Procedures & surgery prices at Stonewall Memorial Hospital District
Aspermont, TX · every code in this section with a posted price and a Medicare benchmark.
242 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) range across 2 matching MRF lines |
$204–$696 | $272–$928 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$138.75–$696 | $185–$928 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$114–$319.50 | $152–$426 | varies |
| Application Cast Finger (29086) | $159.75 | $213 | 1.0× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$54.75–$241.50 | $73–$322 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$78.75–$159.75 | $105–$213 | varies |
| Application Long Leg Cast Brace (29358) | $319.50 | $426 | 1.1× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$93.75–$202.50 | $125–$270 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$72.75–$241.50 | $97–$322 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$92.25–$296.25 | $123–$395 | varies |
| Apply hand/wrist cast (29085) | $159.75 | $213 | 1.0× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$126–$319.50 | $168–$426 | varies |
| Apply Short Leg Cast (29405) | $319.50 | $426 | 1.1× |
| Arterial puncture (36600) | $216 | $288 | 1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$70.50–$553.50 | $94–$738 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,298.25 | $1,731 | 1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$81.75–$553.50 | $109–$738 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$113.25–$336 | $151–$448 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$67.50–$308.25 | $90–$411 | varies |
| Aspirate Pleura W/O Imaging (32554) | $169.50 | $226 | 0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$213.75–$372.75 | $285–$497 | varies |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$89.25–$388.50 | $119–$518 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$58.50–$258 | $78–$344 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$765–$819.75 | $1,020–$1,093 | varies |
| Change of Windpipe Airway (31502) | $171 | $228 | 0.7× |
| Chemical Cautery Tissue (17250) | $69 | $92 | 0.3× |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$210.75–$1,216.50 | $281–$1,622 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 2 matching MRF lines |
$106.50–$198 | $142–$264 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$294–$696 | $392–$928 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$87.75–$162.75 | $117–$217 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $225.75 | $301 | 0.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $225.75 | $301 | 0.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $673.50 | $898 | 0.4× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $262.50 | $350 | 0.2× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$285–$737.25 | $380–$983 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$360.75–$858.75 | $481–$1,145 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $59.25 | $79 | 0.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$311.25–$678.75 | $415–$905 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$427.50–$970.50 | $570–$1,294 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) | $225.75 | $301 | 0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $511.50 | $682 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$394.50–$543.75 | $526–$725 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $225.75 | $301 | 0.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $225.75 | $301 | 0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $225.75 | $301 | 0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $3,000.75 | $4,001 | 1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $225.75 | $301 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $225.75 | $301 | 0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $225.75 | $301 | 0.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$168.75–$225.75 | $225–$301 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $225.75 | $301 | 0.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$802.50–$1,410 | $1,070–$1,880 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $225.75 | $301 | 0.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $225.75 | $301 | 0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$353.70–$561 | $471.60–$748 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$147.75–$450 | $197–$600 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $673.50 | $898 | 0.4× |
| Collection of venous blood by venipuncture (36415) | $9.75 | $13 | 1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$138–$147 | $184–$196 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$106.50–$241.50 | $142–$322 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$198–$241.50 | $264–$322 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) | $120.75 | $161 | 0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $354 | $472 | 0.9× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$123.75–$372.75 | $165–$497 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 2 matching MRF lines |
$213.75–$662.25 | $285–$883 | varies |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) range across 2 matching MRF lines |
$361.50–$1,089 | $482–$1,452 | varies |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) range across 2 matching MRF lines |
$229.50–$247.50 | $306–$330 | varies |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) range across 2 matching MRF lines |
$260.25–$473.25 | $347–$631 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $354 | $472 | 0.9× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$99.75–$372.75 | $133–$497 | varies |
| Drain/inj small joint/bursa w/us (20604) | $553.50 | $738 | 1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$226.50–$1,191.75 | $302–$1,589 | varies |
| Drainage Finger Abscess Complicated (26011) range across 3 matching MRF lines |
$342–$2,694 | $456–$3,592 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$257.25–$330 | $343–$440 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$211.50–$281.25 | $282–$375 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$220.50–$2,694 | $294–$3,592 | varies |
| Drainage of nose lesion (30000) | $388.50 | $518 | 1.6× |
