Procedures & surgery prices at Vandalia Health Mon Stonewall Jackson Memorial Hospital

Weston, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,496.21 $4,992.42 2.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,496.21 $4,992.42 2.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $5,021.76 $10,043.51 2.5×
Amniocentesis diagnostic (59000) $2,213.75 $4,427.50 2.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $8,913.37 $17,826.73 2.8×
Anoscopy diagnostic (46600) $351.77 $703.53 2.8×
Application cast elbow finger short arm (29075) $739.54 $1,479.07 2.8×
Application Finger Splint Dynamic (29131) $168.44 $336.88 3.0×
Application finger splint static (29130) $351.77 $703.53 2.8×
Application long arm splint shoulder hand (29105) $433.91 $867.81 2.8×
Application Long Leg Splint (29505) $433.91 $867.81 2.8×
Application of long leg cast (29345) $739.54 $1,479.07 2.8×
Application Short Arm Splint Dynamic (29126) $351.77 $703.53 2.8×
Application short arm splint forearm-hand static (29125) $351.77 $703.53 2.8×
Application short leg splint calf foot (29515) $433.91 $867.81 2.8×
Apply long arm cast (29065) $739.54 $1,479.07 2.8×
Apply Multlay Comprs Lwr Leg (29581) $433.91 $867.81 2.8×
Apply Short Leg Cast (29405) $739.54 $1,479.07 2.8×
Arterial puncture (36600)
range across 4 matching MRF lines
$330.14–$351.77 $660.28–$703.53 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $815.61 $1,631.22 2.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $815.61 $1,631.22 2.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $815.61 $1,631.22 2.8×
Aspirate pleura w/ imaging (32555) $1,729.91 $3,459.82 2.9×
Aspirate Pleura W/O Imaging (32554) $1,729.91 $3,459.82 2.9×
Aspirate/Inj Ganglion Cyst (20612) $815.61 $1,631.22 2.8×
Aspiration Bladder Needle (51100) $680.58 $1,361.15 2.8×
Aspiration bladder trocar/intracatheter (51101) $2,879.13 $5,758.26 3.5×
Avulsion nail plate partial/complete simple 1 (11730) $551.30 $1,102.60 2.9×
Bladder Irrigation (51700) $680.58 $1,361.15 2.8×
Bladder Scan (51798) $168.44 $336.88 3.0×
Blood Transfusion Service (36430) $1,195.40 $2,390.80 2.8×
Bone Marrow Biopsy (38221) $4,464.59 $8,929.18 2.8×
Bone Marrow; Aspiration Only (38220) $4,190.14 $8,380.27 2.6×
Brnchsc Brushing/Protected Brushings (31623) $4,673.81 $9,347.61 2.7×
Bx breast 1st lesion strtctc (19081) $4,464.59 $8,929.18 2.8×
Bx breast 1st lesion us imag (19083) $4,464.59 $8,929.18 2.8×
Cataract surg w/iol 1 stage (66983) $6,417.19 $12,834.37 2.9×
Cataract surgery complex (66982) $6,417.19 $12,834.37 2.9×
Catheter aspiration nasotracheal spx (31720) $587.34 $1,174.68 2.8×
Change Cystostomy Tube Simple (51705) $553.90 $1,107.80 2.3×
Chemical Cautery Tissue (17250) $551.30 $1,102.60 2.9×
Chest tube placement (32551) $4,410.20 $8,820.39 2.9×
Circumcision Neonate (54160) $1,881.10 $3,762.20 2.8×
Circumcision w/clamp/oth dev w/block (54150) $5,608.84 $11,217.67 2.8×
Cl Tx Tib Shft Fx W Manip (27752) $4,425.81 $8,851.61 2.9×
Clear outer ear canal (69200) $351.77 $703.53 2.8×
Closed rx talotarsal disloc,anesth (28575) $8,913.37 $17,826.73 2.8×
Closed tx ankle dislocation w/o anesthesia (27840) $649.39 $1,298.78 2.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $4,425.81 $8,851.61 2.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $4,425.81 $8,851.61 2.9×
Closed tx knee dislocation w/o anesthesia (27550) $649.39 $1,298.78 2.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,425.81 $8,851.61 2.9×
Closed tx patellar dislocation w/anesthesia (27562) $649.39 $1,298.78 2.7×
Closed tx patellar dislocation w/o anesthesia (27560) $649.39 $1,298.78 2.7×
Closed tx radial shaft fracture w/manipulation (25505) $4,425.81 $8,851.61 2.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $4,425.81 $8,851.61 2.9×
