Procedures & surgery prices at St. Luke Community Hospital

Ronan, MT · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
— $535–$710.60 —
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
— $337–$612.90 —
Abdomen Surgery Procedure (22999) — $1,680 —
Acne surgery (10040) — $113.30 —
Acromiopl/Acromionect Partial (23130) — $1,476.90 —
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) — $357 —
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) — $480 —
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) — $482 —
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) — $690 —
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) — $503 —
Amniocentesis diagnostic (59000) — $77.70 —
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) — $1,083.30 —
Amputation metatarsal with toe single (28810) — $991.85 —
Amputation toe interphalangeal joint (28825) — $724.75 —
Amputation toe metatarsophalangeal joint (28820) — $743.10 —
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) — $248.80 —
Appendectomy (44950) — $1,513.45 —
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) — $186 —
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines
— $151.60–$243.80 —
Application finger splint static (29130) — $74 —
Application long arm splint shoulder hand (29105) — $153 —
Application Long Leg Splint (29505) — $149 —
Application of long leg cast (29345) — $372.40 —
Application of rigid total contact leg cast (29445) — $320 —
Application Short Arm Splint Dynamic (29126) — $98.70 —
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
— $115–$197.90 —
Application short leg splint calf foot (29515) — $126 —
Apply hand/wrist cast (29085) — $152.40 —
Apply long arm cast (29065)
range across 2 matching MRF lines
— $173.20–$270.55 —
Apply Multlay Comprs Lwr Leg (29581) — $196 —
Apply Short Leg Cast (29405) — $162.40 —
Apply short leg cast (29425) — $169.30 —
Arterial puncture (36600) — $135 —
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
— $112–$142.80 —
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) — $912 —
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
— $124–$172 —
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
— $100–$760 —
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
— $89–$140.30 —
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines
— $2,455–$3,250.05 —
Arthroscopy shoulder distal claviculectomy (29824) — $1,013 —
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) — $1,541 —
Arthroscopy, shoulder, surgical; debridement, extensive (29823) — $1,062 —
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines
— $976–$1,289.90 —
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) — $1,809 —
Arthrotomy W/Meniscus Repair Knee (27403) — $1,043 —
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines
— $2,372–$2,904.40 —
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) — $1,633 —
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
— $495–$777.40 —
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
— $372–$651.30 —
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
— $106–$169.50 —
Aspiration bladder insert suprapubic catheter (51102) — $401 —
Avulsion nail plate partial/complete simple 1 (11730) — $185 —
Biopsy bone trocar/needle deep (20225) — $591.10 —
Biopsy Bone Trocar/Needle Superficial (20220) — $246.70 —
Biopsy external ear (69100) — $162 —
Biopsy muscle percutaneous needle (20206)
range across 4 matching MRF lines
— $80.60–$590.80 —
Biopsy Vulva/Perineum 1 Lesion Spx (56605) — $178 —
Biopsy/removal lymph nodes (38510) — $1,377.60 —
Bladder Irrigation (51700)
range across 2 matching MRF lines
— $147–$195.40 —
Bladder Scan (51798) — $145 —
Blepharotomy drainage abscess eyelid (67700) — $363 —
Blood Transfusion Service (36430)
range across 10 matching MRF lines
— $205.50–$820.55 —
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines
— $311.50–$1,470 —
Bx Cervix (57500) — $247 —
Bx/exc lymph node open deep axillary node (38525) — $1,076.10 —
Carpal Tunnel Surgery (64721) — $1,206.45 —
Change Cystostomy Tube Simple (51705) — $163.40 —
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
— $84–$139 —
Chemodenerv Musc Migraine (64615) — $250 —
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) — $225 —
Chest tube placement (32551)
range across 2 matching MRF lines
— $295–$357.30 —
Circumcision Neonate (54160) — $250 —
Circumcision w/clamp/oth dev w/block (54150) — $257 —
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines
— $669–$1,147.20 —
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines
— $897–$1,520.35 —
Claviculectomy partial (23120)
range across 2 matching MRF lines
— $972–$1,411.80 —
Clear outer ear canal (69200) — $216 —
Closed Rx Metacarpal Fx,Percut (26608) — $1,160.50 —
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) — $804.05 —
Closed Treatment Sesamoid Fracture (28530) — $201 —
Closed Treatment Ulnar Styloid Fracture (25650) — $539 —
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) — $789 —
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines
— $326–$567 —
