Procedures & surgery prices at Syringa Hospital & Clinics

Grangeville, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $758.70 $843 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $507.60 $564 0.6×
Acne surgery (10040) $236.70 $263 1.2×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,287.90 $1,431 0.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,155.50 $2,395 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,410.30 $1,567 0.4×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure
$1,758.60 $1,954 0.2×
Anoscopy diagnostic (46600) $243 $270 1.8×
Anoscopy; with biopsy, single or multiple (46606) $559.80 $622 0.5×
Appendectomy (44950)
likely a partial charge, not the full procedure
$1,618.20 $1,798 0.3×
Application cast elbow finger short arm (29075) $221.40 $246 0.8×
Application Finger Splint Dynamic (29131) $133.20 $148 2.3×
Application finger splint static (29130) $108 $120 0.8×
Application long arm splint shoulder hand (29105) $212.40 $236 1.3×
Application Long Leg Cast Walker/Ambulatory Type (29355) $362.70 $403 1.3×
Application Long Leg Splint (29505) $219.60 $244 1.4×
Application of long leg cast (29345) $343.80 $382 1.2×
Application Short Arm Splint Dynamic (29126) $197.10 $219 1.5×
Application short arm splint forearm-hand static (29125) $166.50 $185 1.3×
Application short leg splint calf foot (29515) $183.60 $204 1.1×
Apply hand/wrist cast (29085) $234 $260 1.5×
Apply long arm cast (29065) $243 $270 0.9×
Apply Multlay Comprs Lwr Leg (29581) $306.90 $341 1.9×
Apply Short Leg Cast (29405) $208.80 $232 0.8×
Apply short leg cast (29425) $199.80 $222 0.7×
Arterial puncture (36600)
range across 2 matching MRF lines
$67.50–$121.50 $75–$135 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $132.30 $147 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $202.50 $225 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $156.60 $174 0.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $126.90 $141 0.4×
Aspirate pleura w/ imaging (32555) $765.90 $851 1.2×
Aspirate Pleura W/O Imaging (32554) $580.50 $645 0.9×
Aspirate/Inj Ganglion Cyst (20612) $132.30 $147 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $238.50 $265 1.2×
Biopsy bone open superficial (20240) $318.60 $354 0.1×
Biopsy nail unit (11755) $261.90 $291 0.4×
Biopsy of breast; open, incisional (19101) $726.30 $807 0.2×
Biopsy Vaginal Mucosa Simple (57100) $236.70 $263 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $179.10 $199 0.2×
Biopsy, vestibule of mouth (40808) $337.50 $375 0.6×
Biopsy/removal lymph nodes (38510) $1,336.50 $1,485 0.3×
Bladder Irrigation (51700) $264.60 $294 1.1×
Bladder Scan (51798) $64.80 $72 1.1×
Blepharotomy drainage abscess eyelid (67700) $458.10 $509 1.5×
Blood Transfusion Service (36430) $720 $800 1.7×
Bx Cervix (57500) $348.30 $387 0.4×
Bx/exc lymph node open superficial (38500) $666 $740 0.2×
Change Cystostomy Tube Simple (51705) $234.90 $261 1.0×
Chemical Cautery Tissue (17250) $178.20 $198 0.9×
Chest tube placement (32551) $384.30 $427 0.2×
Circumcision Neonate (54160) $295.20 $328 0.4×
Circumcision w/clamp/oth dev w/block (54150) $295.20 $328 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $1,333.80 $1,482 0.8×
Clear outer ear canal (69200) $211.50 $235 1.6×
Closed Treatment Ulnar Styloid Fracture (25650) $810 $900 3.3×
Closed tx ankle dislocation w/o anesthesia (27840) $782.10 $869 3.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,198.80 $1,332 0.8×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,570.50 $1,745 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $1,194.30 $1,327 4.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,109.70 $1,233 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $536.40 $596 2.2×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $696.60 $774 0.5×
Closed tx patellar dislocation w/anesthesia (27562) $1,242.90 $1,381 5.1×
Closed tx patellar dislocation w/o anesthesia (27560) $729.90 $811 3.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $659.70 $733 2.7×
Closed tx radial head/neck fx w/o manipulation (24650) $539.10 $599 2.2×
Closed tx radial shaft fracture w/manipulation (25505) $1,278 $1,420 0.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $704.70 $783 2.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,316.70 $1,463 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560) $660.60 $734 2.7×
Closed Tx Scapular Fracture W/O Manipulation (23570) $534.60 $594 2.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $271.80 $302 1.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $739.80 $822 3.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $539.10 $599 2.2×
Clsd tx clavicular fracture w/o manipulation (23500) $661.50 $735 2.7×
