Procedures & surgery prices at St. John's Episcopal Hospital at South Shore
Far Rockaway, NY · every code in this section with a posted price and a Medicare benchmark.
320 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $3,327.87 | $3,327.87 | 2.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$2,985.07–$3,327.87 | $2,985.07–$3,327.87 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $6,295.13 | $6,295.13 | 2.4× |
| Amniocentesis diagnostic (59000) | $2,326.17 | $2,326.17 | 2.0× |
| Amniocentesis therapeutic (59001) | $1,240.99 | $1,240.99 | 3.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $10,616.91 | $10,616.91 | 2.6× |
| Anoscopy diagnostic (46600) | $498.24 | $498.24 | 3.0× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$946.05–$1,335.60 | $946.05–$1,335.60 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$222.60–$333.90 | $222.60–$333.90 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$539.80–$779.10 | $539.80–$779.10 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$539.80–$779.10 | $539.80–$779.10 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$946.05–$1,502.55 | $946.05–$1,502.55 | varies |
| Application of rigid total contact leg cast (29445) | $952.73 | $952.73 | 2.7× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$428.50–$667.80 | $428.50–$667.80 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$539.80–$779.10 | $539.80–$779.10 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$946.05–$1,335.60 | $946.05–$1,335.60 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$539.80–$779.10 | $539.80–$779.10 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$946.05–$1,502.55 | $946.05–$1,502.55 | varies |
| Arterial puncture (36600) | $428.50 | $428.50 | 2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$996.13–$1,669.50 | $996.13–$1,669.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$996.13–$1,669.50 | $996.13–$1,669.50 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$378–$1,669.50 | $378–$1,669.50 | varies |
| Aspirate pleura w/ imaging (32555) | $2,487.55 | $2,487.55 | 3.2× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $2,326.17 | $2,326.17 | 2.6× |
| Avulsion nail plate partial/complete simple 1 (11730) | $707.87 | $707.87 | 2.8× |
| Biopsy bone trocar/needle deep (20225) | $6,678 | $6,678 | 3.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $5,520.48 | $5,520.48 | 2.7× |
| Biopsy of liver, needle; percutaneous (47000) | $5,410.29 | $5,410.29 | 2.6× |
| Biopsy Pleura Percutaneous Needle (32400) | $5,520.48 | $5,520.48 | 2.7× |
| Biopsy Vaginal Mucosa Simple (57100) | $2,326.17 | $2,326.17 | 2.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $323.34 | $323.34 | 0.3× |
| Bladder instillation anticarcinogenic agent (51720) | $923.79 | $923.79 | 1.1× |
| Bladder Irrigation (51700) | $923.79 | $923.79 | 3.0× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$1,135.26–$1,669.50 | $1,135.26–$1,669.50 | varies |
| Blood Transfusion Service (36430) | $4,487.62 | $4,487.62 | 8.1× |
| Bx breast 1st lesion mr imag (19085) range across 2 matching MRF lines |
$6,344.10–$7,679.70 | $6,344.10–$7,679.70 | varies |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$5,520.48–$6,678 | $5,520.48–$6,678 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$5,898.90–$7,234.50 | $5,898.90–$7,234.50 | varies |
| Bx Cervix (57500) | $514.20 | $514.20 | 0.4× |
| Cerclage cervix pregnancy vaginal (59320) | $9,126.60 | $9,126.60 | 2.3× |
| Change Cystostomy Tube Complicated (51710) | $2,270.52 | $2,270.52 | 2.6× |
| Change Cystostomy Tube Simple (51705) | $923.79 | $923.79 | 3.0× |
| Change of Windpipe Airway (31502) | $823.62 | $823.62 | 2.8× |
| Chemical Cautery Tissue (17250) | $707.87 | $707.87 | 2.8× |
| Chemodenerv Eccrine Glands (64650) | $1,149.48 | $1,149.48 | 3.0× |
| Chest tube placement (32551) | $4,385.22 | $4,385.22 | 2.2× |
