Procedures & surgery prices at Starr County Memorial Hospital

Rio Grande City, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $300 $300 0.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $300 $300 0.1×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $340 $340 0.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $320 $320 0.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $300 $300 0.1×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $320 $320 0.2×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $300 $300 0.1×
Amputation foot transmetarsal (28805) $9,252 $9,252 2.8×
Amputation metatarsal with toe single (28810) $9,252 $9,252 2.8×
Amputation toe metatarsophalangeal joint (28820) $9,252 $9,252 2.8×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $460 $460 1.6×
Application Cast Finger (29086) $267 $267 1.6×
Application Cast Shoulder Spica (29055) $460 $460 1.6×
Application Finger Splint Dynamic (29131) $220 $220 3.7×
Application finger splint static (29130)
range across 2 matching MRF lines		 $30–$135 $30–$135 varies
Application long arm splint shoulder hand (29105) $135 $135 0.8×
Application Long Leg Cast Brace (29358) $40.45 $40.45 0.1×
Application Long Leg Cast Walker/Ambulatory Type (29355) $460 $460 1.6×
Application Long Leg Splint (29505) $135 $135 0.8×
Application of body cast, shoulder to hips; including 1 thigh Facility (29044) $267 $267 1.6×
Application of long leg cast (29345) $220 $220 0.8×
Application short arm splint forearm-hand static (29125) $135 $135 1.0×
Application short leg splint calf foot (29515) $135 $135 0.8×
Apply hand/wrist cast (29085) $35 $35 0.2×
Apply Multlay Comprs Lwr Leg (29581) $200 $200 1.2×
Apply Short Leg Cast (29405) $220 $220 0.8×
Apply short leg cast (29425) $460 $460 1.6×
Arterial puncture (36600) $500 $500 3.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $125 $125 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $135 $135 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $115–$135 $115–$135 varies
Aspirate pleura w/ imaging (32555) $1,260 $1,260 2.0×
Aspirate Pleura W/O Imaging (32554) $1,260 $1,260 2.0×
Avulsion nail plate partial/complete simple 1 (11730) $220 $220 1.1×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,400 $1,400 0.8×
Bladder Irrigation (51700) $350 $350 1.4×
Bladder Scan (51798) $550 $550 9.3×
Blood Transfusion Service (36430) $776 $776 1.8×
Bx Cervix (57500) $2,298 $2,298 2.5×
Catheter aspiration nasotracheal spx (31720) $800 $800 3.6×
Cerclage cervix pregnancy vaginal (59320) $8,936 $8,936 2.7×
Change of Windpipe Airway (31502) $400 $400 1.7×
Chemical Cautery Tissue (17250) $349.42 $349.42 1.7×
Chest tube placement (32551) $1,500 $1,500 0.9×
Cl Tx Scapular Fx; W Manip (23575) $220 $220 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $1,400 $1,400 0.9×
Clear outer ear canal (69200) $200 $200 1.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $250 $250 1.0×
Closed Treatment Ulnar Styloid Fracture (25650) $220 $220 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $250 $250 1.0×
Closed tx carpal scaphoid fracture w/manj (25624) $220 $220 0.1×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $220 $220 0.9×
Closed tx knee dislocation w/o anesthesia (27550) $250 $250 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $220 $220 0.1×
Closed tx patellar dislocation w/anesthesia (27562) $250 $250 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,300 $1,300 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,400 $1,400 0.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $220 $220 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $250 $250 1.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $220 $220 0.1×
Clsd tx clavicular fracture w/o manipulation (23500) $220 $220 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,400 $1,400 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $250 $250 1.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,500 $1,500 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,650 $1,650 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $220 $220 0.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $220 $220 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $250 $250 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,500 $1,500 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $250 $250 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,500 $1,500 0.9×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $300 $300 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $250 $250 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $120 $120 0.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $250 $250 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $250 $250 1.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $350 $350 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $350 $350 1.4×