Clsd tx fx orbit except blowout w/o manipulation (21400) $429.30 $477 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,033.20 $1,148 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $732.60 $814 3.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,422.90 $1,581 0.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $796.50 $885 3.3×
Cltx dstl fibular fx lat malls w/manj (27788) $519.30 $577 2.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $853.20 $948 3.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $631.80 $702 2.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $472.50 $525 1.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $838.80 $932 3.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,383.30 $1,537 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,680.30 $1,867 1.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $369.90 $411 1.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $319.50 $355 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $423 $470 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $273.60 $304 1.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,101.60 $1,224 0.7×
Cltx greater humeral tuberosity fx w/o manj (23620) $612.90 $681 2.5×
Cltx hip dislocation traumatic req anesthesia (27252) $1,890.90 $2,101 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $769.50 $855 3.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $773.10 $859 2.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $698.40 $776 2.9×
Cltx Medial Ankle Fx (27760) $819 $910 3.4×
Cltx metacarpal fx w/manipulation each bone (26605) $825.30 $917 3.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $734.40 $816 3.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $967.50 $1,075 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $791.10 $879 3.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $585 $650 2.4×
Cltx post hip arthrp dislc req anes (27266) $1,167.30 $1,297 0.7×
Cltx post hip arthrp dislc w/o anes (27265) $928.80 $1,032 3.8×
Cltx prox fibula/shft fx w/o manj (27780) $718.20 $798 2.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $264.60 $294 1.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,007.10 $1,119 0.6×
Cltx tibial shaft fx w/o manipulation (27750) $681.30 $757 2.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $955.80 $1,062 0.6×
Collect Blood From Catheter Venous Nos (36592) $271.80 $302 2.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$23.40–$29.70 $26–$33 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $757.80 $842 0.6×
Colonoscopy thru stoma (44388) $756 $840 0.8×
Colonoscopy W/Band Ligation (45398) $1,474.20 $1,638 1.2×
Colonoscopy w/submucosal inj (45381) $1,024.20 $1,138 0.9×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure
$1,223.10 $1,359 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $319.50 $355 1.1×
Colposcopy Cervix Endocervical Curettage (57456) $243.90 $271 0.8×
Colposcopy cervix upper/adjacent vagina (57452) $283.50 $315 1.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $393.30 $437 1.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $784.80 $872 0.2×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $405.90 $451 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $998.10 $1,109 0.8×
Combined anteroposterior colporrhaphy; (57260) $1,947.60 $2,164 0.4×
Complex drainage wound (10180) $533.70 $593 0.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $695.70 $773 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $550.80 $612 4.2×
Control Nasal Hemorrhage Anterior Simple (30901) $351 $390 2.7×
Control oropharyngeal hemorrhage simple (42960) $325.80 $362 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $834.30 $927 6.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $268.20 $298 1.1×
Curettage postpartum (59160) $540 $600 0.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure
$1,249.20 $1,388 0.1×
Cystostomy Cystotomy W/Drainage (51040) $691.20 $768 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,386 $1,540 0.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $807.30 $897 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $502.20 $558 0.7×
Debride nail 1-5 (11720) $74.70 $83 1.3×
Debride nail 6 or more (11721) $91.80 $102 1.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $683.10 $759 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $266.40 $296 0.7×
Declot vascular device (36593) $347.40 $386 1.1×
Delivery of placenta (59414) $202.50 $225 0.1×
Destruct B9 Lesion 1-14 (17110) $187.20 $208 0.9×
Destruction Benign Lesions 15/> (17111) $276.30 $307 1.4×
Destruction Internal Hemorrhoid Thermal Energy (46930) $531 $590 0.4×
Destruction Lesions Vulva Simple (56501) $383.40 $426 0.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $286.20 $318 1.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $296.10 $329 1.5×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $317.70 $353 1.6×
Destruction Premalignant Lesion 15/> (17004) $330.30 $367 0.8×
Destruction premalignant lesion 1st (17000) $142.20 $158 0.7×