| Circumcision w/clamp/oth dev w/block (54150) | $6,805.99 | $6,805.99 | 2.6× |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$428.50–$556.50 | $428.50–$556.50 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $907.10 | $907.10 | 2.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $5,130.93 | $5,130.93 | 2.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,129.69–$1,669.50 | $1,129.69–$1,669.50 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $5,418.08 | $5,418.08 | 2.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $907.10 | $907.10 | 2.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,018.39 | $1,018.39 | 3.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,018.39 | $1,018.39 | 3.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $907.10 | $907.10 | 2.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $1,018.39 | $1,018.39 | 3.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $907.10 | $907.10 | 2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $1,018.39 | $1,018.39 | 3.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $907.10 | $907.10 | 2.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $907.10 | $907.10 | 2.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $4,229.40 | $4,229.40 | 12.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,018.39 | $1,018.39 | 3.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,018.39 | $1,018.39 | 3.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $862.58 | $862.58 | 2.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,018.39 | $1,018.39 | 3.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $907.10 | $907.10 | 2.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $851.45 | $851.45 | 2.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Collection of venous blood by venipuncture (36415) | $50.09 | $50.09 | 5.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $2,326.17 | $2,326.17 | 2.0× |
| Complex drainage wound (10180) | $9,538.41 | $9,538.41 | 2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$428.50–$667.80 | $428.50–$667.80 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $428.50 | $428.50 | 2.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $823.62 | $823.62 | 2.8× |
| Cystourethroscopy tx female urethral syndrome (52285) | $6,805.99 | $6,805.99 | 7.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $2,326.17 | $2,326.17 | 2.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,959.99 | $1,959.99 | 2.1× |
| Debride nail 1-5 (11720) | $278.25 | $278.25 | 3.8× |
| Debride nail 6 or more (11721) | $389.55 | $389.55 | 5.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $5,520.48 | $5,520.48 | 2.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $1,259.92 | $1,259.92 | 2.5× |
| Declot vascular device (36593) | $1,195.36 | $1,195.36 | 2.9× |
| Delivery of placenta (59414) | $9,126.60 | $9,126.60 | 2.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $751 | $751 | 3.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $751.35 | $751.35 | 3.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $2,326.17 | $2,326.17 | 2.6× |
| Drainage Finger Abscess Complicated (26011) | $5,520.48 | $5,520.48 | 2.7× |
| Drainage Mouth Roof Lesion (42000) | $717.88 | $717.88 | 2.4× |
| Drainage of finger abscess simple (26010) | $707.87 | $707.87 | 2.8× |
| Drainage of gum lesion (41800) | $428.50 | $428.50 | 2.6× |
| Drainage of hematoma/fluid (10140) | $5,520.48 | $5,520.48 | 2.7× |
| Drainage of rectal abscess (45005) | $4,207.14 | $4,207.14 | 2.8× |
| Drainage of salivary gland (42320) | $1,832 | $1,832 | 2.7× |
| Drainage of scrotal wall abscess (55100) | $5,410.29 | $5,410.29 | 2.6× |
| Drainage of scrotum (54700) | $6,805.99 | $6,805.99 | 2.6× |
| Draw Blood Off Venous Device (36591) | $458 | $458 | 2.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $2,326.17 | $2,326.17 | 2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,259.92 | $1,259.92 | 2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $1,001.70 | $1,001.70 | 4.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $834.75 | $834.75 | 3.3× |
| Dstrj Lesion Anus Simple Chemical (46900) | $1,522.35 | $1,522.35 | 3.0× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $751.35 | $751.35 | 3.0× |
| Epidural Blood Patch (62273) | $2,625 | $2,625 | 3.0× |
| Evacuation of subungual hematoma (11740) | $428.50 | $428.50 | 2.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $2,326.17 | $2,326.17 | 2.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $2,651.85 | $2,651.85 | 3.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $6,184.98 | $6,184.98 | 3.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $5,410.29 | $5,410.29 | 2.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $6,184.98 | $6,184.98 | 3.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $5,520.48 | $5,520.48 | 2.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $6,805.99 | $6,805.99 | 2.6× |
| Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines |
$843–$12,122.55 | $843–$12,122.55 | varies |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) | $6,268 | $6,268 | 1.4× |
| Explo/Drain Breast Abscess (19020) | $5,520.48 | $5,520.48 | 2.7× |
| Exploration penetrating wound spx extremity (20103) | $2,326.17 | $2,326.17 | 1.1× |
| Fetal Contraction Stress Test (59020) | $645.54 | $645.54 | 2.6× |
| Fetal non-stress test (59025) | $645.54 | $645.54 | 2.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $3,005.10 | $3,005.10 | 3.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $2,782.50 | $2,782.50 | 3.1× |
| Fna bx w/us gdn 1st les (10005) | $2,559.90 | $2,559.90 | 2.9× |
| Foreskin manipulation (54450) | $1,096.31 | $1,096.31 | 3.5× |
| I&d abscess peritonsillar (42700) | $717.88 | $717.88 | 2.4× |
| I&d abscess simple (10060) | $707.87 | $707.87 | 2.8× |
| I&d perianal abscess superficial (46050) | $2,893.80 | $2,893.80 | 2.5× |
| I&d pilonidal cyst simple (10080) | $2,326.17 | $2,326.17 | 2.6× |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $5,410.29 | $5,410.29 | 1.5× |
| Incise external hemorrhoid (46083) | $923.79 | $923.79 | 3.0× |
| Incision & drainage abscess complicated/multiple (10061) | $1,259.92 | $1,259.92 | 2.5× |
| Incision & removal foreign body subq tiss simple (10120) | $1,259.92 | $1,259.92 | 2.5× |
| Incision and drainage of bartholin's gland abscess (56420) | $645.54 | $645.54 | 2.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $1,079.61 | $1,079.61 | 2.8× |
| Incision of rectal abscess (46040) | $4,452 | $4,452 | 3.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$5,520.48–$6,678 | $5,520.48–$6,678 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $707.87 | $707.87 | 2.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$996.13–$1,669.50 | $996.13–$1,669.50 | varies |
| Injection for identification of sentinel node (38792) | $1,550.41 | $1,550.41 | 3.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$2,181.48–$2,643.42 | $2,181.48–$2,643.42 | varies |
| Insert Bladder Cath Complex (51703) | $623.28 | $623.28 | 3.9× |
| Insert cath pleura w/ image (32557) | $4,385.22 | $4,385.22 | 2.2× |
| Insert cath pleura w/o image (32556) | $11,584.10 | $11,584.10 | 4.8× |
| Insert cervical dilator (59200) | $1,170.75 | $1,170.75 | 3.1× |
| Insert Drug Implant Device (11981) | $342.42 | $342.42 | 2.1× |
| Insert non-tunnel cv cath (36556) | $4,385.22 | $4,385.22 | 1.1× |
| Insert pessary/other device (57160) | $251.25 | $251.25 | 1.0× |
| Insert Temp Bladder Cath (51702) | $422.94 | $422.94 | 2.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $17,552.01 | $17,552.01 | 2.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $422.94 | $422.94 | 2.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $4,385.22 | $4,385.22 | 2.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $10,590.19 | $10,590.19 | 2.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $2,226 | $2,226 | 4.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $2,392.95 | $2,392.95 | 4.7× |
| Intubation endotracheal emergency procedure (31500) | $823.62 | $823.62 | 2.8× |
| Irrigation of corpora cavernosa for priapism (54220) | $929.36 | $929.36 | 3.0× |
| Laryngoscopy diagnostic (31505) | $656.67 | $656.67 | 2.6× |
| Laryngoscopy flexible diagnostic (31575) | $656.67 | $656.67 | 2.6× |
| Laryngoscopy W/Foreign Body Removal (31530) | $5,453.70 | $5,453.70 | 2.5× |
| Late closure of wound (13160) | $6,295.13 | $6,295.13 | 1.4× |
| Maternity Care Procedure (59899) | $1,470 | $1,470 | 5.8× |
| Nasal surgery procedure (30999) | $823.62 | $823.62 | 2.8× |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,335.60 | $1,335.60 | 2.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $13,081.09 | $13,081.09 | 2.9× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $13,081.09 | $13,081.09 | 2.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $2,699.03 | $2,699.03 | 2.4× |
| Open treatment interphalangeal joint dislocation (28675) | $10,517.85 | $10,517.85 | 2.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $10,616.91 | $10,616.91 | 2.6× |
| Pelvic examination under anesthesia (other than local) (57410) | $9,126.60 | $9,126.60 | 2.3× |
| Penile Injection (54235) | $923.79 | $923.79 | 3.0× |
| Peritoneal Lavage (49084) | $3,327.87 | $3,327.87 | 2.9× |
| Perq dev breast 1st strtctc (19283) range across 2 matching MRF lines |
