Procedures & surgery prices at Summit Pacific Medical Center
Elma, WA · every code in this section with a posted price and a Medicare benchmark.
422 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 5 matching MRF lines |
— | $284–$2,085 | — |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 5 matching MRF lines |
— | $288–$1,423 | — |
| Acne surgery (10040) range across 3 matching MRF lines |
— | $118–$1,659 | — |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) range across 3 matching MRF lines |
— | $2,575–$10,097 | — |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 3 matching MRF lines |
— | $1,836–$8,963 | — |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 3 matching MRF lines |
— | $1,762–$8,446 | — |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
— | $1,989–$6,502 | — |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
— | $354–$1,555 | — |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
— | $359–$1,577 | — |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
— | $78–$780 | — |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
— | $411–$539 | — |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
— | $237–$623 | — |
| Application finger splint static (29130) range across 3 matching MRF lines |
— | $61–$545 | — |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
— | $243–$1,127 | — |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
— | $284–$947 | — |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
— | $250–$1,100 | — |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
— | $161–$750 | — |
| Application short leg splint calf foot (29515) range across 5 matching MRF lines |
— | $169–$942 | — |
| Apply long arm cast (29065) range across 2 matching MRF lines |
— | $497–$1,302 | — |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
— | $119–$490 | — |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
— | $218–$955 | — |
| Apply short leg cast (29425) range across 2 matching MRF lines |
— | $190–$834 | — |
| Arterial puncture (36600) | — | $151 | — |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
— | $152–$1,188 | — |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
— | $156–$1,677 | — |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
— | $187–$1,466 | — |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 5 matching MRF lines |
— | $334–$1,965 | — |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
— | $146–$1,133 | — |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | — | $2,259 | — |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) | — | $2,063 | — |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
— | $340–$1,123 | — |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
— | $366–$1,715 | — |
| Aspirate/Inj Ganglion Cyst (20612) range across 6 matching MRF lines |
— | $171–$845 | — |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
— | $1,064–$2,790 | — |
| Avulsion nail plate partial/complete simple 1 (11730) range across 6 matching MRF lines |
— | $122–$969 | — |
| Biopsy bone open deep (20245) range across 2 matching MRF lines |
— | $827–$3,642 | — |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
— | $328–$1,444 | — |
| Biopsy bone trocar/needle deep (20225) range across 3 matching MRF lines |
— | $291–$1,278 | — |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
— | $197–$867 | — |
| Biopsy nail unit (11755) | — | $162 | — |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) range across 2 matching MRF lines |
— | $1,486–$6,549 | — |
| Biopsy soft tissue leg/ankle area superficial (27613) range across 2 matching MRF lines |
— | $598–$2,631 | — |
| Biopsy Tongue Anterior Two-Thirds (41100) | — | $200 | — |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | — | $245 | — |
| Biopsy, vestibule of mouth (40808) | — | $143 | — |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
— | $85–$854 | — |
| Bladder Scan (51798) range across 2 matching MRF lines |
— | $408–$690 | — |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
— | $832–$2,181 | — |
| Blood Transfusion Service (36430) | — | $933 | — |
| Bone Graft Any Donor Area Major/Large (20902) | — | $713 | — |
| Bone Graft Any Donor Area Minor/Small (20900) | — | $485 | — |
| Bx Cervix (57500) | — | $566 | — |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
— | $127–$921 | — |
| Chemical Cautery Tissue (17250) range across 5 matching MRF lines |
— | $151–$646 | — |
| Chemodenerv Eccrine Glands (64650) | — | $100 | — |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
— | $907–$3,996 | — |
| Chemodenerv trunk musc 1-5 (64646) range across 2 matching MRF lines |
— | $852–$3,753 | — |
| Chemodenerv trunk musc 6/> (64647) range across 2 matching MRF lines |
— | $994–$4,385 | — |
| Chemodenervation eccrine glands oth area per day (64653) | — | $126 | — |
| Chest tube placement (32551) range across 4 matching MRF lines |
— | $1,241–$3,253 | — |
| Circumcision Neonate (54160) | — | $490 | — |
| Circumcision w/clamp/oth dev w/block (54150) | — | $329 | — |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
— | $194–$901 | — |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
— | $3,175–$8,327 | — |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 4 matching MRF lines |
— | $1,599–$7,811 | — |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
— | $3,050–$8,006 | — |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
— | $1,763–$5,253 | — |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
— | $2,223–$5,937 | — |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
— | $3,309–$8,682 | — |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
— | $1,799–$4,718 | — |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
— | $3,379–$8,863 | — |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
— | $234–$604 | — |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
— | $1,219–$3,199 | — |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
— | $2,891–$7,581 | — |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
— | $496–$5,414 | — |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | — | $1,894 | — |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
— | $3,162–$8,295 | — |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 4 matching MRF lines |
— | $487–$7,226 | — |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
— | $338–$783 | — |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
— | $2,221–$5,828 | — |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
