Procedures & surgery prices at Story County Hospital
Nevada, IA · every code in this section with a posted price and a Medicare benchmark.
371 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acne surgery (10040) | $306.40 | $383 | 1.6× |
| Amniocentesis diagnostic (59000) | $334.40 | $418 | 0.4× |
| Amniocentesis therapeutic (59001) | $487.20 | $609 | 1.7× |
| Amputation metatarsal with toe single (28810) | $1,356.80 | $1,696 | 0.4× |
| Amputation toe metatarsophalangeal joint (28820) | $2,380 | $2,975 | 0.8× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$98.40–$473.60 | $123–$592 | varies |
| Application Finger Splint Dynamic (29131) | $127.20 | $159 | 2.2× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$16.80–$149.60 | $21–$187 | varies |
| Application long arm splint shoulder hand (29105) range across 5 matching MRF lines |
$31.20–$224 | $39–$280 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$131.20–$149.60 | $164–$187 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$43.20–$131.20 | $54–$164 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$127.20–$132 | $159–$165 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$109.60–$274.40 | $137–$343 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$30.40–$175.20 | $38–$219 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$139.20–$278.40 | $174–$348 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$24.80–$240.80 | $31–$301 | varies |
| Arterial puncture (36600) | $98.40 | $123 | 0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$16.80–$140.80 | $21–$176 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $32.80 | $41 | 0.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$21.60–$216 | $27–$270 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $36.80 | $46 | 0.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$23.20–$210.40 | $29–$263 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$484 | $605 | 0.0× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $1,313.60 | $1,642 | 0.4× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$16.80–$222.40 | $21–$278 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$56.80–$260.80 | $71–$326 | varies |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$65.60–$289.60 | $82–$362 | varies |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $1,388.80 | $1,736 | 0.5× |
| Biopsy Vaginal Mucosa Extensive (57105) | $360.80 | $451 | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $235.20 | $294 | 0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $219.20 | $274 | 0.2× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$119.20–$219.20 | $149–$274 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$36.80–$41.60 | $46–$52 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$95.20–$818.40 | $119–$1,023 | varies |
| Bone Marrow Biopsy (38221) | $48 | $60 | 0.0× |
| Bx Cervix (57500) | $301.60 | $377 | 0.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) range across 2 matching MRF lines |
$167.20–$786.40 | $209–$983 | varies |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $384 | $480 | 1.3× |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
$44–$196 | $55–$245 | varies |
| Chemodenerv Musc Migraine (64615) | $38.40 | $48 | 0.1× |
| Chemodenerv musc neck dyston (64616) | $81.60 | $102 | 0.3× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$184–$490.40 | $230–$613 | varies |
| Chorionic Villus Sampling (59015) | $419.20 | $524 | 0.5× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$69.60–$175.20 | $87–$219 | varies |
| Closed Treat Vert Body Fract (22310) | $910.40 | $1,138 | 3.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $660.80 | $826 | 2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $487.20 | $609 | 2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $296 | $370 | 0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $127.20 | $159 | 0.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $146.40 | $183 | 0.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$90.40–$872.80 | $113–$1,091 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) | $181.60 | $227 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$53.60–$614.40 | $67–$768 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $202.40 | $253 | 0.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $103.20 | $129 | 0.4× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$276–$1,253.60 | $345–$1,567 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$78.40–$202.40 | $98–$253 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $75.20 | $94 | 0.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $283.20 | $354 | 0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $833.60 | $1,042 | 3.5× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$640–$705.60 | $800–$882 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $63.20 | $79 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $93.60 | $117 | 0.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$100–$673.60 | $125–$842 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $163.20 | $204 | 0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$793.60–$1,764.80 | $992–$2,206 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$52.80–$494.40 | $66–$618 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $344 | $430 | 1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$776–$1,026.40 | $970–$1,283 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,764.80 | $2,206 | 7.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $156.80 | $196 | 0.