Diagnostic sigmoidoscopy (45330) $434.70 $483 0.5×
Dilation & curettage dx&/ther nonobstetric (58120) $706.50 $785 0.2×
Drain Cerebro Spinal Fluid (62272) $430.20 $478 0.6×
Drainage Mouth Roof Lesion (42000) $324 $360 1.4×
Drainage of finger abscess simple (26010) $758.70 $843 3.8×
Drainage of gum lesion (41800) $597.60 $664 4.5×
Drainage of hematoma/fluid (10140) $360 $400 0.2×
Draw Blood Off Venous Device (36591) $121.50 $135 0.9×
Dressing Change Under Anesthesia (15852) $83.70 $93 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $325.80 $362 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $178.20 $198 0.9×
Dstrj Lesion Penis Simple Cryosurgery (54056) $324.90 $361 1.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,561.40 $2,846 1.4×
Egd control bleeding any (43255) $1,007.10 $1,119 0.5×
Egd dilation gastric/duodenal stricture (43245) $1,397.70 $1,553 0.7×
Egd Flexible Foreign Body Removal (43247) $909.90 $1,011 1.0×
Egd guide wire insertion (43248) $991.80 $1,102 1.1×
Egd place gastrostomy tube (43246) $397.80 $442 0.2×
Egd remove lesion snare (43251) $1,166.40 $1,296 0.6×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $1,627.20 $1,808 0.3×
Endometrial Biopsy (58100) $153.90 $171 0.8×
Epidural Blood Patch (62273) $571.50 $635 0.8×
Episiotomy or vaginal repair (59300) $515.70 $573 0.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $717.30 $797 0.4×
Evacuation of subungual hematoma (11740) $113.40 $126 0.9×
Exc arm/elbow les sc < 3 cm (24075) $1,194.30 $1,327 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $270 $300 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $439.20 $488 0.3×
Exc Back Les Sc < 3 Cm (21930) $937.80 $1,042 0.6×
Exc Back Tum Deep 5 Cm/> (21933) $1,626.30 $1,807 0.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $517.50 $575 0.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $588.60 $654 0.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $855 $950 0.5×
Exc Face Les Sbq 2 Cm/> (21012) $763.20 $848 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $298.80 $332 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $369 $410 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $410.40 $456 0.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $488.70 $543 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $614.70 $683 0.4×
Exc Forearm Les Sc 3 Cm/> (25071) $937.80 $1,042 0.6×
Exc Frenum Labial/Buccal (40819) $541.80 $602 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $270 $300 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $336.60 $374 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $385.20 $428 0.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $774 $860 0.2×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,378.80 $1,532 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $421.20 $468 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $509.40 $566 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $729 $810 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $683.10 $759 0.4×
Exc Skin Benig >4cm Face,Facial (11446) $851.40 $946 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $650.70 $723 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $883.80 $982 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $975.60 $1,084 0.6×
Exc thigh/knee les sc 3 cm/> (27337) $944.10 $1,049 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $536.40 $596 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $328.50 $365 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $364.50 $405 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $476.10 $529 0.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $985.50 $1,095 0.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,116.90 $1,241 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $932.40 $1,036 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,163.70 $1,293 0.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,445.40 $1,606 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $871.20 $968 0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $914.40 $1,016 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $615.60 $684 0.9×
Excision Lingual Frenum Frenectomy (41115) $526.50 $585 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $422.10 $469 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $496.80 $552 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $536.40 $596 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $681.30 $757 1.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $436.50 $485 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $693 $770 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,114.20 $1,238 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $424.80 $472 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $498.60 $554 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $556.20 $618 0.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $735.30 $817 0.5×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $822.60 $914 0.5×