Closed Tx Calcaneal Fracture W/O Manipulation (28400) — $427 —
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines
— $359–$592.85 —
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) — $410 —
Closed tx patellar dislocation w/anesthesia (27562) — $797 —
Closed tx patellar dislocation w/o anesthesia (27560) — $566 —
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines
— $547–$924.30 —
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines
— $443–$753.95 —
Closed tx radial shaft fracture w/manipulation (25505) — $1,475.30 —
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) — $816.60 —
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines
— $871–$1,558.80 —
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines
— $391–$664.60 —
Closed tx septal&nose fx (21337) — $487 —
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines
— $399–$664.65 —
Closed tx tarsometatarsal dislocation w/o anes (28600) — $369 —
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) — $408 —
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines
— $444–$754.80 —
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines
— $371–$645.40 —
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) — $295.35 —
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines
— $682–$1,046.95 —
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
— $551–$1,084.55 —
Cltx ankle dislc req anes w/wo prq skel fixj (27842) — $836 —
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) — $616 —
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines
— $386–$655.45 —
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) — $366.20 —
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) — $500 —
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines
— $710–$1,246.55 —
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
— $537–$875.05 —
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) — $530 —
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines
— $313–$551.05 —
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
— $563–$963.55 —
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
— $916–$1,586.35 —
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) — $1,148 —
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines
— $626.20–$1,340.85 —
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines
— $252–$396.60 —
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) — $277 —
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) — $213 —
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) — $1,510.35 —
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines
— $528–$891.70 —
Cltx greater humeral tuberosity fx w/o manj (23620) — $774 —
Cltx hip dislocation traumatic req anesthesia (27252) — $1,160 —
Cltx hip dislocation traumatic w/o anesthesia (27250) — $618.70 —
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) — $584 —
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines
— $544–$976.90 —
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) — $780 —
Cltx Interphalangeal Joint Dislocation Req Anes (28665) — $248 —
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) — $645 —
Cltx iphal jt dislc w/manj w/o anes (26770) — $480 —
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines
— $566–$941 —
Cltx metacarpal fx w/manipulation each bone (26605) — $547 —
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines
— $498–$854.15 —
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
— $565–$989.40 —
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
— $337–$588.65 —
Cltx post hip arthrp dislc req anes (27266) — $962 —
Cltx post hip arthrp dislc w/o anes (27265) — $681 —
Cltx prox fibula/shft fx w/manj (27781) — $713 —
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines
— $520–$883.35 —
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) — $674 —
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) — $212.60 —
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) — $570 —
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) — $608 —
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) — $1,289 —
Cltx tibial fx proximal w/o manipulation (27530) — $511 —
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines
— $345–$584 —
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines
— $808–$1,461.95 —
Cltx trimalleolar ankle fx w/o manipulation (27816) — $386.70 —
Collect Blood From Catheter Venous Nos (36592) — $173.10 —
Collection of venous blood by venipuncture (36415) — $25 —
Colonoscopy w/ablation (45388) — $480 —
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines
— $704–$1,225.75 —
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) — $272 —
Colposcopy Cervix Endocervical Curettage (57456) — $230 —
Colposcopy cervix upper/adjacent vagina (57452) — $204 —
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) — $243 —
Colsc flx w/removal lesion by hot bx forceps (45384) — $720 —
Complex drainage wound (10180) — $417 —
Control Nasal Hemorrhage Anterior Complex (30903) — $303 —
Control Nasal Hemorrhage Anterior Simple (30901) — $251 —
