Procedures & surgery prices at Texas Health Harris Methodist Hospital Stephenvill

Stephenville, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,178.85 $1,964.75 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $980.10 $1,633.50 1.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,105.40 $3,509 1.0×
Amniocentesis diagnostic (59000) $943.50 $1,572.50 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,924.65 $3,207.75 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,738.90 $6,231.50 1.1×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines
$131.25–$136.80 $218.75–$228 varies
Anoscopy W/Rmvl Foreign Body (46608) $719.70 $1,199.50 0.8×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $748.50 $1,247.50 0.6×
Application cast elbow finger short arm (29075) $306.75 $511.25 1.1×
Application Finger Splint Dynamic (29131) $154.65 $257.75 2.6×
Application finger splint static (29130) $154.65 $257.75 1.2×
Application long arm splint shoulder hand (29105) $356.85 $594.75 2.2×
Application Long Leg Splint (29505) $356.85 $594.75 2.2×
Application of long leg cast (29345) $337.05 $561.75 1.2×
Application of rigid total contact leg cast (29445) $339.15 $565.25 1.2×
Application Short Arm Splint Dynamic (29126) $407.55 $679.25 3.0×
Application short arm splint forearm-hand static (29125) $154.05 $256.75 1.2×
Application short leg splint calf foot (29515) $192.60 $321 1.2×
Apply long arm cast (29065) $356.85 $594.75 1.3×
Apply Multlay Comprs Lwr Leg (29581) $192.60 $321 1.2×
Apply Short Leg Cast (29405) $339.15 $565.25 1.2×
Arterial puncture (36600) $77.40 $129 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $926.10 $1,543.50 3.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,045.65 $1,742.75 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $441.30 $735.50 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $441.30 $735.50 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $354.75 $591.25 1.2×
Aspirate pleura w/ imaging (32555) $938.70 $1,564.50 1.5×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$1,009.05–$1,049.55 $1,681.75–$1,749.25 varies
Aspiration bladder insert suprapubic catheter (51102) $3,009.45 $5,015.75 1.4×
Avulsion nail plate partial/complete simple 1 (11730) $235.35 $392.25 1.2×
Biopsy Abdominal Mass (49180) $1,117.80 $1,863 0.7×
Biopsy bone open superficial (20240) $3,295.35 $5,492.25 1.1×
Biopsy bone trocar/needle deep (20225) $1,935.75 $3,226.25 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $1,935.75 $3,226.25 1.2×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines
$1,459.95–$2,409 $2,433.25–$4,015 varies
Biopsy of liver, needle; percutaneous (47000) $1,265.25 $2,108.75 0.8×
Biopsy soft tissue neck/thorax (21550) $4,562.25 $7,603.75 2.7×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041)
range across 2 matching MRF lines
$1,360.50–$1,414.95 $2,267.50–$2,358.25 varies
Bladder Irrigation (51700) $279.90 $466.50 1.1×
Blepharotomy drainage abscess eyelid (67700) $360.45 $600.75 1.1×
Blood Transfusion Service (36430)
range across 8 matching MRF lines
$761.40–$2,352.15 $1,269–$3,920.25 varies
Bone Marrow Biopsy (38221) $2,661.60 $4,436 1.6×
Brnchsc Brushing/Protected Brushings (31623) $1,034.70 $1,724.50 0.6×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $2,229 $3,715 0.6×
Bronchoscopy Clear Airways (31645) $1,034.70 $1,724.50 0.6×
Bronchoscopy Dilate W/Stent (31631) $4,153.50 $6,922.50 0.6×
Bronchoscopy W/Biopsy(S) (31625) $1,034.70 $1,724.50 0.6×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $4,153.50 $6,922.50 0.6×
Bronchoscopy W/Removal Foreign Body (31635) $1,034.70 $1,724.50 0.6×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,229 $3,715 0.6×
Bx breast 1st lesion mr imag (19085)
range across 5 matching MRF lines
$3,362.85–$3,497.40 $5,604.75–$5,829 varies
Bx breast 1st lesion strtctc (19081) $3,497.40 $5,829 2.1×
Bx breast 1st lesion us imag (19083) $3,497.40 $5,829 2.1×
Catheter aspiration nasotracheal spx (31720) $150.45 $250.75 0.7×
Cerclage cervix pregnancy vaginal (59320) $3,891.90 $6,486.50 1.2×
Change Cystostomy Tube Simple (51705) $390.75 $651.25 1.6×
Change of Windpipe Airway (31502) $517.50 $862.50 2.2×
Chemical Cautery Tissue (17250) $293.25 $488.75 1.5×
Chest tube placement (32551) $1,448.70 $2,414.50 0.9×
Circumcision w/clamp/oth dev w/block (54150) $1,229.25 $2,048.75 0.6×