Excision of single external papilla or tag, anus (46220) $608.40 $676 0.5×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,533.60 $1,704 0.5×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure
$2,323.80 $2,582 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,055.70 $1,173 0.6×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $934.20 $1,038 0.3×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $945.90 $1,051 0.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $999 $1,110 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $782.10 $869 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,156.50 $1,285 0.7×
External cephalic version (59412) $226.80 $252 0.1×
Fetal non-stress test (59025) $264.60 $294 1.3×
Fine needle aspiration without imaging guidance (10021) $215.10 $239 0.5×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $2,660.40 $2,956 0.7×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,170 $1,300 0.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,196.10 $1,329 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,074.60 $1,194 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $683.10 $759 0.7×
Hysteroscopy Biopsy (58558) $789.30 $877 0.2×
Hysteroscopy Endometrial Ablation (58563) $1,628.10 $1,809 0.3×
I&d abscess peritonsillar (42700) $372.60 $414 1.6×
I&d abscess simple (10060) $261.90 $291 1.3×
I&d perianal abscess superficial (46050) $550.80 $612 0.6×
I&d pilonidal cyst simple (10080) $439.20 $488 0.6×
Incise external hemorrhoid (46083) $473.40 $526 1.9×
Incision & drainage abscess complicated/multiple (10061) $445.50 $495 1.1×
Incision & removal foreign body subq tiss compl (10121) $574.20 $638 0.4×
Incision & removal foreign body subq tiss simple (10120) $302.40 $336 0.8×
Incision and drainage of bartholin's gland abscess (56420) $372.60 $414 1.9×
Incision and drainage of vulva or perineal abscess (56405) $347.40 $386 1.2×
Incision of labial frenum (frenotomy) (40806) $231.30 $257 0.4×
Incision of lingual frenum (frenotomy) (41010) $444.60 $494 0.3×
Incision of rectal abscess (46040) $1,375.20 $1,528 1.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $608.40 $676 0.4×
Incisional biopsy skin single lesion (11106) $324.90 $361 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $154.80 $172 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $118.80 $132 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $441.90 $491 0.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $322.20 $358 0.5×
Injection anesthetic agent suprascapular nerve (64418) $173.70 $193 0.2×
Injection single tendon origin/insertion (20551) $136.80 $152 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $143.10 $159 0.5×
Injection single/mlt trigger point 3/> muscles (20553) $166.50 $185 0.5×
Injection therapeutic carpal tunnel (20526) $198.90 $221 0.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $199.80 $222 0.3×
Injection, Intralesional; More Than 7 Lesions (11901) $147.60 $164 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $117.90 $131 0.6×
Insert Drug Implant Device (11981) $201.60 $224 1.5×
Insert non-tunnel cv cath (36556) $527.40 $586 0.2×
Insert pessary/other device (57160) $162 $180 0.8×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$126–$134.10 $140–$149 varies
Insert tunneled cv cath (36561) $1,962 $2,180 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $135 $150 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $187.20 $208 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,467.90 $1,631 0.5×
Int hrhc by ligation single hroid w/o img gdn (46945) $774.90 $861 0.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,032.30 $1,147 2.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,215 $1,350 3.0×
Intubation endotracheal emergency procedure (31500) $531 $590 2.3×
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure
$3,371.40 $3,746 0.3×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure
$3,372.30 $3,747 0.3×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure
$2,496.60 $2,774 0.2×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure
$943.20 $1,048 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure
$952.20 $1,058 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure
$1,302.30 $1,447 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure
$1,325.70 $1,473 0.2×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge, not the full procedure
$1,210.50 $1,345 0.1×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure
$2,367 $2,630 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure
$1,581.30 $1,757 0.3×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure
$1,233.90 $1,371 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure
$1,109.70 $1,233 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure
$679.50 $755 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure
$842.40 $936 0.1×
Laps Gastric Restrictive Px Remove Device & Port (43774) $1,870.20 $2,078 0.5×
Ligation of hemorrhoids (46946) $855.90 $951 0.3×
Ligation or biopsy temporal artery (37609) $619.20 $688 0.4×
Manipulation knee joint under general anesthesia (27570) $376.20 $418 0.2×
Muscle-skin graft trunk (15734) $2,959.20 $3,288 0.8×
N Block Inj Ilio-Ing/Hypogi (64425) $359.10 $399 0.5×
N block inj intercost sng (64420) $197.10 $219 0.3×
N Block Inj Plantar Digit (64455) $123.30 $137 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $22.50 $25 0.8×
Needle insertion w/o injection 3 or more muscles (20561) $27 $30 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $247.50 $275 0.8×
Occipital Nerve Block (64405) $213.30 $237 0.7×
Open biopsy/excision inguinofemoral nodes (38531) $853.20 $948 0.2×
Partial hymenectomy or revision of hymenal ring (56700) $465.30 $517 0.1×
Pelvic examination under anesthesia (other than local) (57410) $270.90 $301 0.1×
Perineoplasty rpr perineum nonobstetrical spx (56810) $668.70 $743 0.2×
Placement of needle for intraosseous infusion (36680) $110.70 $123 0.3×
Placement of seton (46020) $231.30 $257 0.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $285.30 $317 0.3×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $362.70 $403 0.3×
Punch biopsy skin single lesion (11104) $269.10 $299 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $283.50 $315 0.7×
Puncture Aspiration Cyst Breast (19000) $238.50 $265 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $516.60 $574 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $408.60 $454 0.3×
Removal foreign body upper arm/elbow deep (24201) $1,214.10 $1,349 0.4×
Removal foreign body, intranasal; requiring general anesthesia (30310) $388.80 $432 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $36.90 $41 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $123.30 $137 2.1×
Removal impacted vag fb spx w/anes oth/thn local (57415) $352.80 $392 0.1×
Removal Implant Superficial Separate Procedure (20670) $711.90 $791 0.4×
Removal implantable contraceptive capsules (11976) $318.60 $354 0.5×
Removal of foreign body from pharynx (42809) $341.10 $379 0.8×
Removal of nail bed (11750) $340.20 $378 0.8×
Removal of residual cervix (57550) $1,064.70 $1,183 0.2×
Removal of sperm cord lesion (55520) $902.70 $1,003 0.3×
Removal of tonsils (42825)
likely a partial charge, not the full procedure
$603 $670 0.1×
Removal of tonsils (42826) $569.70 $633 0.2×
Removal or bivalving full arm or full leg cast (29705) $134.10 $149 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $191.70 $213 1.0×
Removal subcutaneous cardiac rhythm monitor (33286) $295.20 $328 0.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $111.60 $124 0.1×
Removal/bivalving gauntlet boot/body cast (29700) $150.30 $167 0.5×
Remove drug implant device (11982) $255.60 $284 0.6×
Remove foreign body from eye (65205) $121.50 $135 0.9×
Remove Intrauterine Device (58301) $238.50 $265 0.8×
Remove Nasal Foreign Body (30300) $471.60 $524 3.6×
Remove Peritoneal Foreign Body (49402) $1,675.80 $1,862 0.5×
Remove/Insert Drug Implant (11983) $283.50 $315 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $808.20 $898 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $880.20 $978 2.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $715.50 $795 1.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $932.40 $1,036 2.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,134 $1,260 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $574.20 $638 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $650.70 $723 1.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $760.50 $845 1.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $796.50 $885 2.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $871.20 $968 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $531 $590 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $640.80 $712 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $791.10 $879 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $828.90 $921 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $530.10 $589 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $657.90 $731 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $917.10 $1,019 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $690.30 $767 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,037.70 $1,153 0.5×
Repair of nail bed (11760) $418.50 $465 0.6×
Repair tongue laceration (41252) $660.60 $734 2.8×
Repair tongue laceration (41250) $649.80 $722 1.5×