Closed tx talotarsal joint dislc w/o anes (28570) $649.39 $1,298.78 2.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $649.39 $1,298.78 2.7×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $672.63 $1,345.26 3.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $4,425.81 $8,851.61 2.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $649.39 $1,298.78 2.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,425.81 $8,851.61 2.9×
Cltx dstl fibular fx lat malls w/manj (27788) $649.39 $1,298.78 2.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $546.31 $1,092.62 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $4,425.81 $8,851.61 2.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $4,425.81 $8,851.61 2.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $4,425.81 $8,851.61 2.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $649.39 $1,298.78 2.7×
Cltx hip dislocation traumatic req anesthesia (27252) $4,425.81 $8,851.61 2.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $649.39 $1,298.78 2.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $649.39 $1,298.78 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $649.39 $1,298.78 2.7×
Cltx Med Ankle Fx W/Mnpj (27762) $4,425.81 $8,851.61 2.9×
Cltx metacarpal fx w/manipulation each bone (26605) $649.39 $1,298.78 2.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $4,425.81 $8,851.61 2.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $649.39 $1,298.78 2.7×
Cltx post hip arthrp dislc req anes (27266) $4,425.81 $8,851.61 2.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $649.39 $1,298.78 2.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $4,425.81 $8,851.61 2.9×
Collect Blood From Catheter Venous Nos (36592) $351.77 $703.53 2.8×
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines
$25.39–$27.06 $50.78–$54.11 varies
Control Nasal Hemorrhage Anterior Complex (30903) $351.77 $703.53 2.8×
Control Nasal Hemorrhage Anterior Simple (30901) $351.77 $703.53 2.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $351.77 $703.53 2.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $672.63 $1,345.26 3.0×
Cysto w/ureteroscopy w/lithotripsy (52353) $11,444.72 $22,889.44 2.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,729.48 $3,458.95 2.4×
Debride nail 1-5 (11720) $168.44 $336.88 3.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,464.59 $8,929.18 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,098.04 $2,196.07 2.8×
Declot vascular device (36593) $932.60 $1,865.20 2.9×
Destruct B9 Lesion 1-14 (17110) $551.30 $1,102.60 2.9×
Discission Secondary Membranous Cataract (66820) $5,154.33 $10,308.66 2.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,937.45 $3,874.90 2.9×
Drainage Mouth Roof Lesion (42000) $672.63 $1,345.26 3.0×
Drainage of finger abscess simple (26010) $551.30 $1,102.60 2.9×
Drainage of gum lesion (41800) $351.77 $703.53 2.8×
Drainage of hematoma/fluid (10140) $4,464.59 $8,929.18 2.8×
Draw Blood Off Venous Device (36591) $351.77 $703.53 2.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,937.45 $3,874.90 2.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,098.04 $2,196.07 2.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $551.30 $1,102.60 2.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $551.30 $1,102.60 2.9×
Dx Bone Marrow Bx & Aspir (38222) $7,824.70 $15,649.39 2.8×
Dx Bronchoscope/Wash (31622) $4,673.81 $9,347.61 2.7×
Electro-Uroflowmetry First (51741) $864.34 $1,728.67 4.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $8,777.47 $17,554.94 2.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $8,777.47 $17,554.94 2.9×
Endoven ther chem adhes 1st (36482) $15,132.70 $30,265.39 2.8×
Epidural Blood Patch (62273) $1,904.33 $3,808.66 2.8×
Evacuation of subungual hematoma (11740) $351.77 $703.53 2.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,937.45 $3,874.90 2.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,464.59 $8,929.18 2.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,937.45 $3,874.90 2.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,937.45 $3,874.90 2.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $4,464.59 $8,929.18 2.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,937.45 $3,874.90 2.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,464.59 $8,929.18 2.8×