Cl Tx Scapular Fx; W Manip (23575) $2,327.55 $3,879.25 1.4×
Cl Tx Tib Shft Fx W Manip (27752) $1,650.90 $2,751.50 1.0×
Clear outer ear canal (69200) $197.25 $328.75 1.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $429.45 $715.75 1.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,327.55 $3,879.25 1.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $343.95 $573.25 1.4×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $294.15 $490.25 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $520.80 $868 2.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,396.80 $2,328 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $279.90 $466.50 1.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $520.80 $868 2.1×
Closed tx knee dislocation w/o anesthesia (27550) $279.90 $466.50 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,650.90 $2,751.50 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,536 $2,560 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $279.90 $466.50 1.1×
Closed tx radial head/neck fx w/manipulation (24655) $2,327.55 $3,879.25 1.4×
Closed tx radial shaft fracture w/manipulation (25505) $1,862.25 $3,103.75 1.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $256.95 $428.25 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,396.80 $2,328 0.9×
Closed Tx Talus Fracture W/Manipulation (28435) $2,327.55 $3,879.25 1.4×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,247.45 $3,745.75 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $217.20 $362 0.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,327.55 $3,879.25 1.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $286.50 $477.50 1.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $520.80 $868 2.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,408.80 $2,348 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $211.95 $353.25 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,862.25 $3,103.75 1.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $279.90 $466.50 1.1×
Cltx dstl fibular fx lat malls w/manj (27788) $279.90 $466.50 1.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $279.90 $466.50 1.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $211.95 $353.25 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $211.95 $353.25 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $279.90 $466.50 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,163.85 $1,939.75 0.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,650.90 $2,751.50 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $211.95 $353.25 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $211.95 $353.25 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $211.95 $353.25 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,650.90 $2,751.50 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $279.90 $466.50 1.1×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,650.90 $2,751.50 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $279.90 $466.50 1.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,327.55 $3,879.25 1.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,327.55 $3,879.25 1.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $389.40 $649 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $211.95 $353.25 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $389.40 $649 1.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $211.95 $353.25 0.9×
Cltx Med Ankle Fx W/Mnpj (27762) $1,650.90 $2,751.50 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $279.90 $466.50 1.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $279.90 $466.50 1.1×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,459.50 $2,432.50 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $211.95 $353.25 0.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $211.95 $353.25 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $256.95 $428.25 1.0×
Cltx prox fibula/shft fx w/manj (27781) $1,650.90 $2,751.50 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,650.90 $2,751.50 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $279.90 $466.50 1.1×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,023.90 $1,706.50 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,396.80 $2,328 0.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,327.55 $3,879.25 1.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,327.55 $3,879.25 1.4×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $345.75 $576.25 1.4×
