Procedures & surgery prices at Tallahatchie General Hospital

Charleston, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $477.68–$604.10 $682.40–$863 varies
Acne surgery (10040) $297.26 $424.65 1.7×
Anoscopy diagnostic (46600) $40 $50 0.3×
Anoscopy W/Rmvl Foreign Body (46608) — $110 —
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $100.10 $70–$143 0.4×
Application finger splint static (29130)
range across 2 matching MRF lines		 $60 $30–$75 0.5×
Application long arm splint shoulder hand (29105) $240 $300 1.7×
Application Long Leg Splint (29505) $108 $135 0.8×
Application of long leg cast (29345) — $85 —
Application of rigid total contact leg cast (29445) $366.14 $523.05 1.5×
Application short arm splint forearm-hand static (29125) $92 $115 0.8×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $96–$136.29 $120–$194.70 varies
Apply hand/wrist cast (29085) — $100 —
Apply long arm cast (29065)
range across 2 matching MRF lines		 $110.60 $140–$158 0.5×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $198.80–$297.85 $284–$425.50 varies
Apply Short Leg Cast (29405) — $85 —
Apply short leg cast (29425) — $78 —
Arterial puncture (36600)
range across 2 matching MRF lines		 $74.20 $60–$106 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $68.60 $50–$98 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $83.30–$314.93 $55–$449.90 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $117.55 $45–$167.93 0.4×
Aspirate Pleura W/O Imaging (32554) $469 $670 0.9×
Aspiration bladder insert suprapubic catheter (51102) $433.36 $619.08 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $194.40 $243 1.1×
Biopsy Bone Trocar/Needle Superficial (20220) — $108 —
Bladder Scan (51798) $225 $225 4.4×
Blepharotomy drainage abscess eyelid (67700) $164.50 $235 0.6×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $56 $70–$402 0.1×
Bone Marrow Biopsy (38221) $431.20 $616 0.3×
Bx breast needle core w/o imaging guidance spx (19100) — $98 —
Change Cystostomy Tube Complicated (51710) $521.50 $745 0.9×
Chemical Cautery Tissue (17250) $150 $150 0.9×
Chest tube placement (32551)
range across 2 matching MRF lines		 $160–$664.51 $200–$949.30 varies
Clear outer ear canal (69200) $60 $75 0.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) — $145 —
Closed Treatment Sternum Fracture (21820) $260 $325 1.2×
Closed Treatment Ulnar Styloid Fracture (25650) — $280 —
Closed tx ankle dislocation w/o anesthesia (27840) $488 $610 2.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $332 $415 1.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $500 $240–$500 2.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $712 $890 3.3×
Closed tx knee dislocation w/o anesthesia (27550) — $400 —
Closed Tx Mandibular Fracture W/O Manipulation (21450) $576 $720 1.2×
Closed tx metatarsal fracture w/o manipulation (28470) $292 $365 1.4×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $944.54 $1,349.34 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $240 $300 0.2×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $548.80 $250–$784 2.6×
Closed Tx Patellar Fracture W/O Manipulation (27520) $424 $530 2.0×
Closed tx radial head/neck fx w/o manipulation (24650) — $216 —
Closed tx radial shaft fracture w/manipulation (25505) $732.20 $1,046 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $348 $435 1.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $759.50 $1,085 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) — $230 —
Closed Tx Scapular Fracture W/O Manipulation (23570) $304 $380 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $132 $165 0.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $340 $425 1.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $304 $330–$380 1.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $400 $500 0.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $300 $375 1.4×
Clsd tx clavicular fracture w/o manipulation (23500) $288 $360 1.4×
Clsd tx fx orbit except blowout w/o manipulation (21400) $224 $280 0.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $627.20 $896 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 4 matching MRF lines		 $313.60–$412 $392–$533 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $610 $610 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $168 $210 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786) — $269 —
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $415.77 $124–$593.95 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) — $366 —
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $380 $475 0.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $720 $900 3.4×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $815 $815 3.8×
Cltx fx grt toe phlx/phlg w/manj (28495) — $130 —
Cltx fx grt toe phlx/phlg w/o manj (28490) — $96 —
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $321 $125–$458.57 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) — $95 —
Cltx greater humeral tuberosity fx w/o manj (23620) $348 $435 1.6×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $416 $520 2.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $100 $125 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $393.40 $185–$562 1.8×
Cltx Medial Ankle Fx (27760) — $270 —
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $455.70 $250–$651 2.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $320 $400 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $480.20 $686 2.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) — $135 —
Cltx post hip arthrp dislc w/o anes (27265) $637 $910 3.0×
Cltx prox fibula/shft fx w/manj (27781) $240 $240 0.2×
Cltx prox fibula/shft fx w/o manj (27780) $225 $225 1.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $361.20 $90–$516 1.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) — $310 —
Cltx tibial fx proximal w/o manipulation (27530) $528 $660 2.5×
Cltx tibial shaft fx w/o manipulation (27750) $460 $575 2.2×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $12 $15–$20 1.3×
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $346.68–$1,242.50 $495.25–$1,775 varies
Colonoscopy w/submucosal inj (45381) $446.98 $638.54 0.4×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $129.36–$200 $184.80–$250 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340) — $40 —
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) — $240 —
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $260 $325 2.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $930.71 $1,329.58 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $512.80 $641 0.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $164 $205 0.1×
Debridement Mastoidectomy Cavity Simple (69220) — $65 —