$2,782.50–$3,227.70 | $2,782.50–$3,227.70 | varies |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$3,238.83–$3,572.73 | $3,238.83–$3,572.73 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$2,326.17–$2,882.67 | $2,326.17–$2,882.67 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,259.92 | $1,259.92 | 2.5× |
| Puncture Aspiration Cyst Breast (19000) | $2,326.17 | $2,326.17 | 2.6× |
| Reconstruction Nail Bed W/Graft (11762) | $6,295.13 | $6,295.13 | 2.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$2,326.17–$3,450.30 | $2,326.17–$3,450.30 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $5,520.48 | $5,520.48 | 2.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$222.60–$389.55 | $222.60–$389.55 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $224.83 | $224.83 | 3.1× |
| Removal of foreign body from pharynx (42809) | $1,335.60 | $1,335.60 | 2.4× |
| Removal of nail bed (11750) | $1,259.92 | $1,259.92 | 2.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $707.87 | $707.87 | 2.8× |
| Remove cerclage suture (59871) | $11,387.25 | $11,387.25 | 2.8× |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$428.50–$556.50 | $428.50–$556.50 | varies |
| Remove Intrauterine Device (58301) | $645.54 | $645.54 | 1.7× |
| Remove intrvas foreign body (37197) | $10,590.19 | $10,590.19 | 2.7× |
| Remove Nasal Foreign Body (30300) | $779.10 | $779.10 | 4.7× |
| Remove/Insert Drug Implant (11983) | $477.54 | $477.54 | 0.9× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$5,410.29–$7,568.40 | $5,410.29–$7,568.40 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) | $10,590.19 | $10,590.19 | 2.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,959.99 | $1,959.99 | 2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,103.57 | $2,103.57 | 2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,259.92 | $1,259.92 | 2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,959.99 | $1,959.99 | 3.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,959.99 | $1,959.99 | 3.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $2,103.57 | $2,103.57 | 4.1× |
| Repair complex trunk 1.1-2.5 cm (13100) | $3,227.70 | $3,227.70 | 3.5× |
| Repair complex trunk 2.6-7.5 cm (13101) | $3,394.65 | $3,394.65 | 3.7× |
| Repair extensor tendon finger w/o graft each (26418) | $5,419.20 | $5,419.20 | 2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,446.90 | $1,446.90 | 2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,613.85 | $1,613.85 | 3.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,780.80 | $1,780.80 | 3.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $2,059.05 | $2,059.05 | 4.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $2,559.90 | $2,559.90 | 5.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $2,103.57 | $2,103.57 | 2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $1,446.90 | $1,446.90 | 2.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $1,613.85 | $1,613.85 | 3.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,959.99 | $1,959.99 | 2.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $6,295.13 | $6,295.13 | 2.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $2,059.05 | $2,059.05 | 4.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,446.90 | $1,446.90 | 2.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$1,522.35–$1,613.85 | $1,522.35–$1,613.85 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $2,059.05 | $2,059.05 | 2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $1,780.80 | $1,780.80 | 3.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $6,295.13 | $6,295.13 | 2.4× |
| Repair of nail bed (11760) | $1,961.11 | $1,961.11 | 2.1× |
| Repair tongue laceration (41252) | $1,846.47 | $1,846.47 | 6.2× |
| Repair tongue laceration (41250) | $428.50 | $428.50 | 0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,985.07 | $2,985.07 | 2.6× |
| Reposition Gastrostomy Tube (43761) | $1,986.70 | $1,986.70 | 6.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $3,055.18 | $3,055.18 | 2.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$1,396.82–$2,003.40 | $1,396.82–$2,003.40 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$428.50–$556.50 | $428.50–$556.50 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$1,396.82–$2,003.40 | $1,396.82–$2,003.40 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $3,773.07 | $3,773.07 | 1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,487.55 | $2,487.55 | 3.2× |