— | $3,691–$9,682 | — |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
— | $2,110–$6,025 | — |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
— | $236–$3,153 | — |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 4 matching MRF lines |
— | $696–$3,064 | — |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
— | $1,315–$3,446 | — |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
— | $646–$1,851 | — |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
— | $2,481–$6,508 | — |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
— | $1,824–$4,780 | — |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
— | $1,785–$7,870 | — |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
— | $425–$4,521 | — |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
— | $2,179–$5,713 | — |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
— | $548–$1,235 | — |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
— | $370–$1,740 | — |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
— | $3,123–$8,194 | — |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
— | $2,063–$5,412 | — |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
— | $292–$492 | — |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
— | $39–$40 | — |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | — | $1,713 | — |
| Colonoscopy w/ablation (45388) | — | $2,004 | — |
| Colonoscopy w/fb removal (45379) | — | $1,810 | — |
| Colonoscopy W/Resection (45390) | — | $2,497 | — |
| Colonoscopy w/submucosal inj (45381) | — | $1,527 | — |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | — | $299 | — |
| Colposcopy Cervix Endocervical Curettage (57456) | — | $236 | — |
| Colposcopy cervix upper/adjacent vagina (57452) | — | $194 | — |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | — | $256 | — |
| Colposcopy cervix vag eltrd conization cervix (57461) | — | $439 | — |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | — | $363 | — |
| Colposcopy entire vagina w/cervix if present (57420) | — | $206 | — |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | — | $282 | — |
| Colsc Flexible W/Control Bleeding Any Method (45382) | — | $1,963 | — |
| Colsc flx w/removal lesion by hot bx forceps (45384) | — | $1,729 | — |
| Complex drainage wound (10180) range across 2 matching MRF lines |
— | $730–$1,242 | — |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
— | $544–$3,517 | — |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
— | $231–$1,080 | — |
| Correction of trichiasis; epilation, by forceps only (67820) | — | $43 | — |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
— | $798–$2,089 | — |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | — | $87 | — |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 3 matching MRF lines |
— | $1,081–$8,133 | — |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | — | $856 | — |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | — | $771 | — |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 5 matching MRF lines |
— | $379–$2,955 | — |
| Debride nail 1-5 (11720) range across 5 matching MRF lines |
— | $61–$280 | — |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
— | $101–$433 | — |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
— | $502–$2,210 | — |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
— | $173–$1,174 | — |
| Declot vascular device (36593) range across 2 matching MRF lines |
— | $106–$582 | — |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) | — | $1,416 | — |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
— | $1,647–$7,259 | — |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
— | $1,625–$7,159 | — |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
— | $282–$1,316 | — |
| Destruction Benign Lesions 15/> (17111) | — | $346 | — |
| Destruction by neurolytic agent, intercostal nerve (64620) range across 2 matching MRF lines |
— | $1,243–$5,472 | — |
| Destruction by neurolytic agent; plantar common digital nerve (64632) range across 3 matching MRF lines |
— | $180–$2,188 | — |
| Destruction Lesions Vulva Simple (56501) | — | $460 | — |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
— | $1,067–$4,696 | — |
| Destruction Premalignant Lesion 15/> (17004) | — | $402 | — |
| Destruction premalignant lesion 1st (17000) | — | $214 | — |
| Diagnostic sigmoidoscopy (45330) | — | $415 | — |
| Drain Cerebro Spinal Fluid (62272) | — | $852 | — |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
— | $333–$1,466 | — |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
— | $1,089–$2,856 | — |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
— | $160–$482 | — |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
— | $1,333–$3,497 | — |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
— | $989–$2,593 | — |
| Drainage of gum lesion (41800) range across 3 matching MRF lines |
— | $656–$2,876 | — |
| Drainage of hematoma/fluid (10140) range across 6 matching MRF lines |
— | $475–$3,699 | — |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
— | $1,205–$3,158 | — |
| Draw Blood Off Venous Device (36591) | — | $75 | — |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 3 matching MRF lines |
— | $177–$2,461 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 5 matching MRF lines |
— | $474–$2,585 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
— | $340–$2,170 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines |
— | $289–$1,028 | — |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | — | $556 | — |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
— | $673–$2,964 | — |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | — | $1,176 | — |
| Egd control bleeding any (43255) | — | $1,526 | — |
| Egd dilation gastric/duodenal stricture (43245) | — | $1,344 | — |
| Egd Flexible Foreign Body Removal (43247) | — | $1,353 | — |
| Egd guide wire insertion (43248) | — | $1,272 | — |
| Egd remove lesion snare (43251) | — | $1,527 | — |
| Endometrial Biopsy (58100) | — | $320 | — |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | — | $691 | — |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | — | $802 | — |
| Evacuation of subungual hematoma (11740) range across 5 matching MRF lines |
— | $134–$656 | — |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
— | $329–$1,514 | — |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 4 matching MRF lines |