Cltx tibial shaft fx w/o manipulation (27750) $256.95 $428.25 1.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $256.95 $428.25 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,163.85 $1,939.75 0.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $279.90 $466.50 1.1×
Collect Blood From Catheter Venous Nos (36592) $94.50 $157.50 0.7×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$12–$23.85 $20–$39.75 varies
Colonoscopy Stoma W/Submucosal Injection (44404) $760.95 $1,268.25 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $760.95 $1,268.25 0.6×
Colonoscopy thru stoma (44388) $1,899 $3,165 2.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $760.95 $1,268.25 0.6×
Colonoscopy w/ablation (45388) $760.95 $1,268.25 0.6×
Colonoscopy W/Band Ligation (45398) $760.95 $1,268.25 0.6×
Colonoscopy w/fb removal (45379) $760.95 $1,268.25 0.6×
Colonoscopy w/stent plcmt (45389) $3,571.80 $5,953 0.6×
Colonoscopy w/submucosal inj (45381) $760.95 $1,268.25 0.6×
Colsc Flexible W/Control Bleeding Any Method (45382) $760.95 $1,268.25 0.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $760.95 $1,268.25 0.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $760.95 $1,268.25 0.6×
Complex Cystometrogram (51726) $791.55 $1,319.25 3.2×
Complex drainage wound (10180) $3,295.35 $5,492.25 1.1×
Control Nasal Hemorrhage Anterior Complex (30903) $261.30 $435.50 2.0×
Control Nasal Hemorrhage Anterior Simple (30901) $284.40 $474 2.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $972.15 $1,620.25 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $284.40 $474 2.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $284.40 $474 1.2×
Curettage postpartum (59160) $3,827.25 $6,378.75 1.2×
Cysto w/insert ureteral stent (52332) $5,355.90 $8,926.50 1.5×
Cysto W/Simple Removal Stone & Stent (52310) $3,952.65 $6,587.75 1.9×
Cysto w/ureteroscopy w/lithotripsy (52353) $18,681.30 $31,135.50 3.5×
Cystometrogram W/Vp&Up (51729) $791.55 $1,319.25 1.1×
Cystostomy Cystotomy W/Drainage (51040) $5,179.50 $8,632.50 2.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $668.55 $1,114.25 1.6×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,015 $5,025 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,266.60 $2,111 1.7×
Debride nail 1-5 (11720)
range across 2 matching MRF lines
$80.85–$84.15 $134.75–$140.25 varies
Debride nail 6 or more (11721) $84.15 $140.25 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,896.60 $3,161 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,115.25 $1,858.75 2.7×
Declot vascular device (36593) $540 $900 1.6×
Delivery of placenta (59414) $1,907.85 $3,179.75 0.6×
Diagnostic sigmoidoscopy (45330) $1,094.55 $1,824.25 1.2×
Dilate Esophagus 1/Mult Pass (43450) $562.65 $937.75 0.6×
Dilate Urethra Stricture (53620) $1,600.35 $2,667.25 2.3×
Drain Cerebro Spinal Fluid (62272) $1,045.65 $1,742.75 1.5×
Drainage Abscess/Hematoma Nasal Septum (30020) $462.15 $770.25 0.9×
Drainage external auditory canal abscess (69020) $1,053 $1,755 1.5×
Drainage external ear abscess/hematoma cmplx (69005) $2,428.35 $4,047.25 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $631.80 $1,053 0.9×
Drainage Finger Abscess Complicated (26011) $1,051.50 $1,752.50 0.6×
Drainage Mouth Roof Lesion (42000) $286.50 $477.50 1.2×
Drainage of finger abscess simple (26010) $258.15 $430.25 1.3×
Drainage of gum lesion (41800) $217.20 $362 1.6×
Drainage of hematoma/fluid (10140) $1,946.55 $3,244.25 1.2×
Drainage of nose lesion (30000) $424.80 $708 1.8×
Drainage of scrotal wall abscess (55100) $1,051.50 $1,752.50 0.6×
Drainage of scrotum (54700) $3,085.80 $5,143 1.5×
Draw Blood Off Venous Device (36591) $77.40 $129 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,053 $1,755 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $449.25 $748.75 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $235.35 $392.25 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $235.35 $392.25 1.2×
Dx Bone Marrow Bx & Aspir (38222) $2,661.60 $4,436 0.9×
Dx Bronchoscope/Lavage (31624) $1,034.70 $1,724.50 0.6×
Dx Bronchoscope/Wash (31622) $2,137.05 $3,561.75 1.2×