Exchange Intraocular Lens (66986) $6,417.19 $12,834.37 2.9×
External cephalic version (59412) $8,609.15 $17,218.30 2.8×
Extraction of lens (66940) $5,154.33 $10,308.66 2.3×
Extraction of lens (66920) $5,154.33 $10,308.66 2.3×
Extraction of lens (66930) $8,992.90 $17,985.80 2.3×
Fetal non-stress test (59025) $548.73 $1,097.45 2.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,937.45 $3,874.90 2.9×
Fine needle aspiration without imaging guidance (10021) $1,098.04 $2,196.07 2.8×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,937.45 $3,874.90 2.9×
Fna bx w/us gdn 1st les (10005) $1,937.45 $3,874.90 2.9×
I&d abscess peritonsillar (42700) $672.63 $1,345.26 3.0×
I&d abscess simple (10060) $551.30 $1,102.60 2.9×
I&d perianal abscess superficial (46050) $2,516.79 $5,033.57 2.8×
I&d pilonidal cyst simple (10080) $1,937.45 $3,874.90 2.9×
Incise external hemorrhoid (46083) $680.58 $1,361.15 2.8×
Incision & drainage abscess complicated/multiple (10061) $1,098.04 $2,196.07 2.8×
Incision & removal foreign body subq tiss compl (10121) $4,464.59 $8,929.18 2.8×
Incision & removal foreign body subq tiss simple (10120) $1,098.04 $2,196.07 2.8×
Incision and drainage of bartholin's gland abscess (56420) $548.73 $1,097.45 2.8×
Incision and drainage of vulva or perineal abscess (56405) $883.41 $1,766.82 3.0×
Incision of rectal abscess (46040) $3,249.59 $6,499.18 2.8×
Initial Tx 1st Degree Burn Local Tx (16000) $551.30 $1,102.60 2.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $815.61 $1,631.22 2.8×
Injection aa&/strd axillary nerve w/img gdn (64417) $2,027.60 $4,055.19 2.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,904.33 $3,808.66 2.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,904.33 $3,808.66 2.8×
Injection Anes Agent Sphenopalatine Ganglion (64505) $815.61 $1,631.22 2.8×
Injection single/mlt trigger point 1/2 muscles (20552) $815.61 $1,631.22 2.8×
Injection single/mlt trigger point 3/> muscles (20553) $815.61 $1,631.22 2.8×
Injection, anesthetic agent; brachial plexus, single (64415) $2,027.60 $4,055.19 2.4×
Injection, anesthetic agent; femoral nerve, single (64447) $1,904.33 $3,808.66 2.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,904.33 $3,808.66 2.8×
Insert Bladder Cath Complex (51703) $430.14 $860.28 3.5×
Insert cath pleura w/ image (32557) $4,410.20 $8,820.39 2.9×
Insert cath pleura w/o image (32556) $5,239.85 $10,479.69 2.8×
Insert non-tunnel cv cath (36556) $8,777.47 $17,554.94 2.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $4,410.20 $8,820.39 2.9×
Insert Temp Bladder Cath (51702) $351.77 $703.53 2.8×
Insert,Non-Indwelling Bladder Catheter (51701) $351.77 $703.53 2.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $4,410.20 $8,820.39 2.9×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $6,417.19 $12,834.37 2.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $8,777.47 $17,554.94 2.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $8,777.47 $17,554.94 2.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $4,410.20 $8,820.39 2.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $23,394.79 $46,789.58 2.9×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $23,394.79 $46,789.58 2.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,098.04 $2,196.07 2.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,098.04 $2,196.07 2.8×
Intraoral i&d tongue/floor submndblr space (41008) $8,865.94 $17,731.88 2.8×
Intubation endotracheal emergency procedure (31500) $672.63 $1,345.26 3.0×
Laryngoscopy diagnostic (31505) $545.46 $1,090.92 2.8×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $8,777.47 $17,554.94 2.9×
Lig&div long saph vein saphfem junct/interrupj (37700) $8,777.47 $17,554.94 2.9×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $8,777.47 $17,554.94 2.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,529.58 $3,059.16 2.3×