| Drainage of rectal abscess (45005) | $300.75 | $401 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $749.25 | $999 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$189–$205.50 | $252–$274 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$98.25–$259.50 | $131–$346 | varies |
| Egd place gastrostomy tube (43246) | $375.75 | $501 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$48–$58.50 | $64–$78 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$150.75–$1,319.25 | $201–$1,759 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$288–$3,038.25 | $384–$4,051 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $593.25 | $791 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $618.75 | $825 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,262.25 | $1,683 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$190.50–$567.75 | $254–$757 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$241.50–$593.25 | $322–$791 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $985.50 | $1,314 | 1.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$328.50–$1,029 | $438–$1,372 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,072.50 | $1,430 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$152.25–$985.50 | $203–$1,314 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$203.25–$1,029 | $271–$1,372 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$251.25–$1,072.50 | $335–$1,430 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$273–$985.50 | $364–$1,314 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$335.25–$3,038.25 | $447–$4,051 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,869 | $2,492 | 0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$456–$1,473 | $608–$1,964 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,869 | $2,492 | 0.6× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,029 | $1,372 | 0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,473 | $1,964 | 0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$591–$1,262.25 | $788–$1,683 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$207.75–$318.75 | $277–$425 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$192–$749.25 | $256–$999 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$211.50–$618.75 | $282–$825 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$300.75–$1,262.25 | $401–$1,683 | varies |
| 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 |
$360–$985.50 | $480–$1,314 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$224.25–$567.75 | $299–$757 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$275.25–$593.25 | $367–$791 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$300.75–$618.75 | $401–$825 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,029 | $1,372 | 1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $567.75 | $757 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $985.50 | $1,314 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,869 | $2,492 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$226.50–$567.75 | $302–$757 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$276.75–$593.25 | $369–$791 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $985.50 | $1,314 | 1.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,262.25 | $1,683 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $1,224.75 | $1,633 | 0.7× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$191.25–$372.75 | $255–$497 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$183–$1,215.75 | $244–$1,621 | varies |
| I&d pilonidal cyst simple (10080) | $190.50 | $254 | 0.3× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$201.75–$258 | $269–$344 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$337.50–$749.25 | $450–$999 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $2,760.75 | $3,681 | 0.9× |
| Incision & removal foreign body subq tiss compl (10121) | $2,250 | $3,000 | 1.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$191.25–$749.25 | $255–$999 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$221.25–$570 | $295–$760 | varies |
| Incision of rectal abscess (46040) | $1,986 | $2,648 | 1.7× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$103.50–$802.50 | $138–$1,070 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$135.75–$336.75 | $181–$449 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$74.25–$308.25 | $99–$411 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$162.75–$972.75 | $217–$1,297 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$72–$553.50 | $96–$738 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$81.75–$341.25 | $109–$455 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$80.25–$448.50 | $107–$598 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$57–$265.50 | $76–$354 | varies |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$138.75–$267 | $185–$356 | varies |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$120–$154.50 | $160–$206 | varies |
| Insert non-tunnel cv cath (36556) range across 5 matching MRF lines |
$1,326.75–$4,468.50 | $211–$5,958 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$46.50–$241.50 | $62–$322 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$46.50–$241.50 | $62–$322 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $161.25 | $215 | 0.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $500.25 | $667 | 1.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $519 | $692 | 1.3× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$255.75–$435.75 | $341–$581 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$112.50–$448.50 | $150–$598 | varies |
| N Block Inj Plantar Digit (64455) range across 4 matching MRF lines |
$66–$408.75 | $88–$545 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$77.25–$457.50 | $103–$610 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$92.25–$553.50 | $123–$738 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$99.75–$597 | $133–$796 | varies |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$112.50–$457.50 | $150–$610 | varies |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$91.50–$749.25 | $122–$999 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$176.25–$299.25 | $235–$399 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$250.50–$985.50 | $334–$1,314 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $273 | $364 | 0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$25.50–$111.75 | $34–$149 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$62.25–$111.75 | $83–$149 | varies |