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $457.60 | $572 | 0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $181.60 | $227 | 0.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $109.60 | $137 | 0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$130.40–$222.40 | $163–$278 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$79.20–$786.40 | $99–$983 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $598.40 | $748 | 2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$56–$4,722.40 | $70–$5,903 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$93.60–$729.60 | $117–$912 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$193.60–$812 | $242–$1,015 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $200.80 | $251 | 0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$212–$464 | $265–$580 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$56.80–$521.60 | $71–$652 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $484.80 | $606 | 2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $308 | $385 | 1.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $599.20 | $749 | 0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $3,664.80 | $4,581 | 15.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$60–$272.80 | $75–$341 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$232.80–$636 | $291–$795 | varies |
| Cltx Medial Ankle Fx (27760) | $99.20 | $124 | 0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$593.60–$908 | $742–$1,135 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$67.20–$801.60 | $84–$1,002 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$43.20–$972 | $54–$1,215 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$46.40–$487.20 | $58–$609 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $1,362.40 | $1,703 | 0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $985.60 | $1,232 | 4.2× |
| Cltx prox fibula/shft fx w/o manj (27780) | $84 | $105 | 0.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $701.60 | $877 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$313.60–$552 | $392–$690 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $113.60 | $142 | 0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $361.60 | $452 | 0.2× |
| Collect Blood From Catheter Venous Nos (36592) | $79.20 | $99 | 0.6× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$11.20–$14.40 | $14–$18 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$68–$403.20 | $85–$504 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) range across 2 matching MRF lines |
$65.60–$353.60 | $82–$442 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$47.20–$289.60 | $59–$362 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$69.60–$381.60 | $87–$477 | varies |
| Colposcopy cervix vag eltrd conization cervix (57461) | $841.60 | $1,052 | 0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $740.80 | $926 | 0.2× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$65.60–$313.60 | $82–$392 | varies |
| Colposcopy of vulva (56820) | $296 | $370 | 1.5× |
| Colposcopy Vulva W/Biopsy (56821) | $391.20 | $489 | 1.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$69.60–$831.20 | $87–$1,039 | varies |
| Complex Cystometrogram (51726) | $461.60 | $577 | 1.9× |
| Complex drainage wound (10180) | $646.40 | $808 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $234.40 | $293 | 1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$31.20–$373.60 | $39–$467 | varies |
| Correction hammertoe (28285) | $1,004 | $1,255 | 0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $1,324 | $1,655 | 0.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$1,856 | $2,320 | 0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $1,940.80 | $2,426 | 0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$278.40–$428 | $348–$535 | varies |
| Cystometrogram W/Up (51727) | $527.20 | $659 | 0.8× |
| Cystourethroscopy (52000) | $539.20 | $674 | 0.8× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $816.80 | $1,021 | 0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$353.60–$739.20 | $442–$924 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$16.80–$80 | $21–$100 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$25.60–$112 | $32–$140 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$43.20–$332 | $54–$415 | varies |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$163.20–$243.20 | $204–$304 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$284.80–$424 | $356–$530 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$45.60–$292 | $57–$365 | varies |
| Destruction Benign Lesions 15/> (17111) | $347.20 | $434 | 1.8× |
| Destruction by neurolytic agent; pudendal nerve (64630) | $416.80 | $521 | 0.5× |
| Destruction Lesions Vulva Extensive (56515) | $598.40 | $748 | 0.3× |
| Destruction Lesions Vulva Simple (56501) | $347.20 | $434 | 0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $139.20 | $174 | 0.1× |
| Destruction of skin lesions (17106) | $969.60 | $1,212 | 2.5× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$40.80–$182.40 | $51–$228 | varies |
| Destruction Vaginal Lesions Extensive (57065) | $516.80 | $646 | 0.2× |
| Destruction Vaginal Lesions Simple (57061) | $299.20 | $374 | 0.1× |
| Diaphragm or cervical cap fitting with instructions (57170) | $162.40 | $203 | 0.8× |
| Dilation Cervical Canal (57800) | $162.40 | $203 | 0.1× |
| Drain Cerebro Spinal Fluid (62272) | $217.60 | $272 | 0.3× |
| Drain/inj small joint/bursa w/us (20604) | $31.20 | $39 | 0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $48 | $60 | 0.1× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$138.40–$169.60 | $173–$212 | varies |