N Block Inj Plantar Digit (64455) $815.61 $1,631.22 2.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $82 $163.99 3.0×
Needle insertion w/o injection 3 or more muscles (20561) $82 $163.99 3.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $815.61 $1,631.22 2.8×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $5,021.76 $10,043.51 2.5×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $5,021.76 $10,043.51 2.5×
Njx Sclrsnt 1 Incmptnt Vein (36470) $1,098.04 $2,196.07 2.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,098.04 $2,196.07 2.8×
Open Tx Distal Phalangeal Fracture Each (26765) $8,913.37 $17,826.73 2.8×
Open tx interphalangeal joint dislocation (26785) $8,913.37 $17,826.73 2.8×
Peritoneal Lavage (49084) $2,496.21 $4,992.42 2.9×
Perq device breast 1st imag (19281) $4,464.59 $8,929.18 2.8×
Phleb Veins - Extrem 20+ (37766) $8,777.47 $17,554.94 2.9×
Placement of needle for intraosseous infusion (36680) $1,097.20 $2,194.39 2.6×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,098.04 $2,196.07 2.8×
Removal Foreign Body Foot Subcutaneous (28190) $1,937.45 $3,874.90 2.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,464.59 $8,929.18 2.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $168.44 $336.88 3.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $168.44 $336.88 3.0×
Removal of foreign body from pharynx (42809) $1,097.20 $2,194.39 2.6×
Removal of lens material (66852) $8,992.90 $17,985.80 2.3×
Removal of nail bed (11750) $1,098.04 $2,196.07 2.8×
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) $5,154.33 $10,308.66 2.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $551.30 $1,102.60 2.9×
Removal/bivalving gauntlet boot/body cast (29700) $739.54 $1,479.07 2.8×
Remove foreign body from eye (65235) $6,417.19 $12,834.37 2.9×
Remove foreign body from eye (65205) $351.77 $703.53 2.8×
Remove Intrauterine Device (58301) $883.41 $1,766.82 3.0×
Remove Nasal Foreign Body (30300) $351.77 $703.53 2.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,729.48 $3,458.95 2.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,729.48 $3,458.95 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,098.04 $2,196.07 2.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,729.48 $3,458.95 4.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,729.48 $3,458.95 4.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,729.48 $3,458.95 4.4×
Repair complex trunk 1.1-2.5 cm (13100) $1,729.48 $3,458.95 2.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,729.48 $3,458.95 2.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,098.04 $2,196.07 2.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,098.04 $2,196.07 2.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,098.04 $2,196.07 2.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,098.04 $2,196.07 2.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,729.48 $3,458.95 2.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,098.04 $2,196.07 2.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,098.04 $2,196.07 2.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,729.48 $3,458.95 2.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $5,021.76 $10,043.51 2.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,098.04 $2,196.07 2.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,098.04 $2,196.07 2.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,098.04 $2,196.07 2.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,729.48 $3,458.95 2.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,098.04 $2,196.07 2.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $5,021.76 $10,043.51 2.5×
Repair of nail bed (11760) $1,729.48 $3,458.95 2.4×
Repair tongue laceration (41252) $672.63 $1,345.26 3.0×
Repair tongue laceration (41250) $1,097.20 $2,194.39 2.6×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $5,154.33 $10,308.66 2.3×
