Procedures & surgery prices at Sullivan County Memorial Hospital
Milan, MO · every code in this section with a posted price and a Medicare benchmark.
261 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) | $2,477 | $2,477 | 2.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $2,477 | $2,477 | 2.7× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$45–$67 | $45–$67 | varies |
| Application cast elbow finger short arm (29075) | $720 | $720 | 2.6× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$50–$348 | $50–$348 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$118–$437 | $118–$437 | varies |
| Application Long Leg Splint (29505) | $437 | $437 | 2.7× |
| Application of long leg cast (29345) | $720 | $720 | 2.6× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$146–$348 | $146–$348 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$166–$437 | $166–$437 | varies |
| Apply long arm cast (29065) | $720 | $720 | 2.6× |
| Apply Short Leg Cast (29405) | $720 | $720 | 2.6× |
| Arterial puncture (36600) | $147 | $147 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$109–$1,500 | $109–$1,500 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,933 | $1,933 | 2.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$121–$1,500 | $121–$1,500 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 7 matching MRF lines |
$167–$1,800 | $167–$1,800 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$104–$1,500 | $104–$1,500 | varies |
| Aspirate pleura w/ imaging (32555) | $1,736 | $1,736 | 2.8× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$175–$1,736 | $175–$1,736 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$146–$542 | $146–$542 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$141–$645 | $141–$645 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$92–$172 | $92–$172 | varies |
| Blood Transfusion Service (36430) | $1,223 | $1,223 | 2.8× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$141–$645 | $141–$645 | varies |
| Chest tube placement (32551) | $4,464 | $4,464 | 2.8× |
| Cl Tx Tib Shft Fx W Manip (27752) | $4,304 | $4,304 | 2.7× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$172–$348 | $172–$348 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $621 | $621 | 2.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $4,304 | $4,304 | 2.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $621 | $621 | 2.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $621 | $621 | 2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $621 | $621 | 2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $4,304 | $4,304 | 2.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $621 | $621 | 2.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $621 | $621 | 2.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $4,304 | $4,304 | 2.7× |
| Closed tx knee dislocation w/o anesthesia (27550) | $621 | $621 | 2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $621 | $621 | 2.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$218–$4,164 | $218–$4,164 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $621 | $621 | 2.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $621 | $621 | 2.5× |
| Closed tx radial head/neck fx w/manipulation (24655) | $4,304 | $4,304 | 2.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $621 | $621 | 2.5× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$868–$4,304 | $868–$4,304 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $621 | $621 | 2.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $4,304 | $4,304 | 2.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $621 | $621 | 2.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $4,304 | $4,304 | 2.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $621 | $621 | 2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $621 | $621 | 2.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $621 | $621 | 2.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $4,304 | $4,304 | 2.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$267–$621 | $267–$621 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$944–$4,304 | $944–$4,304 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$413–$621 | $413–$621 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $4,304 | $4,304 | 2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$621–$728 | $621–$728 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $621 | $621 | 2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $621 | $621 | 2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $621 | $621 | 2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $621 | $621 | 2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,276–$4,304 | $1,276–$4,304 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $4,304 | $4,304 | 2.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $621 | $621 | 2.5× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $500 | $500 | 0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $4,304 | $4,304 | 2.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$244–$621 | $244–$621 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $621 | $621 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$269–$621 | $269–$621 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $621 | $621 | 2.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $4,304 | $4,304 | 2.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $621 | $621 | 2.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $4,304 | $4,304 | 2.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $621 | $621 | 2.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $720 | $720 | 2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $621 | $621 | 2.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $4,304 | $4,304 | 2.7× |
| Cltx Medial Ankle Fx (27760) | $621 | $621 | 2.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$550–$621 | $550–$621 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $621 | $621 | 2.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $4,304 | $4,304 | 2.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $4,304 | $4,304 | 2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $621 | $621 | 2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $621 | $621 | 2.5× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$830–$4,304 | $830–$4,304 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $621 | $621 | 2.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $4,304 | $4,304 | 2.7× |