— | $289–$2,742 | — |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | — | $744 | — |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | — | $475 | — |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | — | $539 | — |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | — | $553 | — |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
— | $329–$1,510 | — |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
— | $424–$1,866 | — |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 5 matching MRF lines |
— | $545–$2,510 | — |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | — | $1,111 | — |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | — | $1,053 | — |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | — | $600 | — |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 4 matching MRF lines |
— | $671–$2,954 | — |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | — | $867 | — |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | — | $993 | — |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines |
— | $703–$3,098 | — |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | — | $849 | — |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | — | $299 | — |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
— | $449–$3,940 | — |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | — | $323 | — |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | — | $460 | — |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | — | $77 | — |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | — | $1,449 | — |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | — | $1,177 | — |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | — | $2,098 | — |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | — | $1,557 | — |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
— | $1,172–$5,162 | — |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) | — | $1,156 | — |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) | — | $2,488 | — |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | — | $1,262 | — |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | — | $1,046 | — |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | — | $301 | — |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | — | $660 | — |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | — | $338 | — |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | — | $469 | — |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | — | $547 | — |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
— | $608–$695 | — |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | — | $762 | — |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | — | $1,557 | — |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) | — | $1,264 | — |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) range across 3 matching MRF lines |
— | $1,063–$4,685 | — |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 2 matching MRF lines |
— | $907–$3,997 | — |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | — | $1,355 | — |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
— | $2,209–$5,795 | — |
| Exploration penetrating wound spx extremity (20103) | — | $1,028 | — |
| Fasciotomy, foot and/or toe (28008) range across 2 matching MRF lines |
— | $1,006–$4,429 | — |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
— | $179–$914 | — |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | — | $2,022 | — |
| Fine needle aspiration without imaging guidance (10021) range across 6 matching MRF lines |
— | $284–$2,573 | — |
| Flap; neurovascular pedicle (15750) | — | $3,206 | — |
| Fluid Pressure Muscle (20950) | — | $303 | — |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
— | $1,678–$2,613 | — |
| I&d abscess simple (10060) range across 8 matching MRF lines |
— | $370–$1,827 | — |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 2 matching MRF lines |
— | $298–$1,311 | — |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
— | $395–$1,853 | — |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
— | $1,222–$3,206 | — |
| I&d pilonidal cyst simple (10080) range across 5 matching MRF lines |
— | $716–$1,940 | — |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
— | $432–$2,025 | — |
| Incision & drainage abscess complicated/multiple (10061) range across 7 matching MRF lines |
— | $656–$3,385 | — |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
— | $1,341–$3,512 | — |
| Incision & removal foreign body subq tiss simple (10120) range across 6 matching MRF lines |
— | $416–$1,951 | — |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
— | $505–$1,821 | — |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
— | $433–$827 | — |
| Incision of Foot Tendon (28234) | — | $1,109 | — |
| Incision of lingual frenum (frenotomy) (41010) | — | $463 | — |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
— | $562–$1,298 | — |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
— | $423–$611 | — |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
— | $85–$876 | — |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
— | $778–$3,408 | — |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
— | $960–$4,230 | — |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
— | $171–$1,332 | — |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
— | $514–$2,264 | — |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
— | $596–$2,621 | — |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
— | $665–$2,931 | — |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
— | $578–$2,544 | — |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
— | $525–$2,310 | — |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 2 matching MRF lines |
— | $572–$2,520 | — |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
— | $631–$2,776 | — |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
— | $553–$2,431 | — |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
— | $176–$845 | — |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
— | $155–$1,211 | — |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
— | $178–$1,378 | — |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
— | $471–$2,076 | — |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
— | $479–$2,110 | — |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
— | $331–$1,455 | — |
| Injection, intralesional; up to and including 7 lesions (11900) | — | $129 | — |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