Rerepair ing hernia reduce (49520) $1,395 $1,550 0.4×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $2,317.50 $2,575 0.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $738 $820 0.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $235.80 $262 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $153.90 $171 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $178.20 $198 1.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $146.70 $163 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $879.30 $977 0.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $917.10 $1,019 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $499.50 $555 0.3×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $646.20 $718 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $502.20 $558 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $372.60 $414 0.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure
$1,457.10 $1,619 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $667.80 $742 0.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure
$1,116.90 $1,241 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure
$1,119.60 $1,244 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure
$928.80 $1,032 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $361.80 $402 1.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,039.50 $1,155 1.4×
Shave skin lesion 0.5 cm/< (11300) $212.40 $236 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $245.70 $273 1.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $405 $450 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $178.20 $198 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $265.50 $295 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $313.20 $348 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $333.90 $371 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $294.30 $327 1.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $342.90 $381 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $261.90 $291 1.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $333.90 $371 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $304.20 $338 1.5×
Sigmoidoscopy flx tndsc balo dilat (45340) $819 $910 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $455.40 $506 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $237.60 $264 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $247.50 $275 1.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $338.40 $376 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $297.90 $331 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $194.40 $216 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $277.20 $308 1.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $236.70 $263 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $361.80 $402 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $425.70 $473 1.1×
Spinal puncture lumbar diagnostic (62270) $527.40 $586 0.8×
Strapping ankle (29540) $78.30 $87 0.5×
Strapping hand/finger (29280) $81 $90 1.4×
Strapping knee (29530) $82.80 $92 0.6×
Strapping shoulder (29240) $81 $90 0.6×
Strapping toes (29550) $51.30 $57 0.9×
Strapping Unna Boot (29580) $162 $180 1.0×
Surg tx anal fistula subq (46270) $1,315.80 $1,462 0.5×
Tangential biopsy skin single lesion (11102) $215.10 $239 0.5×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $764.10 $849 0.2×
Treat Humerus Fracture (24505) $1,140.30 $1,267 0.7×
Treat Knee Fracture(S) (27538) $916.20 $1,018 3.8×
Treat Knuckle Dislocation (26700) $666.90 $741 2.7×
Treat Thumb Dislocation (26641) $850.50 $945 3.5×
Treat toe dislocation (28630) $310.50 $345 1.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,171.80 $1,302 0.7×
Treatment closed elbow dislocation w/o anes (24600) $852.30 $947 3.5×
Trim skin lesion (11055) $123.30 $137 0.6×
Trim skin lesions 2 to 4 (11056) $145.80 $162 0.7×
Trim skin lesions over 4 (11057) $173.70 $193 0.9×
Trimming Nondystrophic Nails Any Number (11719) $34.20 $38 0.6×
Tx Gastro Intub W/Asp (43753) $600.30 $667 2.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $542.70 $603 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $717.30 $797 0.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $936.90 $1,041 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $621.90 $691 0.9×
Unlisted laparoscopy procedure stomach (43659)
likely a partial charge, not the full procedure
$1,700.10 $1,889 0.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure
$615.60 $684 0.1×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure
$1,065.60 $1,184 0.2×
Unlisted procedure anus (46999) $351 $390 0.4×
Unlisted procedure foot or toes (28899) $141.30 $157 0.6×
Unlisted procedure nervous system (64999) $378 $420 1.2×
Vaginal Delivery After Cesarean Delivery (59612) $1,604.70 $1,783 0.5×
Vaginal delivery only (59409) $1,431 $1,590 0.4×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $2,334.60 $2,594 0.5×
Vasectomy uni/bi spx w/postop semen exams (55250) $542.70 $603 0.3×
Wedge excision skin nail fold (11765) $368.10 $409 0.9×

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.