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) — $553 —
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) — $463 —
Curettage postpartum (59160) — $396.60 —
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) — $147.80 —
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
— $373–$598.65 —
Debride nail 1-5 (11720) — $59 —
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) — $801.55 —
Debridement subcutaneous tissue 20 sq cm/< (11042) — $331.50 —
Declot vascular device (36593) — $199 —
Delivery of placenta (59414) — $158 —
Destr W Neurolytic; Celiac Plexus (64680) — $1,520 —
Destroy cerv/thor facet jnt (64633) — $2,128 —
Destroy lumb/sac facet jnt (64635) — $2,128 —
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
— $106–$191 —
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines
— $124–$226 —
Destruction Lesions Vulva Simple (56501) — $312 —
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) — $279 —
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) — $238 —
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) — $234 —
Destruction neurolytic agt genicular nerve w/img (64624) — $2,432 —
Destruction Premalignant Lesion 15/> (17004) — $52.50 —
Destruction premalignant lesion 1st (17000) — $141 —
Diagnostic sigmoidoscopy (45330) — $537.75 —
Drain/inj small joint/bursa w/us (20604) — $760 —
Drainage External Ear Abscess/Hematoma Simple (69000) — $325 —
Drainage Mouth Roof Lesion (42000) — $352 —
Drainage of finger abscess simple (26010) — $548 —
Drainage of gum lesion (41800) — $482 —
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
— $276–$435.85 —
Draw Blood Off Venous Device (36591) — $159.20 —
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
— $235–$414.15 —
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
— $141–$232.15 —
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) — $1,368 —
Dx Laryngoscopy Excl Nb (31525) — $428 —
Dx lmbr spi pnxr w/fluor/CT (62328) — $1,368 —
Egd cautery tumor polyp (43250) — $270 —
Egd Flexible Foreign Body Removal (43247) — $393.25 —
Egd guide wire insertion (43248)
range across 2 matching MRF lines
— $282–$1,144.75 —
Egd place gastrostomy tube (43246) — $445.85 —
Endometrial Biopsy (58100) — $187 —
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines
— $1,805–$2,640.15 —
Epidural Blood Patch (62273) — $1,216 —
Episiotomy or vaginal repair (59300) — $250.90 —
Evacuation of subungual hematoma (11740) — $95 —
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) — $982.65 —
Exc arm/elbow les sc < 3 cm (24075) — $536 —
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines
— $212–$319.80 —
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) — $340 —
Exc Back Les Sc < 3 Cm (21930) — $720 —
Exc Back Tum Deep 5 Cm/> (21933) — $1,194 —
Exc back tum deep < 5 cm (21932) — $1,567.80 —
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) — $316 —
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) — $457 —
Exc Face Les Sbq 2 Cm/> (21012) — $578 —
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) — $232 —
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines
— $286–$434.20 —
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) — $318 —
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) — $314 —
Exc Forearm Les Sc 3 Cm/> (25071) — $706 —
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
— $210–$312.30 —
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines
— $268–$398.30 —
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) — $310 —
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) — $642 —
Exc Rct Tum Not Incl Muscularis Propria (45171) — $1,001 —
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
— $324–$499.30 —
Exc Skin Benig >4 Cm Remaindr Body (11426) — $849.95 —
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
— $522–$834.10 —
Exc Skin Benig >4cm Face,Facial (11446) — $615 —
Exc Skin Malig >4 Cm Remaindr Body (11626) — $561 —
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) — $751 —
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines
— $682–$1,020.20 —
Exc thigh/knee tum dep 5cm/> (27339) — $1,287 —
Exc Thrombosed Hemorrhoid Xtrnl (46320) — $345 —
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines
— $254–$387.45 —
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
— $282–$427.50 —
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines
— $366–$577.80 —
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines
— $725–$1,072.75 —
Exc tumor soft tiss shoulder subfasc <5cm (23076) — $880 —
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) — $1,110 —
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) — $926 —
Exc tumor soft tissue abdominal wall subq <3cm (22902) — $753 —
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) — $702 —
Exc tumor soft tissue pelvis & hip subq <3cm (27047) — $1,336.70 —
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) — $1,002 —
Excis Mouth Mucosa/Sub,No Repair (40810) — $356 —
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines
— $475–$690.50 —