— | $208–$1,547 | — |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
— | $897–$2,348 | — |
| Insert Drug Implant Device (11981) range across 4 matching MRF lines |
— | $136–$600 | — |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
— | $382–$2,309 | — |
| Insert pessary/other device (57160) | — | $121 | — |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
— | $124–$578 | — |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
— | $115–$533 | — |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | — | $428 | — |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | — | $2,641 | — |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | — | $4,358 | — |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
— | $496–$5,313 | — |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 3 matching MRF lines |
— | $1,311–$3,439 | — |
| Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
— | $801–$2,097 | — |
| Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
— | $799–$2,201 | — |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
— | $973–$2,551 | — |
| Island pedicle flap graft (15740) | — | $2,984 | — |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
— | $533–$1,395 | — |
| Lyse chest fibrin init day (32561) | — | $776 | — |
| Metatarsectomy (28140) | — | $1,224 | — |
| Monocyte distribution width whole blood (0427U) | — | $38 | — |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) range across 2 matching MRF lines |
— | $3,886–$9,392 | — |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
— | $668–$2,941 | — |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
— | $676–$2,975 | — |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
— | $494–$2,176 | — |
| N Block Inj Paracervical (64435) | — | $338 | — |
| N Block Inj Plantar Digit (64455) range across 5 matching MRF lines |
— | $212–$1,111 | — |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
— | $588–$2,587 | — |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | — | $699 | — |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | — | $776 | — |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
— | $534–$2,354 | — |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
— | $515–$1,352 | — |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
— | $663–$2,920 | — |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
— | $792–$3,486 | — |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
— | $729–$3,209 | — |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
— | $258–$2,021 | — |
| Open treatment interphalangeal joint dislocation (28675) | — | $1,590 | — |
| Open treatment metatarsal fracture each (28485) | — | $2,211 | — |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | — | $1,522 | — |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | — | $907 | — |
| Ostectomy calcaneus (28118) range across 2 matching MRF lines |
— | $1,519–$6,693 | — |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) range across 2 matching MRF lines |
— | $1,124–$4,951 | — |
| Ostectomy, complete excision; fifth metatarsal head (28113) range across 2 matching MRF lines |
— | $1,607–$7,082 | — |
| Part remv talus or calcaneus (28120) range across 2 matching MRF lines |
— | $1,733–$7,637 | — |
| Partial removal of fibula (27641) | — | $2,176 | — |
| Partial removal of tibia (27640) range across 2 matching MRF lines |
— | $2,727–$9,698 | — |
| Partical Excision Bone Phalanx Toe (28124) range across 2 matching MRF lines |
— | $1,205–$5,306 | — |
| Penile Injection (54235) range across 2 matching MRF lines |
— | $582–$1,395 | — |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | — | $1,398 | — |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
— | $427–$1,118 | — |
| Prq skel fixj metar fx w/manj (28476) | — | $1,979 | — |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 2 matching MRF lines |
— | $1,496–$6,594 | — |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
— | $58–$559 | — |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
— | $351–$1,814 | — |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
— | $1,410–$6,205 | — |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
— | $1,182–$5,206 | — |
| Removal foreign body foot deep (28192) range across 3 matching MRF lines |
— | $1,069–$4,707 | — |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
— | $457–$2,010 | — |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
— | $586–$2,575 | — |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
— | $53–$243 | — |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
— | $135–$626 | — |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
— | $1,463–$6,449 | — |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
— | $593–$2,609 | — |
| Removal implantable contraceptive capsules (11976) | — | $214 | — |
| Removal of ankle implant (27704) | — | $2,047 | — |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
— | $899–$2,354 | — |
| Removal of nail bed (11750) range across 6 matching MRF lines |
— | $343–$1,960 | — |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
— | $296–$1,264 | — |
| Removal, under anesthesia, of external fixation system (20694) | — | $1,381 | — |
| Removal/bivalving gauntlet boot/body cast (29700) | — | $217 | — |
| Remove drug implant device (11982) | — | $407 | — |
| Remove foreign body from eye (65235) range across 2 matching MRF lines |
— | $1,433–$4,253 | — |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
— | $317–$830 | — |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
— | $272–$1,270 | — |
| Remove Lower Leg Bone Lesion (27635) | — | $2,080 | — |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
— | $426–$2,006 | — |
| Remove/graft foot lesion (28102) | — | $1,669 | — |
| Remove/graft leg bone lesion (27637) | — | $2,692 | — |
| Remove/Insert Drug Implant (11983) | — | $702 | — |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
— | $2,085–$5,472 | — |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
— | $2,206–$5,388 | — |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
— | $1,816–$4,761 | — |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 5 matching MRF lines |
— | $940–$6,002 | — |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
— | $1,713–$4,484 | — |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
— | $1,944–$5,098 | — |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
— | $1,245–$3,260 | — |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