Cltx prox fibula/shft fx w/manj (27781) $1,400 $1,400 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,400 $1,400 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $250 $250 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,350 $1,350 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $220 $220 0.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $431 $431 1.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,000 $2,000 1.2×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $6.95–$15 $6.95–$15 varies
Colonoscopy thru stoma (44388) $2,612 $2,612 2.8×
Colonoscopy w/ablation (45388) $3,373 $3,373 2.8×
Colonoscopy w/submucosal inj (45381) $3,373 $3,373 2.8×
Colporrhaphy (57200) $8,936 $8,936 2.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $917 $917 3.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,373 $3,373 2.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $3,373 $3,373 2.8×
Combined anteroposterior colporrhaphy; (57260) $14,217 $14,217 2.8×
Complex drainage wound (10180) $2,500 $2,500 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $220 $220 1.6×
Control Nasal Hemorrhage Anterior Simple (30901) $150 $150 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $200 $200 1.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $400 $400 1.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $993.94 $993.94 1.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,774.90 $2,774.90 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $638.96 $638.96 1.6×
Destruct B9 Lesion 1-14 (17110) $175 $175 0.9×
Destruction premalignant lesion 1st (17000) $135 $135 0.7×
Diagnostic sigmoidoscopy (45330) $2,612 $2,612 2.8×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $3,373 $3,373 2.8×
Drainage external auditory canal abscess (69020) $1,219 $1,219 1.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,219 $1,219 1.7×
Drainage of finger abscess simple (26010) $200 $200 1.0×
Drainage of hematoma/fluid (10140) $1,500 $1,500 0.9×
Drainage of scrotal wall abscess (55100) $1,700 $1,700 1.0×
Dressing Change Under Anesthesia (15852) $993.94 $993.94 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $640 $640 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $250 $250 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $5,439 $5,439 2.8×
Egd control bleeding any (43255) $5,439 $5,439 2.8×
Egd Flexible Foreign Body Removal (43247) $2,591 $2,591 2.8×
Egd guide wire insertion (43248) $2,591 $2,591 2.8×
Egd place gastrostomy tube (43246) $5,439 $5,439 2.8×
Egd remove lesion snare (43251) $4,283 $4,283 2.2×
Egd Tube/Cath Insertion (43241) $1,600 $1,600 0.8×
Egd Varices Ligation (43244) $5,439 $5,439 2.8×
Endocervical curettage (57505) $2,298 $2,298 2.5×
Endometrial Biopsy (58100) $300 $300 1.5×
Endoscopy Upper Small Intestine (44360) $5,439 $5,439 2.8×
Endoscopy upper small intestine w/biopsy (44361) $5,439 $5,439 2.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,591 $2,591 2.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,591 $2,591 2.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $5,439 $5,439 2.8×
Evacuation of subungual hematoma (11740) $200 $200 1.5×
Exc abdl tum deep 5 cm/> (22901) $8,122 $8,122 2.8×
Exc arm/elbow les sc < 3 cm (24075) $4,634 $4,634 2.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $2,011 $2,011 2.8×
Exc back tum deep < 5 cm (21932) $8,122 $8,122 2.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $240 $240 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,011 $2,011 2.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $8,122 $8,122 2.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,634 $4,634 2.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,250 $1,250 1.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,140 $1,140 2.8×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $8,122 $8,122 2.8×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $8,122 $8,122 2.8×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,634 $4,634 2.8×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,400 $2,400 0.8×
Excision Excessive Skin & Subq Tissue Other Area (15839) $8,122 $8,122 2.8×
Excision exostosis(es), external auditory canal Facility (69140) $4,900 $4,900 0.8×
Excision External Ear Partial Simple Repair (69110) $8,122 $8,122 2.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $2,011 $2,011 2.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $4,634 $4,634 2.8×
Excision of bartholin's gland or cyst (56740) $8,936 $8,936 2.7×
Excision of pilonidal cyst or sinus; simple (11770) $8,122 $8,122 2.8×
Excision soft tissue lesion, external auditory canal (69145) $2,400 $2,400 0.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $8,122 $8,122 2.8×
Expl penetrating wound spx abdomen/flank/back (20102) $2,000 $2,000 1.0×
Explo/Drain Breast Abscess (19020) $4,634 $4,634 2.8×
Exploration penetrating wound spx chest (20101) $2,000 $2,000 1.0×