| Removal of foreign body from pharynx (42809) | $84 | $112 | 0.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$190.50–$538.50 | $254–$718 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$120.75–$136.50 | $161–$182 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$62.25–$357 | $83–$476 | varies |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$141–$165.75 | $188–$221 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$54.75–$241.50 | $73–$322 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$84–$209.25 | $112–$279 | varies |
| Remove Shoulder Foreign Body (23330) | $985.50 | $1,314 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $693.75 | $925 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$633.75–$723 | $845–$964 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$424.50–$457.50 | $566–$610 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $664.50 | $886 | 1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$424.50–$433.50 | $566–$578 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$480–$1,148.25 | $640–$1,531 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$377.25–$664.50 | $503–$886 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$463.50–$693.75 | $618–$925 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$315–$662.25 | $420–$883 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$372.75–$443.25 | $497–$591 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$402–$462.75 | $536–$617 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $481.50 | $642 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $537.75 | $717 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $462.75 | $617 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$144.75–$273.75 | $193–$365 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$354–$424.50 | $472–$566 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$398.25–$443.25 | $531–$591 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $500.25 | $667 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$447–$645.75 | $596–$861 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$282.75–$424.50 | $377–$566 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$354.75–$443.25 | $473–$591 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$500.25–$523.50 | $667–$698 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$382.50–$462.75 | $510–$617 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $519 | $692 | 0.3× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$144.75–$213.75 | $193–$285 | varies |
| Repair tongue laceration (41250) range across 3 matching MRF lines |
$132–$285 | $176–$380 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$77.25–$748.50 | $103–$998 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$71.25–$390 | $95–$520 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$179.25–$372.75 | $239–$497 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $481.50 | $642 | 0.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$565.50–$1,091.25 | $754–$1,455 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$65.25–$120.75 | $87–$161 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$87.75–$120.75 | $117–$161 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $189 | $252 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$74.25–$120.75 | $99–$161 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 3 matching MRF lines |
$95.25–$344.25 | $127–$459 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $132 | $176 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $180.75 | $241 | 0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$120–$126.75 | $160–$169 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $180.75 | $241 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$98.25–$126.75 | $131–$169 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $180.75 | $241 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $132 | $176 | 0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $171 | $228 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$99–$372.75 | $132–$497 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$104.25–$372.75 | $139–$497 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $177 | $236 | 0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$134.25–$336.75 | $179–$449 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $424.50 | $566 | 2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$81–$372.75 | $108–$497 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $177 | $236 | 0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$131.25–$372.75 | $175–$497 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$105.75–$372.75 | $141–$497 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$180–$749.25 | $240–$999 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$171–$220.50 | $228–$294 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$111.75–$1,215.75 | $149–$1,621 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$33.75–$91.50 | $45–$122 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$37.50–$111.75 | $50–$149 | varies |
| Strapping hand/finger (29280) | $111.75 | $149 | 1.9× |
| Strapping knee (29530) range across 2 matching MRF lines |
$36–$91.50 | $48–$122 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$36–$241.50 | $48–$322 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$35.25–$91.50 | $47–$122 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$72.75–$372.75 | $97–$497 | varies |
| Treat Metatarsal Fracture (28475) | $225.75 | $301 | 0.9× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$207–$225.75 | $276–$301 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$255–$450 | $340–$600 | varies |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$29.25–$270.75 | $39–$361 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$134.25–$286.50 | $179–$382 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$12–$105 | $16–$140 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$42–$372 | $56–$496 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$350.25–$664.50 | $467–$886 | varies |
| Vaginal delivery only (59409) | $1,497 | $1,996 | 0.5× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$141.75–$172.50 | $189–$230 | varies |
| Wedging of cast (29740) | $129.75 | $173 | 0.5× |
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.