— | $1,480–$3,875 | — |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
— | $1,576–$4,137 | — |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
— | $1,161–$4,523 | — |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
— | $1,957–$5,135 | — |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
— | $598–$2,858 | — |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
— | $539–$3,807 | — |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
— | $768–$4,523 | — |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
— | $1,741–$4,568 | — |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
— | $543–$2,904 | — |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
— | $787–$3,703 | — |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
— | $2,022–$5,306 | — |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
— | $834–$3,927 | — |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
— | $2,367–$6,212 | — |
| Repair of nail bed (11760) range across 3 matching MRF lines |
— | $230–$2,209 | — |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | — | $1,196 | — |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
— | $1,517–$3,973 | — |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
— | $1,021–$2,724 | — |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
— | $198–$796 | — |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
— | $376–$982 | — |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
— | $281–$724 | — |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
— | $849–$3,741 | — |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | — | $321 | — |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
— | $281–$735 | — |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
— | $846–$1,673 | — |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
— | $2,380–$6,244 | — |
| Shave skin lesion 0.5 cm/< (11300) | — | $143 | — |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | — | $194 | — |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | — | $236 | — |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | — | $161 | — |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | — | $210 | — |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | — | $319 | — |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | — | $220 | — |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | — | $301 | — |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | — | $256 | — |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | — | $530 | — |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
— | $225–$1,048 | — |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
— | $234–$1,100 | — |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
— | $1,095–$2,870 | — |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
— | $541–$1,418 | — |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 5 matching MRF lines |
— | $181–$844 | — |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
— | $296–$1,383 | — |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
— | $433–$4,738 | — |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
— | $284–$4,223 | — |
| Skin sub grft t/arm/lg child (15273) range across 3 matching MRF lines |
— | $608–$5,356 | — |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
— | $644–$5,047 | — |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 5 matching MRF lines |
— | $235–$1,107 | — |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
— | $277–$4,523 | — |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
— | $841–$2,202 | — |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
— | $538–$1,489 | — |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | — | $2,289 | — |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 3 matching MRF lines |
— | $2,186–$9,358 | — |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
— | $124–$677 | — |
| Talectomy (astragalectomy) Facility (28130) | — | $2,111 | — |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
— | $277–$445 | — |
| Tenolysis flexor foot single tendon (28220) | — | $1,051 | — |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) | — | $1,693 | — |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 3 matching MRF lines |
— | $799–$3,519 | — |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 2 matching MRF lines |
— | $870–$3,830 | — |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) range across 2 matching MRF lines |
— | $595–$2,620 | — |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | — | $985 | — |
| Thrombolytic Therapy Stroke (37195) | — | $1,478 | — |
| Thrombolytic Venous Therapy (37212) | — | $6,792 | — |
| Tooth extraction (41899) | — | $1,098 | — |
| Treat Big Toe Fracture (28505) | — | $1,715 | — |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
— | $945–$4,163 | — |
| Treat midfoot fracture (28456) | — | $2,015 | — |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
— | $465–$618 | — |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
— | $1,415–$1,438 | — |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
— | $2,394–$6,275 | — |
| Treatment of foot infection (28003) | — | $476 | — |
| Trim skin lesion (11055) range across 3 matching MRF lines |
— | $68–$629 | — |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
— | $93–$701 | — |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
— | $74–$721 | — |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
— | $32–$155 | — |
| Tx Gastro Intub W/Asp (43753) | — | $72 | — |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
— | $895–$3,941 | — |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) range across 2 matching MRF lines |
— | $992–$4,374 | — |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 6 matching MRF lines |
— | $237–$3,694 | — |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 2 matching MRF lines |
— | $907–$3,997 | — |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
— | $115–$588 | — |
| Vaginal Delivery After Cesarean Delivery (59612) | — | $3,356 | — |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
— | $2,999–$9,499 | — |
| Vasectomy uni/bi spx w/postop semen exams (55250) | — | $473 | — |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
— | $174–$1,771 | — |
| Wound Prep F/N/Hf/G (15004) range across 3 matching MRF lines |
— | $1,139–$5,161 | — |
| Wound Prep Trk/Arm/Leg (15002) range across 3 matching MRF lines |
— | $938–$3,132 | — |
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.