft f/n/hf/g child (15277) $3,951.36 $5,488 1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $372.96 $518 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $750.24 $1,042 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $863.28 $1,199 2.0×
Spinal puncture lumbar diagnostic (62270) $1,301.04 $1,807 1.7×
Strapping elbow or wrist (29260) $208.80 $290 3.3×
Strapping hand/finger (29280) $208.80 $290 3.3×
Strapping knee (29530) $278.64 $387 2.0×
Strapping shoulder (29240) $278.64 $387 2.0×
Strapping toes (29550) $208.80 $290 3.3×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$296.64–$432 $412–$600 varies
Tangential biopsy skin single lesion (11102) $1,933.92 $2,686 4.4×
Tenodesis long tendon biceps (23430) $15,430.32 $21,431 2.0×
Thrombolytic Therapy Stroke (37195) $744.48 $1,034 2.1×
Tooth extraction (41899) $501.84 $697 2.0×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $657.36 $913 2.0×
Treat Finger Fracture Each (26727) $7,008.48 $9,734 2.0×
Treat Fx Rad Extra-Articul (25607) $15,430.32 $21,431 2.0×
Treat humerus fracture (23600) $640.08 $889 2.4×
Treat Knuckle Dislocation (26700) $518.40 $720 2.0×
Treat Metatarsal Fracture (28475) $767.52 $1,066 2.9×
Treat Thumb Fracture (26645) $7,008.48 $9,734 4.1×
Treatment closed elbow dislocation w/o anes (24600) $518.40 $720 2.0×
Trim skin lesion (11055) $429.12 $596 2.0×
Trim skin lesions 2 to 4 (11056) $429.12 $596 2.0×
Trim skin lesions over 4 (11057) $429.12 $596 2.0×
Trimming Nondystrophic Nails Any Number (11719) $133.20 $185 2.1×
Tx Gastro Intub W/Asp (43753) $672.48 $934 2.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $1,166.40 $1,620 4.4×
Unlisted Procedure Casting/Strapping (29799) $340.56 $473 2.0×
Unlisted procedure nervous system (64999) $637.92 $886 1.9×
Wedge excision skin nail fold (11765) $863.28 $1,199 2.0×

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.