| Drainage of gum lesion (41800) | $160.80 | $201 | 1.3× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$47.20–$457.60 | $59–$572 | varies |
| Drainage of scrotal wall abscess (55100) | $1,617.60 | $2,022 | 1.0× |
| Drainage of scrotum (54700) | $556 | $695 | 0.3× |
| Draw Blood Off Venous Device (36591) | $107.20 | $134 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$187.20–$219.20 | $234–$274 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$80–$374.40 | $100–$468 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$153.60–$212.80 | $192–$266 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) range across 2 matching MRF lines |
$65.60–$365.60 | $82–$457 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$41.60–$61.60 | $52–$77 | varies |
| Electro-Uroflowmetry First (51741) | $20 | $25 | 0.1× |
| Endocervical curettage (57505) | $270.40 | $338 | 0.3× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $2,624 | $3,280 | 0.5× |
| Endometrial Biopsy (58100) | $289.60 | $362 | 1.5× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) | $4,898.40 | $6,123 | 1.0× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$116–$221.60 | $145–$277 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$56.80–$262.40 | $71–$328 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $490.40 | $613 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $122.40 | $153 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$65.60–$296 | $82–$370 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $360.80 | $451 | 0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,082.40 | $1,353 | 1.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $665.60 | $832 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$56.80–$262.40 | $71–$328 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$72–$332 | $90–$415 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$79.20–$472 | $99–$590 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $972 | $1,215 | 0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $809.60 | $1,012 | 0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$84–$389.60 | $105–$487 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $232 | $290 | 0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$132–$624.80 | $165–$781 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$116.80–$548.80 | $146–$686 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$67.20–$400.80 | $84–$501 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$72–$445.60 | $90–$557 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$104–$484 | $130–$605 | varies |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,155.20 | $1,444 | 0.7× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $1,320 | $1,650 | 0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $452 | $565 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $516.80 | $646 | 0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
$88.80–$560 | $111–$700 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $187.20 | $234 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $519.20 | $649 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $452 | $565 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $157.60 | $197 | 0.2× |
| Excision nasal polyp(s) simple (30110) | $164.80 | $206 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $733.60 | $917 | 0.5× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $819.20 | $1,024 | 0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $629.60 | $787 | 0.4× |
| Exploration of knee joint (27310) | $1,477.60 | $1,847 | 0.5× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$452–$1,585.60 | $565–$1,982 | varies |
| External cephalic version (59412) | $245.60 | $307 | 0.1× |
| Fetal Contraction Stress Test (59020) | $90.40 | $113 | 0.5× |
| Fetal non-stress test (59025) | $48.80 | $61 | 0.3× |
| Fine needle aspiration without imaging guidance (10021) | $391.20 | $489 | 1.0× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) | $4,872 | $6,090 | 1.0× |
| Hysteroscopy Biopsy (58558) | $1,040.80 | $1,301 | 0.3× |
| Hysteroscopy Dx Sep Proc (58555) | $799.20 | $999 | 0.3× |
| Hysteroscopy Endometrial Ablation (58563) | $4,335.20 | $5,419 | 0.9× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$60–$278.40 | $75–$348 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,877.60 | $2,347 | 0.7× |
| I&d perianal abscess superficial (46050) | $639.20 | $799 | 0.7× |
| I&d pilonidal cyst complicated (10081) | $122.40 | $153 | 0.2× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$106.40–$527.20 | $133–$659 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$274.40–$501.60 | $343–$627 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$184–$561.60 | $230–$702 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $346.40 | $433 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$69.60–$413.60 | $87–$517 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$43.20–$323.20 | $54–$404 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$69.60–$332 | $87–$415 | varies |
| Incision of Foot Tendon (28234) | $664 | $830 | 0.4× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$947.20–$1,244.80 | $1,184–$1,556 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $181.60 | $227 | 0.1× |