Excision lesion tendon sheath forearm&/wrist (25110) — $566 —
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) — $251 —
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) — $391 —
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) — $528 —
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) — $860 —
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) — $331 —
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) — $389 —
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) — $416 —
Excision of ganglion, wrist (dorsal or volar); primary (25111) — $511.20 —
Excision of single external papilla or tag, anus (46220) — $688.85 —
Excision of vaginal cyst or tumor (57135) — $307 —
Excision olecranon bursa (24105) — $895.05 —
Excision Pilonidal Cyst/Sinus Extensive (11771) — $1,730.80 —
Excision Skin Abd Infraumbilical Panniculectomy (15830) — $1,874 —
Excision tumor soft tis back/flank subq 3 cm/> (21931) — $780 —
Excision tumor soft tissue shoulder subq 3 cm/> (23071) — $685 —
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) — $511 —
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines
— $707–$1,071.90 —
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) — $219 —
External cephalic version (59412) — $194.60 —
Fetal non-stress test (59025) — $86 —
Fine needle aspiration without imaging guidance (10021) — $256 —
Fluid Pressure Muscle (20950) — $425 —
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) — $1,198.90 —
I&d abscess peritonsillar (42700) — $309 —
I&d abscess simple (10060)
range across 2 matching MRF lines
— $204–$321.45 —
I&d perianal abscess superficial (46050) — $341 —
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
— $400–$673.85 —
Image Cath Fluid Peri/Retro (49406) — $4,208 —
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
— $333–$563.60 —
Incise finger tendon sheath (26055)
range across 2 matching MRF lines
— $843–$1,573.95 —
Incision & drainage abscess complicated/multiple (10061) — $344 —
Incision & removal foreign body subq tiss simple (10120) — $260 —
Incision and drainage of bartholin's gland abscess (56420) — $300 —
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
— $237–$364.85 —
Incision extensor tendon sheath wrist (25000) — $850.80 —
Incision of lingual frenum (frenotomy) (41010) — $363 —
Incision of rectal abscess (46040)
range across 2 matching MRF lines
— $884–$1,575.50 —
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines
— $190–$260 —
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) — $1,824 —
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines
— $43–$151.15 —
Injection aa&/strd axillary nerve w/img gdn (64417) — $1,216 —
Injection aa&/strd genicular nrv branches w/img (64454) — $356 —
Injection aa&/strd intercostal nrv ea addl lvl (64421) — $375 —
Injection aa&/strd nerves nrvtg si joint w/img (64451) — $1,520 —
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) — $1,368 —
Injection anesthetic agent suprascapular nerve (64418) — $760 —
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines
— $106–$900 —
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines
— $45–$151.15 —
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
— $96–$129.45 —
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
— $111–$149.45 —
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines
— $57–$220.45 —
Injection, anesthetic agent; brachial plexus, single (64415) — $1,216 —
Injection, anesthetic agent; femoral nerve, single (64447) — $1,064 —
Injection, anesthetic agent; other peripheral nerve or branch (64450) — $127.90 —
Injection, intralesional; up to and including 7 lesions (11900) — $98 —
Insert Drug Implant Device (11981) — $239 —
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
— $498.60–$594.50 —
Insert Temp Bladder Cath (51702) — $144 —
Insert tunneled cv cath (36561) — $2,406.40 —
Insert,Non-Indwelling Bladder Catheter (51701) — $77.30 —
Insertion indwelling tunneled pleural catheter (32550) — $1,958.90 —
Insertion Picc W/Rs&I 5 Yr/> (36573) — $673 —
Intubation endotracheal emergency procedure (31500) — $372 —
Laparoscopy aspiration (49322)
range across 2 matching MRF lines
— $600–$888.25 —
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) — $739 —
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines
— $1,036–$1,465.10 —
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines
— $959–$1,145.05 —
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines
— $961–$1,374.95 —
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines
— $544–$790.55 —
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines
— $1,173–$1,616.25 —
Late closure of wound (13160) — $1,851.75 —
Ligamentous Reconstruction Knee Extra-Articular (27427) — $1,210 —
Ligamentous reconstruction knee intra-articular (27428) — $1,884 —
Ligation or biopsy temporal artery (37609) — $472.20 —
Maternity Care Procedure (59899) — $500 —
Metatarsectomy (28140) — $1,404.35 —
N Block Inj Celiac Pelus (64530) — $1,368 —
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines
— $231–$302.30 —
N block inj intercost sng (64420) — $172 —