| Cltx prox fibula/shft fx w/o manj (27780) | $621 | $621 | 2.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $4,304 | $4,304 | 2.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $621 | $621 | 2.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $4,304 | $4,304 | 2.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $621 | $621 | 2.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $4,304 | $4,304 | 2.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $621 | $621 | 2.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $621 | $621 | 2.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $4,304 | $4,304 | 2.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $621 | $621 | 2.5× |
| Collect Blood From Catheter Venous Nos (36592) | $304 | $304 | 2.3× |
| Collection of venous blood by venipuncture (36415) | $22 | $22 | 2.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $348 | $348 | 2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$50–$348 | $50–$348 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 4 matching MRF lines |
$160–$348 | $160–$348 | varies |
| Curette/treat cornea (65435) | $2,618 | $2,618 | 2.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,743 | $1,743 | 2.4× |
| Debride nail 1-5 (11720) | $172 | $172 | 2.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $4,499 | $4,499 | 2.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $1,119 | $1,119 | 2.7× |
| Delivery of placenta (59414) | $8,482 | $8,482 | 2.6× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$647–$1,500 | $647–$1,500 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$638–$1,500 | $638–$1,500 | varies |
| Destruct B9 Lesion 1-14 (17110) | $122 | $122 | 0.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 4 matching MRF lines |
$310–$1,500 | $310–$1,500 | varies |
| Drain/inj small joint/bursa w/us (20604) | $816 | $816 | 2.7× |
| Drainage of finger abscess simple (26010) | $542 | $542 | 2.7× |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$210–$348 | $210–$348 | varies |
| Drainage of scrotal wall abscess (55100) | $700 | $700 | 0.4× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$50–$145 | $50–$145 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,119 | $1,119 | 2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $542 | $542 | 2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$78–$542 | $78–$542 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$283–$1,500 | $283–$1,500 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$300–$1,500 | $300–$1,500 | varies |
| Evacuation of subungual hematoma (11740) | $348 | $348 | 2.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $3,249 | $3,249 | 2.7× |
| Exploration penetrating wound spx extremity (20103) | $4,499 | $4,499 | 2.7× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$226–$1,119 | $226–$1,119 | varies |
| I&d abscess peritonsillar (42700) | $623 | $623 | 2.6× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$230–$542 | $230–$542 | varies |
| I&d perianal abscess superficial (46050) | $2,493 | $2,493 | 2.7× |
| I&d pilonidal cyst simple (10080) | $1,947 | $1,947 | 2.7× |
| Implant neuroelectrodes (63650) range across 5 matching MRF lines |
$287–$5,000 | $287–$5,000 | varies |
| Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$883–$5,600 | $883–$5,600 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$392–$1,119 | $392–$1,119 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $4,499 | $4,499 | 2.7× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$244–$1,119 | $244–$1,119 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$210–$534 | $210–$534 | varies |
| Incision of rectal abscess (46040) | $3,249 | $3,249 | 2.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$226–$4,499 | $226–$4,499 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $542 | $542 | 2.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$305–$2,557 | $305–$2,557 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,500 | $1,500 | 4.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$400–$1,500 | $400–$1,500 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$266–$1,500 | $266–$1,500 | varies |
| Injection single tendon origin/insertion (20551) | $816 | $816 | 2.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$75–$1,500 | $75–$1,500 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$310–$1,500 | $310–$1,500 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$200–$1,500 | $200–$1,500 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $201 | $201 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 12 matching MRF lines |
$110–$1,933 | $110–$1,933 | varies |
| Insert Bladder Cath Complex (51703) | $436 | $436 | 3.4× |
| Insert non-tunnel cv cath (36556) | $8,937 | $8,937 | 2.8× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$189–$348 | $189–$348 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$141–$348 | $141–$348 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $8,937 | $8,937 | 2.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,526 | $1,526 | 1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$525–$2,000 | $525–$2,000 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,119 | $1,119 | 2.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,119 | $1,119 | 2.7× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$274–$623 | $274–$623 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$194–$1,500 | $194–$1,500 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,133 | $1,133 | 2.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$178–$816 | $178–$816 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$260–$2,557 | $260–$2,557 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$310–$1,500 | $310–$1,500 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$287–$1,500 | $287–$1,500 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$92–$816 | $92–$816 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $621 | $621 | 0.2× |
| Pericardiocentesis W/Imaging (33016) | $4,464 | $4,464 | 2.8× |