Dx Laryngoscopy Excl Nb (31525) $3,720.15 $6,200.25 2.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $2,776.65 $4,627.75 3.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,138.20 $1,897 0.6×
Egd cautery tumor polyp (43250) $1,138.20 $1,897 0.6×
Egd dilation gastric/duodenal stricture (43245) $1,138.20 $1,897 0.6×
Egd endo mucosal resection (43254) $1,138.20 $1,897 0.6×
Egd Endoscopic Stent Place (43266) $3,571.80 $5,953 0.6×
Egd Flexible Foreign Body Removal (43247) $731.70 $1,219.50 0.8×
Egd guide wire insertion (43248) $731.70 $1,219.50 0.8×
Egd lesion ablation (43270) $1,138.20 $1,897 0.6×
Egd place gastrostomy tube (43246) $1,138.20 $1,897 0.6×
Egd remove lesion snare (43251) $1,138.20 $1,897 0.6×
Egd Varices Ligation (43244) $1,138.20 $1,897 0.6×
Endoscopy Upper Small Intestine (44360) $2,045.40 $3,409 1.1×
Endoscopy upper small intestine w/biopsy (44361) $1,138.20 $1,897 0.6×
Epidural Blood Patch (62273) $1,045.65 $1,742.75 1.5×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $3,571.80 $5,953 0.6×
Ercp duct stent placement (43274) $3,571.80 $5,953 0.6×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,494.90 $7,491.50 1.2×
Ercp ea duct/ampulla dilate (43277) $2,282.85 $3,804.75 0.6×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,282.85 $3,804.75 0.6×
Ercp remove forgn body duct (43275) $2,144.25 $3,573.75 1.1×
Ercp,Sphincterotomy (43262) $2,282.85 $3,804.75 0.6×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $2,282.85 $3,804.75 0.6×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,824.75 $3,041.25 2.0×
Evacuation of subungual hematoma (11740) $97.35 $162.25 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $827.40 $1,379 1.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,896.60 $3,161 1.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $827.40 $1,379 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,896.60 $3,161 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,915.20 $3,192 1.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$795.45–$827.40 $1,325.75–$1,379 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,823.55 $3,039.25 1.1×
Excision of pilonidal cyst or sinus; simple (11770) $1,813.35 $3,022.25 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $1,681.65 $2,802.75 0.8×
Explo/Drain Breast Abscess (19020) $1,611 $2,685 1.0×
External cephalic version (59412) $1,907.85 $3,179.75 0.6×
Fetal non-stress test (59025) $337.50 $562.50 1.7×
Fluoro exam of g/colon tube (49465) $298.80 $498 1.2×
Fna bx w/us gdn 1st les (10005) $526.50 $877.50 0.7×
Foreskin manipulation (54450) $756.45 $1,260.75 3.0×
Guide Cathet Fluid Drainage (10030) $631.80 $1,053 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $890.85 $1,484.75 1.0×
I&d abscess peritonsillar (42700) $283.05 $471.75 1.2×
I&d abscess simple (10060) $467.85 $779.75 2.3×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,689.60 $2,816 0.6×
I&d perianal abscess superficial (46050) $1,020.15 $1,700.25 1.1×
I&d pilonidal cyst complicated (10081) $1,069.20 $1,782 1.5×
I&d pilonidal cyst simple (10080) $526.50 $877.50 0.7×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $562.65 $937.75 0.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,104.50 $3,507.50 2.3×
Image Cath Fluid Peri/Retro (49406) $2,433 $4,055 1.5×
Incise external hemorrhoid (46083) $322.50 $537.50 1.3×
Incision & drainage abscess complicated/multiple (10061) $812.40 $1,354 2.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $4,191.30 $6,985.50 1.4×
Incision & removal foreign body subq tiss compl (10121) $1,896.60 $3,161 1.1×
Incision & removal foreign body subq tiss simple (10120) $484.50 $807.50 1.2×
Incision and drainage of bartholin's gland abscess (56420) $306.90 $511.50 1.5×
Incision and drainage of vulva or perineal abscess (56405) $306.90 $511.50 1.0×
Incision of lingual frenum (frenotomy) (41010) $1,183.95 $1,973.25 0.8×
Incision of rectal abscess (46040) $1,915.20 $3,192 1.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,611 $2,685 1.0×
Incisional biopsy skin single lesion (11106) $449.25 $748.75 0.6×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,382.70 $2,304.50 1.6×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,382.70 $2,304.50 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines
$880.20–$1,045.65 $1,467–$1,742.75 varies
Injection anesthetic agent suprascapular nerve (64418) $1,045.65 $1,742.75 1.5×