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines
— $83–$125.25 —
N Block Inj Pudendal (64430) — $1,216 —
N Block Lumbar/Thoracic (64520) — $1,216 —
Nasal/Orogastric W/Tube Plmt (43752) — $349.10 —
Njx anes stellate ganglion crv sympathetic (64510) — $1,064 —
Njx Anes Trigeminal Nrv Any Div/Branch (64400) — $211 —
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines
— $81.30–$396.90 —
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) — $1,520 —
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) — $1,672 —
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) — $1,520 —
Njx Sclrsnt 1 Incmptnt Vein (36470) — $302.25 —
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines
— $150–$512.65 —
Occipital Nerve Block (64405) — $177 —
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines
— $357–$1,774.30 —
Open Treatment Bimalleolar Ankle Fracture (27814) — $1,285 —
Open treatment fracture distal tibia only (27827) — $1,794 —
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines
— $1,193–$1,697.30 —
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines
— $1,012–$1,486.95 —
Open Tx Distal Fibular Fracture Lat Malleolus (27792) — $1,519.50 —
Open Tx Distal Phalangeal Fracture Each (26765) — $833 —
Open Tx Distal Tibiofibular Joint Disruption (27829) — $1,185 —
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
range across 2 matching MRF lines
— $1,535–$2,187.25 —
Open Tx Humeral Epicondylar Fracture (24575) — $1,182 —
Open Tx Metacarpal Fracture Single Ea Bone (26615) — $1,369.25 —
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines
— $1,477–$2,037.85 —
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines
— $1,453–$2,065.50 —
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines
— $1,053–$1,555.40 —
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) — $1,774.70 —
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) — $1,722 —
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines
— $1,913–$2,724.10 —
Optx tibial fx prox bicondylar w/wo int fixj (27536) — $1,903 —
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines
— $1,435–$2,082.95 —
Partial Excision Distal Phalanx Finger (26236) — $749 —
Partial removal of rib (21600) — $905 —
Partical Excision Bone Phalanx Toe (28124) — $1,185.65 —
Patellectomy or hemipatellectomy (27350) — $1,080 —
Pelvic examination under anesthesia (other than local) (57410) — $191.10 —
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines
— $100–$144.45 —
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines
— $942–$1,497.90 —
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
— $214–$303.10 —
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
— $222–$329 —
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines
— $176–$240.50 —
Radical resection of tumor; clavicle Facility (23200)
range across 2 matching MRF lines
— $2,386–$3,412.80 —
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) — $320 —
Removal Embedded Foreign Body Eyelid (67938) — $358 —
Removal Foreign Body Deep Thigh/Knee (27372) — $1,018 —
Removal impacted cerumen irrigation/lvg unilat (69209) — $27 —
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) — $91 —
Removal impacted vag fb spx w/anes oth/thn local (57415) — $293 —
Removal Implant Deep (20680) — $1,579.70 —
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines
— $132–$245 —
Removal of nail bed (11750)
range across 3 matching MRF lines
— $354.90–$394.10 —
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines
— $736–$1,123.70 —
Removal skn tags mlt fibrq tags any area upw/15 (11200) — $150 —
Removal Sutures/Staples Requiring Anesthesia (15851) — $169 —
Removal sweat gland lesion (11450) — $426 —
Removal/bivalving gauntlet boot/body cast (29700) — $101 —
Remove drug implant device (11982) — $270 —
Remove foreign body from eye (65205) — $181.40 —
Remove Intrauterine Device (58301) — $178 —
Remove knee joint lining (27334) — $1,105 —
Remove Nasal Foreign Body (30300) — $407 —
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines
— $970–$1,644.05 —
Remove/Insert Drug Implant (11983) — $375 —
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) — $905 —
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) — $566 —
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) — $687 —
Repair extensor tendon finger w/o graft each (26418) — $939 —
Repair Hand Tendon (26410) — $936 —
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) — $437 —
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) — $503 —
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines
— $254–$296 —
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) — $688 —
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) — $409 —
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) — $493 —
Repair intermediate s/a/t/e 12.6-20.0cm (12035) — $653 —
Repair intermediate s/a/t/e 2.5 cm/< (12031) — $419 —
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
— $518–$749.80 —
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) — $533 —
Repair intermediate s/a/t/e >30.0 cm (12037) — $658 —