Exploration penetrating wound spx extremity (20103) $800 $800 0.5×
Exploration Penetrating Wound Spx Neck (20100) $883.34 $883.34 1.6×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,500 $2,500 1.1×
Foreskin manipulation (54450) $250 $250 1.0×
Guide Cathet Fluid Drainage (10030) $1,219.88 $1,219.88 1.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,612 $2,612 2.8×
Hysteroscopy Biopsy (58558) $9,200 $9,200 2.8×
Hysteroscopy Dx Sep Proc (58555) $8,936 $8,936 2.7×
I&d abscess simple (10060) $349.42 $349.42 1.7×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,400 $2,400 0.8×
I&d pilonidal cyst simple (10080) $700 $700 1.0×
Incision & drainage abscess complicated/multiple (10061) $638 $638 1.6×
Incision & removal foreign body subq tiss simple (10120) $500 $500 1.2×
Incision and drainage of bartholin's gland abscess (56420) $200 $200 1.0×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $8,122 $8,122 2.8×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $350–$917 $350–$917 varies
Incision of rectal abscess (46040) $1,200 $1,200 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $200 $200 1.0×
Injection single tendon origin/insertion (20551) $135 $135 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $135 $135 0.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $650 $650 0.9×
Insert Bladder Cath Complex (51703) $200 $200 1.5×
Insert cath pleura w/ image (32557) $1,600 $1,600 1.0×
Insert non-tunnel cv cath (36556) $3,000 $3,000 0.9×
Insert Temp Bladder Cath (51702) $220 $220 1.6×
Insert tunneled cv cath (36561) $2,700 $2,700 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $220 $220 1.6×
Insertion indwelling tunneled pleural catheter (32550) $3,200 $3,200 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,500 $2,500 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,500 $1,500 0.9×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,700 $2,700 0.9×
Intubation endotracheal emergency procedure (31500) $400 $400 1.7×
Laparoscopy fulguration oviducts (58670) $16,493 $16,493 2.7×
Laparoscopy W/Lysis Of Adhesions (58660) $16,493 $16,493 2.7×
Laparoscopy w/rmvl adnexal structures (58661) $16,493 $16,493 2.7×
Laparoscopy, surgical, appendectomy (44970) $16,493 $16,493 2.7×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,600 $1,600 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $22,892 $22,892 2.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $16,493 $16,493 2.7×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $16,493 $16,493 2.7×
Marsupialization of bartholin's gland cyst (56440) $8,936 $8,936 2.7×
Nasal/Orogastric W/Tube Plmt (43752) $700 $700 1.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $7,148 $7,148 2.0×
Omntc Epiploectomy Rescj Omentum Spx (49255) $4,191 $4,191 0.6×
Ovarian cystectomy, unilateral or bilateral (58925) $14,217 $14,217 2.8×
Partial Excision Distal Phalanx Finger (26236) $4,594 $4,594 2.8×
Partial hymenectomy or revision of hymenal ring (56700) $8,936 $8,936 2.7×
Perineoplasty rpr perineum nonobstetrical spx (56810) $8,936 $8,936 2.7×
Peritoneal Lavage (49084) $850 $850 0.9×
Placement of needle for intraosseous infusion (36680)
range across 3 matching MRF lines		 $430–$700 $430–$700 varies
Punch biopsy skin single lesion (11104) $330 $330 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $638 $638 1.6×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $2,500 $2,500 0.8×
Removal foreign body foot deep (28192) $220 $220 0.1×
Removal Foreign Body Foot Subcutaneous (28190) $220 $220 0.3×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,400 $1,400 0.8×
Removal foreign body, intranasal; requiring general anesthesia (30310) $3,000 $3,000 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $220 $220 3.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $53.44–$135 $53.44–$135 varies
Removal of bone lesion (23140) $9,252 $9,252 2.8×
Removal of foreign body from pharynx (42809) $300 $300 0.7×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $195–$318.79 $195–$318.79 varies
Removal of nose lesion (30124) $1,400 $1,400 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $135–$175 $135–$175 varies
Remove foreign body from eye (65205) $150 $150 1.1×
Remove Intrauterine Device (58301) $135 $135 0.4×
Remove Nasal Foreign Body (30300) $220 $220 1.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $650 $650 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $550 $550 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $450 $450 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $700 $700 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $650 $650 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $650 $650 1.6×
Repair complex trunk 2.6-7.5 cm (13101) $550 $550 0.7×