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $102.06–$260 $145.80–$325 varies
Delivery of placenta (59414) $238 $340 0.1×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $112.06 $50–$160.08 0.6×
Destruction Benign Lesions 15/> (17111) — $75 —
Destruction Lesions Vulva Simple (56501) — $117 —
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $185 $185 1.1×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $120 $120 0.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $135 $135 0.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) — $155 —
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) — $225 —
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $100 $100 0.6×
Destruction Premalignant Lesion 15/> (17004) $162.61 $232.30 0.5×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $88 $55–$110 0.5×
Diagnostic sigmoidoscopy (45330) $702.80 $1,004 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $368.51 $526.44 0.6×
Drainage of finger abscess simple (26010) $384 $480 2.2×
Drainage of gum lesion (41800) $221.90 $317 1.9×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $192–$361.37 $240–$451.71 varies
Drainage of rectal abscess (45020) — $60 —
Drainage of scrotal wall abscess (55100) $92 $115 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $140 $175 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $77.77–$336 $111.10–$336 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $120–$180.95 $150–$258.50 varies
Egd Flexible Foreign Body Removal (43247) $1,249.50 $1,785 1.6×
Egd remove lesion snare (43251) $1,549.10 $2,213 0.9×
Evacuation of subungual hematoma (11740) — $50 —
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $70–$207.06 $70–$295.80 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $175 $175 0.1×
Exc Back Les Sc < 3 Cm (21930) — $120 —
Exc Back Tum Deep 5 Cm/> (21933) $123.73 $176.75 0.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $200 $200 0.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $230 $230 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $90 $90 0.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $110 $110 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $145 $145 0.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $200 $200 0.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $250 $250 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $75 $75 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $95 $95 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $140–$532 $140–$760 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $360 $360 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $150–$237.92 $150–$339.88 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $200 $200 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) — $275 —
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) — $200 —
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $250 $250 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) — $305 —
Exc Thrombosed Hemorrhoid Xtrnl (46320) — $120 —
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $95 $95 0.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $125–$184.38 $125–$263.40 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $175 $175 0.1×
Excis Mouth Mucosa/Sub,No Repair (40810) — $120 —
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $215 $215 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) — $126 —
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $150–$427.13 $150–$610.18 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $998.69 $1,426.70 1.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $150 $150 0.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $285 $285 0.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) — $420 —
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $130 $130 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $160 $160 0.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $185 $185 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $280 $280 0.2×
Excision Multiple External Papillae/Tags Anus (46230) — $170 —
Excision of ganglion, wrist (dorsal or volar); primary (25111) — $185 —
Excision of sublingual salivary cyst (ranula) (42408) — $225 —
Explore/Treat Hand Joint (26070) — $95 —
Fine needle aspiration without imaging guidance (10021) $106.40 $152 0.3×
I&d abscess simple (10060)
range across 5 matching MRF lines		 $92–$200 $115–$250 varies
I&d perianal abscess superficial (46050) $100 $125 0.1×
I&d pilonidal cyst simple (10080) $89.60 $112 0.1×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $172.90–$400.11 $95–$571.59 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $256 $320–$325 0.7×
Incision & drainage leg/ankle abscess/hematoma (27603) — $350 —
Incision & removal foreign body subq tiss compl (10121) $356 $445 0.3×
Incision & removal foreign body subq tiss simple (10120) $192 $240 0.5×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $155.40 $110–$222 0.9×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $406.70 $115–$581 1.5×
Incision of lingual frenum (frenotomy) (41010) — $85 —
Incision of rectal abscess (46040) $100 $125 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $254.80 $364 0.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $80 $100–$192 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $88.30–$116.12 $30–$165.88 varies
Injection single/mlt trigger point 1/2 muscles (20552) $182.35 $260.50 0.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $117.60 $168 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $91 $130 0.5×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $448–$1,338.26 $110–$1,911.80 varies
Insert Temp Bladder Cath (51702) $36 $45 0.3×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $32 $35–$40 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,225 $1,750 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,225 $1,750 0.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $392.70 $561 1.1×
Intranasal Biopsy (30100) $310.27 $443.24 0.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $180–$269.50 $225–$385 varies
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) — $375 —
N Block Inj Plantar Digit (64455) $63.70 $91 0.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $104.30 $149 0.4×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $224.70–$280 $321–$400 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $160 $200 0.5×
Puncture Aspiration Cyst Breast (19000) $60 $60 0.1×
Removal foreign body foot deep (28192) — $325 —
Removal Foreign Body Foot Subcutaneous (28190) $300 $375 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) — $128 —
Removal impacted cerumen irrigation/lvg unilat (69209) $56 $80 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $72 $36–$104 1.4×