| Peritoneal Lavage (49084) | $2,477 | $2,477 | 2.7× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$115–$1,133 | $115–$1,133 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$97–$1,119 | $97–$1,119 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,119 | $1,119 | 2.7× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$215–$794 | $215–$794 | varies |
| Removal Foreign Body Foot Complicated (28193) | $4,499 | $4,499 | 2.7× |
| Removal foreign body foot deep (28192) | $4,499 | $4,499 | 2.7× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,947 | $1,947 | 2.7× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $8,930 | $8,930 | 2.7× |
| Removal foreign body upper arm/elbow deep (24201) | $7,750 | $7,750 | 2.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $172 | $172 | 2.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$67–$172 | $67–$172 | varies |
| Removal of foreign body from pharynx (42809) | $1,133 | $1,133 | 2.5× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$170–$1,119 | $170–$1,119 | varies |
| Removal shoulder foreign body deep subfascial/im (23333) | $7,750 | $7,750 | 2.7× |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$150–$500 | $150–$500 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$50–$348 | $50–$348 | varies |
| Remove Nasal Foreign Body (30300) | $348 | $348 | 2.6× |
| Remove Shoulder Foreign Body (23330) | $4,499 | $4,499 | 2.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,743 | $1,743 | 2.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,743 | $1,743 | 2.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$339–$1,119 | $339–$1,119 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,743 | $1,743 | 4.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,743 | $1,743 | 4.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$422–$1,743 | $422–$1,743 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,743 | $1,743 | 2.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,743 | $1,743 | 2.4× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$790–$4,304 | $790–$4,304 | varies |
| Repair Hand Tendon (26410) | $4,304 | $4,304 | 2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$275–$1,119 | $275–$1,119 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,119 | $1,119 | 2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$312–$1,119 | $312–$1,119 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$413–$1,119 | $413–$1,119 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,119 | $1,119 | 2.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$660–$1,743 | $660–$1,743 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$280–$1,119 | $280–$1,119 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$382–$1,119 | $382–$1,119 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,743 | $1,743 | 2.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $5,178 | $5,178 | 2.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,119 | $1,119 | 2.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,119 | $1,119 | 2.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$280–$1,119 | $280–$1,119 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,743 | $1,743 | 2.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$497–$1,119 | $497–$1,119 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $5,178 | $5,178 | 2.5× |
| Repair of nail bed (11760) | $1,743 | $1,743 | 2.4× |
| Repair tongue laceration (41252) | $623 | $623 | 2.6× |
| Repair tongue laceration (41250) | $1,133 | $1,133 | 2.5× |
| Rmvl embedded fb vestibule mouth comp (40805) | $1,370 | $1,370 | 2.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $2,477 | $2,477 | 2.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$68–$1,133 | $68–$1,133 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$95–$348 | $95–$348 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $1,133 | $1,133 | 2.5× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $7,750 | $7,750 | 2.7× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $4,499 | $4,499 | 2.7× |
| Rplc Gtube No Revj Trc (43762) | $645 | $645 | 2.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $542 | $542 | 2.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,743 | $1,743 | 2.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $623 | $623 | 2.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,119 | $1,119 | 2.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$251–$542 | $251–$542 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$276–$542 | $276–$542 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,119 | $1,119 | 2.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $542 | $542 | 2.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $542 | $542 | 2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$204–$542 | $204–$542 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$361–$542 | $361–$542 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$297–$542 | $297–$542 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$251–$542 | $251–$542 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$320–$1,119 | $320–$1,119 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,119 | $1,119 | 2.7× |
| Spinal puncture lumbar diagnostic (62270) | $1,933 | $1,933 | 2.7× |
| Strapping ankle (29540) | $437 | $437 | 2.7× |
| Strapping elbow or wrist (29260) | $172 | $172 | 2.9× |
| Strapping hand/finger (29280) | $172 | $172 | 2.9× |
| Strapping knee (29530) | $348 | $348 | 2.6× |
| Strapping shoulder (29240) | $348 | $348 | 2.6× |
| Strapping thorax (29200) | $437 | $437 | 2.7× |
| Strapping toes (29550) | $172 | $172 | 2.9× |
| Strapping Unna Boot (29580) | $437 | $437 | 2.7× |
| Thrombolytic Therapy Stroke (37195) | $998 | $998 | 3.0× |
| Treat humerus fracture (24500) | $621 | $621 | 2.5× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$854–$4,304 | $854–$4,304 | varies |
| Treat humerus fracture (23600) | $621 | $621 | 2.5× |
| Treat Knuckle Dislocation (26700) | $621 | $621 | 2.5× |
| Treat Metatarsal Fracture (28475) | $621 | $621 | 2.5× |
| Treat toe dislocation (28630) | $270 | $270 | 1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $4,304 | $4,304 | 2.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $621 | $621 | 2.5× |
| Tx Gastro Intub W/Asp (43753) | $840 | $840 | 3.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $4,304 | $4,304 | 2.7× |
| Vaginal delivery only (59409) | $8,482 | $8,482 | 2.6× |
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.