Repair Non/Malunion Humerus W/O Graft (24430) — $1,785 —
Repair of nail bed (11760) — $320 —
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) — $1,361 —
Repair of Ruptured Tendon (24342) — $1,313 —
Repair of shoulder (23420) — $1,559 —
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines
— $1,365–$1,927 —
Replantation digit complete (20822) — $2,831 —
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines
— $1,030–$1,520.15 —
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) — $102 —
Rmvl fb xtrnl eye corneal w/slit lamp (65222) — $107 —
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) — $420 —
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
— $426–$562.75 —
Rplc Gtube No Revj Trc (43762) — $362 —
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) — $1,216 —
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines
— $1,200–$1,705.40 —
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines
— $553–$788.85 —
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines
— $499–$967.50 —
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines
— $922–$1,312.25 —
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines
— $761–$1,091.85 —
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) — $378 —
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) — $799 —
Shave skin lesion 0.5 cm/< (11300) — $169 —
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) — $196 —
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) — $169 —
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) — $207 —
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) — $190 —
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) — $274 —
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) — $206 —
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) — $242 —
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) — $259.20 —
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) — $448 —
Simple repair f/e/e/n/l/m 2.5cm/< (12011) — $232 —
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) — $255 —
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) — $301 —
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) — $236 —
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) — $506 —
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
— $295–$404.95 —
Skin Tissue Procedure (17999) — $312 —
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) — $250 —
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) — $365 —
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) — $452 —
Spinal puncture lumbar diagnostic (62270) — $272 —
Strapping Unna Boot (29580)
range across 2 matching MRF lines
— $103–$200 —
Suture infrapatellar tendon primary (27380) — $1,005 —
Suture of quadriceps or hamstring muscle rupture primary (27385) — $977 —
Tangential biopsy skin single lesion (11102) — $173 —
Tenodesis long tendon biceps (23430) — $1,201 —
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) — $720.40 —
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines
— $396–$822 —
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines
— $2,532–$2,897.70 —
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) — $905 —
Treat Fx Rad Extra-Articul (25607) — $1,215 —
Treat Hip Socket Fracture (27222) — $2,210.60 —
Treat humerus fracture (24500)
range across 2 matching MRF lines
— $602–$1,037.85 —
Treat Humerus Fracture (24505) — $837 —
Treat humerus fracture (23600)
range across 2 matching MRF lines
— $552–$952.65 —
Treat Kneecap Fracture (27524) — $1,280 —
Treat Knuckle Dislocation (26700) — $563 —
Treat toe dislocation (28630) — $432 —
Treatment Closed Elbow Dislocation Req Anes (24605) — $791 —
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines
— $608–$1,191.40 —
Treatment of ankle fracture (27823)
range across 2 matching MRF lines
— $1,590–$2,307.60 —
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines
— $2,026–$2,802.55 —
Treatment of tibia fracture (27756) — $1,410.90 —
Trim skin lesion (11055) — $116 —
Trim skin lesions 2 to 4 (11056) — $134 —
Trim skin lesions over 4 (11057) — $79.25 —
Tx Incomplete Abortion Any Trimester Surgical (59812) — $537 —
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) — $2,088 —
Tx Missed Abortion First Trimester Surgical (59820) — $643 —
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) — $617 —
Tx Superficial Wound Dehiscence Simple Closure (12020) — $474 —
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) — $348 —
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) — $1,646 —
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines
— $478–$719.75 —
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines
— $871.30–$1,950 —
Unlisted procedure anus (46999) — $1,190 —
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines
— $675.30–$1,178.60 —
Unlisted procedure nervous system (64999) — $456 —
Vaginal Delivery After Cesarean Delivery (59612) — $1,554 —
Vaginal delivery only (59409) — $1,464.70 —
Vasectomy uni/bi spx w/postop semen exams (55250) — $814 —

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.