Removal Implant Deep (20680) $112 $140 0.0×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $560.35 $130–$800.50 1.5×
Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) — $45 —
Removal of implanted material, anterior segment of eye (65920) $6.30 $9 0.0×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $285.60 $240–$408 0.8×
Removal or bivalving full arm or full leg cast (29705) — $85 —
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $98 $75–$140 0.6×
Remove drug implant device (11982) $295.58 $422.25 0.8×
Remove Forearm Foreign Body (25248) — $85 —
Remove foreign body from eye (65265) — $40 —
Remove foreign body from eye (65235) $2,004.80 $2,864 1.0×
Remove foreign body from eye (65205) $80 $100 0.7×
Remove Intrauterine Device (58301) $111.76 $159.65 0.4×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $304 $106–$380 2.7×
Remove Shoulder Foreign Body (23330) $312 $390 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $340 $340 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $708 $885 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $220 $275 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $678.40 $848 1.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $270.40 $338 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $408.80 $511 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $240 $300 0.4×
Repair complex trunk 2.6-7.5 cm (13101) $320 $400 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $200 $250 0.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $168 $210 0.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $192 $240 0.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $400 $440–$500 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $277.60 $347 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $152 $190 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $187.20 $234 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $228 $285 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $392.70–$488 $390–$610 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $164 $205 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $204–$392.70 $255–$561 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $300–$396.20 $300–$566 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $304 $380 0.9×
Repair intermediate s/a/t/e >30.0 cm (12037) $260 $325 0.1×
Repair of nail bed (11760) — $125 —
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $264 $215–$330 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) — $125 —
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $80 $100 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $104 $130 0.9×
Rmvl fecal impaction/fb spx under anes (45915) — $130 —
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) — $275 —
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $288 $360 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $395.50 $565 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $438.13 $625.90 0.8×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $78.40 $98–$125 0.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $595 $850 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $228.80 $286 1.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $416 $520 0.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 2 matching MRF lines		 $320 $400–$1,193 1.6×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $55–$120.40 $55–$172 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $85 $85 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $135 $135 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $70 $70 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $75 $75 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $125 $125 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $135 $135 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $110 $110 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $115 $115 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $75 $75 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $125 $125 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $85 $85 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $499.10 $713 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $240 $300 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $120 $150 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $142.40 $178 0.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $294–$300 $300–$420 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $168 $210 1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $450 $450 2.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $120 $100–$197 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $342.40 $428 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $264 $330 1.5×
Skin sub graft face/nk/hf/g (15275) $385.07 $550.10 0.6×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $98–$1,120 $140–$1,600 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $470.37–$572.89 $671.95–$818.42 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $160 $200–$208 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $240 $300 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $280 $350 0.8×
Spinal puncture lumbar diagnostic (62270) $470.47 $672.10 0.8×
Strapping ankle (29540) $56 $70 0.4×
Strapping elbow or wrist (29260) $76 $95 1.5×
Strapping hand/finger (29280) $76 $95 1.5×
Strapping knee (29530) $80 $100 0.7×
Strapping shoulder (29240) $92 $115 0.8×
Strapping thorax (29200) $80 $100 0.6×
Strapping toes (29550) — $37 —
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $198.80–$297.85 $60–$425.50 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $221.95 $113–$317.07 0.6×
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $360 $450–$500 0.3×
Treat humerus fracture (24500) $460 $575 2.2×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $304–$432 $380–$540 varies
Treat Knuckle Dislocation (26700) $469.70 $671 2.2×
Treat Metatarsal Fracture (28475) — $257 —
Treat Tail Bone Fracture (27200) — $160 —
Treat Thumb Dislocation (26641) $488 $610 2.3×
Treat toe dislocation (28630) — $135 —
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $527.10 $310–$753 2.5×
Trim skin lesion (11055) $122.50 $175 0.7×
Trimming Nondystrophic Nails Any Number (11719) $14 $20 0.3×
Tx Gastro Intub W/Asp (43753) $109.60 $137 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $599.83 $856.90 0.9×
Unlisted Procedure Casting/Strapping (29799) — $5 —
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,240 $1,550–$1,960 0.4×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $121.66 $150–$173.80 0.3×

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.