| Rplc Gtube No Revj Trc (43762) | $1,986.70 | $1,986.70 | 6.4× |
| Rplc gtube revj gstrst trc (43763) | $1,986.70 | $1,986.70 | 6.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $5,688.54 | $5,688.54 | 2.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $5,692.99 | $5,692.99 | 2.9× |
| Rpr blood vessel direct lower extremity (35226) | $2,326.17 | $2,326.17 | 2.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $979.44 | $979.44 | 3.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $2,059.05 | $2,059.05 | 2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,953.32 | $1,953.32 | 2.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $10,616.91 | $10,616.91 | 2.6× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $10,616.91 | $10,616.91 | 2.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,259.92 | $1,259.92 | 2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $707.87 | $707.87 | 2.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $756.84 | $756.84 | 3.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,413.51 | $1,413.51 | 2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $845.88 | $845.88 | 3.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,524.81 | $1,524.81 | 6.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $707.87 | $707.87 | 2.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $1,524.81 | $1,524.81 | 6.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $818.05 | $818.05 | 3.3× |
| Skin sub graft face/nk/hf/g (15275) | $6,295.13 | $6,295.13 | 6.8× |
| Skin sub graft trnk/arm/leg (15271) | $6,295.13 | $6,295.13 | 6.8× |
| Skin Tissue Procedure (17999) | $707.87 | $707.87 | 2.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $723.45 | $723.45 | 2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $1,259.92 | $1,259.92 | 2.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,413.51 | $1,413.51 | 2.8× |
| Spinal puncture lumbar diagnostic (62270) | $2,181.48 | $2,181.48 | 2.5× |
| Strapping ankle (29540) | $544.26 | $544.26 | 2.7× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$222.60–$317.20 | $222.60–$317.20 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$222.60–$317.20 | $222.60–$317.20 | varies |
| Strapping knee (29530) | $428.50 | $428.50 | 2.6× |
| Strapping shoulder (29240) | $428.50 | $428.50 | 2.6× |
| Strapping toes (29550) | $300.51 | $300.51 | 4.1× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$539.80–$779.10 | $539.80–$779.10 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$337–$729.01 | $337–$729.01 | varies |
| Therapeutic plasma exchange (36514) | $5,008.50 | $5,008.50 | 2.6× |
| Thyroid biopsy (60100) | $2,309.47 | $2,309.47 | 2.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $6,295.13 | $6,295.13 | 2.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,846.47 | $1,846.47 | 6.2× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$1,018.39–$1,558.20 | $1,018.39–$1,558.20 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$5,342.40–$7,568.40 | $5,342.40–$7,568.40 | varies |
| Treat Knuckle Dislocation (26700) | $1,018.39 | $1,018.39 | 3.3× |
| Treat Metatarsal Fracture (28475) | $1,018.39 | $1,018.39 | 3.3× |
| Treat Thumb Dislocation (26641) | $1,018.39 | $1,018.39 | 3.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,129.69–$1,669.50 | $1,129.69–$1,669.50 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$907.10–$1,446.90 | $907.10–$1,446.90 | varies |
| Trim skin lesion (11055) | $707.87 | $707.87 | 2.8× |
| Trim skin lesions 2 to 4 (11056) | $834.75 | $834.75 | 3.3× |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$890.40–$1,001.70 | $890.40–$1,001.70 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $224.83 | $224.83 | 3.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $10,684.80 | $10,684.80 | 2.6× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $5,418.08 | $5,418.08 | 2.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $5,418.08 | $5,418.08 | 2.7× |
| Unlisted Procedure Casting/Strapping (29799) | $544.26 | $544.26 | 2.7× |
| Unlisted Procedure Vascular Surgery (37799) | $2,192.61 | $2,192.61 | 2.8× |
| Vaginal Delivery After Cesarean Delivery (59612) | $9,126.60 | $9,126.60 | 2.3× |
| Vaginal delivery only (59409) | $9,126.60 | $9,126.60 | 2.3× |
| Wedge excision skin nail fold (11765) | $1,259.92 | $1,259.92 | 2.5× |
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.