Repair extensor tendon finger w/o graft each (26418) $1,700 $1,700 1.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $9,889 $9,889 2.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $450 $450 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $400 $400 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $450 $450 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $400 $400 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $450 $450 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $400 $400 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $700 $700 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $450 $450 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $400 $400 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $450 $450 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $400 $400 1.0×
Repair of nail bed (11760) $600 $600 0.8×
Repair tongue laceration (41252) $250 $250 1.1×
Repair tongue laceration (41250) $400 $400 0.9×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,500 $1,500 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $220 $220 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $220 $220 1.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $700 $700 1.6×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $220 $220 0.1×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $460–$706 $460–$706 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $16,493 $16,493 2.7×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $9,889 $9,889 2.7×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $9,889 $9,889 1.5×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $16,493 $16,493 2.7×
Rpr aa hrn 1st 3-10 rdc (49593) $9,889 $9,889 1.5×
Rpr aa hrn 1st < 3 ncr/strn (49592) $16,493 $16,493 2.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $350 $350 1.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,000 $3,000 0.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $3,000 $3,000 0.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,373 $3,373 2.8×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $3,373 $3,373 2.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,612 $2,612 2.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $600 $600 1.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $143 $143 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $350 $350 1.7×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $600 $600 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $350 $350 1.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $350 $350 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $135 $135 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $175 $175 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $135 $135 0.7×
Skin sub graft face/nk/hf/g (15275) $1,800 $1,800 2.4×
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $1,750–$3,245.12 $1,750–$3,245.12 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $3,300–$5,953.92 $3,300–$5,953.92 varies
Skn sub grft f/n/hf/g child (15277) $1,800 $1,800 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $135 $135 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $175 $175 0.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $175 $175 0.4×
Spinal puncture lumbar diagnostic (62270) $650 $650 0.9×
Strapping ankle (29540) $200 $200 1.2×
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $35–$40.45 $35–$40.45 varies
Strapping hand/finger (29280) $150 $150 2.5×
Strapping Hip (29520) $150 $150 1.1×
Strapping knee (29530) $200 $200 1.5×
Strapping shoulder (29240) $220 $220 1.6×
Strapping thorax (29200) $270 $270 1.7×
Strapping toes (29550) $100 $100 1.7×
Surg Tx Anal Fistula 2nd Stage (46285) $8,026 $8,026 2.9×
Tangential biopsy skin single lesion (11102) $250 $250 0.6×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $4,900 $4,900 0.8×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $340 $340 0.2×
Tooth extraction (41899) $1,800 $1,800 7.6×
Treat ectopic pregnancy (59151) $16,493 $16,493 2.7×
Treat humerus fracture (24500) $431 $431 1.7×
Treat Humerus Fracture (24505) $1,400 $1,400 0.9×
Treat knee fracture (27532) $220 $220 0.1×
Treat Knee Fracture(S) (27538) $220 $220 0.9×
Treat Knuckle Dislocation (26700) $300 $300 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,700 $1,700 1.1×
Treatment closed elbow dislocation w/o anes (24600) $250 $250 1.0×
Tubal ligation (58600) $8,936 $8,936 2.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $9,200 $9,200 2.8×
Tx Missed Abortion First Trimester Surgical (59820) $8,936 $8,936 2.7×
Tx Missed Abortion Second Trimester Surgical (59821) $8,936 $8,936 2.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $660 $660 0.9×
Tx superficial wound dehiscence w/packing (12021) $500 $500 1.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $16,493 $16,493 2.7×
Unlisted Procedure Esophagus (43499) $800 $800 0.9×
Unlisted Procedure, Urinary System (53899) $470 $470 1.9×
Vulvectomy simple partial (56620) $8,936 $8,936 2.7×
Wound Prep F/N/Hf/G (15004) $750 $750 1.8×

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.