| Incisional biopsy skin single lesion (11106) | $400 | $500 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $158.40 | $198 | 0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$61.60–$90.40 | $77–$113 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$21.60–$253.60 | $27–$317 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $36 | $45 | 0.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $765.60 | $957 | 1.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$45.60–$93.60 | $57–$117 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $81.60 | $102 | 0.1× |
| Injection anesthetic agent suprascapular nerve (64418) | $26.40 | $33 | 0.0× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$16.80–$175.20 | $21–$219 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$16–$131.20 | $20–$164 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$31.20–$169.60 | $39–$212 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$32–$46.40 | $40–$58 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $42.40 | $53 | 0.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$281.60–$331.20 | $352–$414 | varies |
| Insert cervical dilator (59200) | $191.20 | $239 | 0.7× |
| Insert Drug Implant Device (11981) | $365.60 | $457 | 2.9× |
| Insert non-tunnel cv cath (36556) | $598.40 | $748 | 0.2× |
| Insert pessary/other device (57160) | $203.20 | $254 | 1.0× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$186.40–$217.60 | $233–$272 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$109.60–$136.80 | $137–$171 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,703.20 | $4,629 | 2.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $163.20 | $204 | 0.4× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$323.20–$416.80 | $404–$521 | varies |
| Lrt iad 18bct/8vir&7arg RNA (0528U) | $382.40 | $478 | 0.6× |
| Marsupialization of bartholin's gland cyst (56440) | $480 | $600 | 0.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $40 | $50 | 0.1× |
| N block inj intercost sng (64420) | $32.80 | $41 | 0.0× |
| N Block Inj Paracervical (64435) | $356 | $445 | 0.5× |
| N Block Inj Plantar Digit (64455) | $281.60 | $352 | 1.0× |
| N Block Lumbar/Thoracic (64520) | $81.60 | $102 | 0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $16.80 | $21 | 0.6× |
| Needle insertion w/o injection 3 or more muscles (20561) | $24.80 | $31 | 0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $292 | $365 | 0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) | $44.80 | $56 | 0.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $122.40 | $153 | 0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$72–$106.40 | $90–$133 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $74.40 | $93 | 0.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $124.80 | $156 | 0.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $95.20 | $119 | 0.1× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$31.20–$44.80 | $39–$56 | varies |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,075.20 | $1,344 | 0.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$2,904.80 | $3,631 | 0.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $1,474.40 | $1,843 | 0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $799.20 | $999 | 0.3× |
| Part remv talus or calcaneus (28120) | $1,410.40 | $1,763 | 0.4× |
| Partical Excision Bone Phalanx Toe (28124) | $1,328.80 | $1,661 | 0.4× |
| Placement of needle for intraosseous infusion (36680) | $98.40 | $123 | 0.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $1,220.80 | $1,526 | 0.4× |
| Punch biopsy skin single lesion (11104) | $170.40 | $213 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$36–$299.20 | $45–$374 | varies |
| Puncture Aspiration Cyst Breast (19000) | $105.60 | $132 | 0.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $168.80 | $211 | 0.1× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) unusually low: confirm this is the full procedure |
$2,336 | $2,920 | 0.3× |
| Removal Embedded Foreign Body Eyelid (67938) | $202.40 | $253 | 0.7× |
| Removal foreign body foot deep (28192) | $739.20 | $924 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$536.80–$684 | $671–$855 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $272.80 | $341 | 0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$9.60–$10.40 | $12–$13 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$65.60–$284.80 | $82–$356 | varies |
| Removal Implant Deep (20680) | $1,317.60 | $1,647 | 0.5× |
| Removal Implant Superficial Separate Procedure (20670) | $814.40 | $1,018 | 0.5× |
| Removal of heel spur (28119) | $1,058.40 | $1,323 | 0.3× |
| Removal of knee prosthesis (27488) likely a partial charge, not the full procedure |
$3,560 | $4,450 | 0.3× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$104–$543.20 | $130–$679 | varies |
| Removal of sesamoid bone (28315) | $1,184 | $1,480 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$43.20–$240.80 | $54–$301 | varies |
| Remove drug implant device (11982) | $473.60 | $592 | 1.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$136.80–$145.60 | $171–$182 | varies |
| Remove Intrauterine Device (58301) | $262.40 | $328 | 0.9× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$167.20–$310.40 | $209–$388 | varies |
| Remove/Insert Drug Implant (11983) | $608.80 | $761 | 1.4× |
| Repair Achilles Tendon (27650) unusually low: confirm this is the full procedure |