Revision of leg vein (37780) $8,777.47 $17,554.94 2.9×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $4,464.59 $8,929.18 2.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,097.20 $2,194.39 2.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $343.36 $686.71 2.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,097.20 $2,194.39 2.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $7,824.70 $15,649.39 2.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,690.02 $7,380.03 2.3×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $5,154.33 $10,308.66 2.3×
Rmvl Lens Material Phacofragmentation Aspir (66850) $5,154.33 $10,308.66 2.3×
Rplc Gtube No Revj Trc (43762) $680.58 $1,361.15 2.8×
Rplc gtube revj gstrst trc (43763) $680.58 $1,361.15 2.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $4,410.20 $8,820.39 2.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $551.30 $1,102.60 2.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,729.48 $3,458.95 2.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $672.63 $1,345.26 3.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,729.91 $3,459.82 2.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $551.30 $1,102.60 2.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,098.04 $2,196.07 2.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $551.30 $1,102.60 2.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $551.30 $1,102.60 2.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,098.04 $2,196.07 2.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $551.30 $1,102.60 2.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $551.30 $1,102.60 2.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $551.30 $1,102.60 2.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $551.30 $1,102.60 2.9×
Skin sub graft face/nk/hf/g (15275) $5,021.76 $10,043.51 7.1×
Skin sub graft trnk/arm/leg (15271) $5,021.76 $10,043.51 7.1×
Skn sub grft f/n/hf/g child (15277) $5,021.76 $10,043.51 2.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $551.30 $1,102.60 2.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,098.04 $2,196.07 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,098.04 $2,196.07 2.8×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines
$1,787.27–$1,904.33 $3,574.53–$3,808.66 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $8,777.47 $17,554.94 2.9×
Strapping ankle (29540) $433.91 $867.81 2.8×
Strapping elbow or wrist (29260) $168.44 $336.88 3.0×
Strapping hand/finger (29280) $168.44 $336.88 3.0×
Strapping knee (29530) $351.77 $703.53 2.8×
Strapping shoulder (29240) $351.77 $703.53 2.8×
Strapping toes (29550) $168.44 $336.88 3.0×
Strapping Unna Boot (29580) $433.91 $867.81 2.8×
Tangential biopsy skin single lesion (11102) $551.30 $1,102.60 1.4×
Thrombolytic Therapy Stroke (37195) $932.60 $1,865.20 2.9×
Tracheostomy Emergency Cricothyroid Membrane (31605) $672.63 $1,345.26 3.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $4,199.56 $8,399.12 2.8×
Treat Humerus Fracture (24505) $4,425.81 $8,851.61 2.9×
Treat Knuckle Dislocation (26700) $649.39 $1,298.78 2.7×
Treat Thumb Dislocation (26641) $649.39 $1,298.78 2.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,827.23 $7,654.45 2.5×
Treatment closed elbow dislocation w/o anes (24600) $649.39 $1,298.78 2.7×
Trimming Nondystrophic Nails Any Number (11719) $168.44 $336.88 3.0×
Tx Gastro Intub W/Asp (43753) $864.34 $1,728.67 4.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,729.48 $3,458.95 2.4×
Tx superficial wound dehiscence w/packing (12021) $1,098.04 $2,196.07 2.8×
Unlisted Procedure Vascular Surgery (37799) $1,729.91 $3,459.82 2.9×
Wedge excision skin nail fold (11765) $1,098.04 $2,196.07 2.8×
Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) $11,196.23 $22,392.45 2.8×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $14,392.47 $28,784.93 2.8×
Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) $11,196.23 $22,392.45 2.8×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $14,392.47 $28,784.93 2.8×

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.