$2,173.60 | $2,717 | 0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $772.80 | $966 | 2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,220.80 | $1,526 | 3.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,421.60 | $1,777 | 3.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $348.80 | $436 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$352.80–$456 | $441–$570 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $484 | $605 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $486.40 | $608 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $696 | $870 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $128.80 | $161 | 0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $352 | $440 | 0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$556–$564 | $695–$705 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$263.20–$362.40 | $329–$453 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$332–$377.60 | $415–$472 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $128 | $160 | 0.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $496 | $620 | 1.3× |
| Repair of hammertoe (28286) | $1,324 | $1,655 | 0.4× |
| Repair of nail bed (11760) | $139.20 | $174 | 0.2× |
| Repair tongue laceration (41250) | $118.40 | $148 | 0.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$1,388.80 | $1,736 | 0.2× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) unusually low: confirm this is the full procedure |
$5,337.60 | $6,672 | 0.4× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) unusually low: confirm this is the full procedure |
$5,218.40 | $6,523 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$166.40–$184.80 | $208–$231 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $828.80 | $1,036 | 0.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $3,703.20 | $4,629 | 2.4× |
| Rpr blood vessel direct lower extremity (35226) | $411.20 | $514 | 0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $491.20 | $614 | 2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $176 | $220 | 0.3× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$32–$266.40 | $40–$333 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$40.80–$310.40 | $51–$388 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$35.20–$278.40 | $44–$348 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$44.80–$202.40 | $56–$253 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $235.20 | $294 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$104–$485.60 | $130–$607 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$56.80–$230.40 | $71–$288 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$100–$468.80 | $125–$586 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$43.20–$326.40 | $54–$408 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $310.40 | $388 | 0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$52–$235.20 | $65–$294 | varies |
| Simple Cystometrogram (51725) | $289.60 | $362 | 1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $614.40 | $768 | 1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$73.60–$344.80 | $92–$431 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$79.20–$368 | $99–$460 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$374.40–$387.20 | $468–$484 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$52.80–$252 | $66–$315 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $154.40 | $193 | 0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$339.20–$484 | $424–$605 | varies |
| Skin sub graft face/nk/hf/g (15275) | $257.60 | $322 | 0.4× |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$166.40–$784.80 | $208–$981 | varies |
| Skin sub grft t/arm/lg child (15273) | $543.20 | $679 | 0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$88.80–$419.20 | $111–$524 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$459.20–$461.60 | $574–$577 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$107.20–$562.40 | $134–$703 | varies |
| Spinal puncture lumbar diagnostic (62270) | $43.20 | $54 | 0.1× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$112–$324.80 | $140–$406 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$75.20–$87.20 | $94–$109 | varies |
| Strapping hand/finger (29280) | $60 | $75 | 1.1× |
| Strapping Hip (29520) | $314.40 | $393 | 2.5× |
| Strapping knee (29530) | $314.40 | $393 | 2.5× |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$127.20–$169.60 | $159–$212 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$48.80–$314.40 | $61–$393 | varies |
| Strapping Unna Boot (29580) | $133.60 | $167 | 0.9× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$278.40–$294.40 | $348–$368 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $481.60 | $602 | 0.3× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$484.80 | $606 | 0.0× |
| Treat Big Toe Fracture (28505) | $626.40 | $783 | 0.2× |
| Treat humerus fracture (23600) | $104 | $130 | 0.4× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$234.40–$838.40 | $293–$1,048 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$98.40–$457.60 | $123–$572 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $587.20 | $734 | 0.4× |
| Treatment closed elbow dislocation w/o anes (24600) | $407.20 | $509 | 1.7× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) | $3,718.40 | $4,648 | 0.5× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$24.80–$154.40 | $31–$193 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$28.80–$183.20 | $36–$229 | varies |
| Trim skin lesions over 4 (11057) | $196 | $245 | 1.0× |
| Trimming Nondystrophic Nails Any Number (11719) | $13.60 | $17 | 0.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $749.60 | $937 | 0.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $84.80 | $106 | 0.4× |
| Urine Flow Measurement (51736) | $18.40 | $23 | 0.1× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$148.80–$237.60 | $186–$297 | varies |
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.