Injection single tendon origin/insertion (20551) $521.70 $869.50 1.7×
Injection single/mlt trigger point 1/2 muscles (20552) $441.30 $735.50 1.4×
Injection single/mlt trigger point 3/> muscles (20553) $441.30 $735.50 1.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 4 matching MRF lines
$541.95–$1,382.70 $903.25–$2,304.50 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$515.55–$1,045.65 $859.25–$1,742.75 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,045.65 $1,742.75 1.5×
Insert Bladder Cath Complex (51703) $375 $625 2.9×
Insert cath pleura w/ image (32557) $2,414.10 $4,023.50 1.5×
Insert cath pleura w/o image (32556) $2,825.70 $4,709.50 1.5×
Insert cervical dilator (59200) $261.15 $435.25 0.9×
Insert Heart Pm Ventricular (33207) $16,493.55 $27,489.25 1.6×
Insert non-tunnel cv cath (36556) $2,899.95 $4,833.25 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,780.70 $4,634.50 1.8×
Insert Temp Bladder Cath (51702) $188.70 $314.50 1.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,414.10 $4,023.50 1.5×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,277.20 $15,462 1.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,899.95 $4,833.25 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,510.55 $4,184.25 1.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,045.90 $5,076.50 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,602.65 $14,337.75 1.0×
Insrt heart pm atrial & vent (33208) $18,985.80 $31,643 1.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $312.90 $521.50 0.8×
Intraoral i&d tongue/floor lingual (41000) $1,536 $2,560 2.8×
Intraoral i&d tongue/floor sublngl supfc (41005) $635.70 $1,059.50 2.7×
Intraoral i&d tongue/floor submndblr space (41008) $3,261.15 $5,435.25 1.0×
Intubation endotracheal emergency procedure (31500) $539.85 $899.75 2.3×
Irrigation of corpora cavernosa for priapism (54220) $457.80 $763 1.8×
Laryngoscopy diagnostic (31505) $163.35 $272.25 0.8×
Late closure of wound (13160) $2,105.40 $3,509 0.6×
Lithotripsy, extracorporeal shock wave (50590) $18,406.05 $30,676.75 5.2×
Maternity Care Procedure (59899)
range across 2 matching MRF lines
$300.90–$443.70 $501.50–$739.50 varies
Myelography Lumbar Injection (62305) $1,300.20 $2,167 1.7×
Myelography Lumbar Injection (62304) $1,300.20 $2,167 1.7×
Myelography via lumbar injection rs&i cervical (62302) $1,300.20 $2,167 1.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,300.20 $2,167 1.7×
N Block Lumbar/Thoracic (64520) $1,355.25 $2,258.75 1.5×
Nasal surgery procedure (30999) $217.20 $362 0.9×
Nasal/Orogastric W/Tube Plmt (43752) $501 $835 1.1×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,899 $3,165 2.0×
Needle Biopsy Lymph Nodes (38505) $2,853 $4,755 1.7×
Neuro alys b-amyl 1-42&1-40 (0358U) $1,041 $1,735 4.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $264.30 $440.50 0.9×
Occipital Nerve Block (64405) $427.05 $711.75 1.4×
Open Tx Distal Phalangeal Fracture Each (26765) $3,331.35 $5,552.25 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,911.20 $4,852 0.9×
Percut Drain/Inject Renal Cyst (50390) $1,053 $1,755 1.5×
Pericardiocentesis W/Imaging (33016) $2,976.90 $4,961.50 1.9×
Perq dev breast 1st strtctc (19283) $490.20 $817 0.7×
Perq dev breast 1st us imag (19285) $490.20 $817 0.7×
Perq device breast 1st imag (19281) $972.15 $1,620.25 0.6×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $969.15 $1,615.25 1.4×
Placement of needle for intraosseous infusion (36680) $361.95 $603.25 0.8×
Punch biopsy skin single lesion (11104) $458.25 $763.75 1.1×
Puncture aspiration abscess hematoma bulla/cyst (10160) $484.50 $807.50 1.2×
Puncture Aspiration Cyst Breast (19000) $1,053 $1,755 1.5×
Reduction of rectal prolapse (45900) $1,355.70 $2,259.50 1.5×
Removal Embedded Foreign Body Eyelid (67938) $360.45 $600.75 1.1×
Removal foreign body foot deep (28192) $1,355.85 $2,259.75 0.8×
Removal Foreign Body Foot Subcutaneous (28190) $694.20 $1,157 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,896.60 $3,161 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $111.30 $185.50 1.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$80.85–$84.15 $134.75–$140.25 varies
Removal Implant Superficial Separate Procedure (20670) $3,346.05 $5,576.75 2.0×
Removal of foreign body from pharynx (42809) $407.10 $678.50 0.9×
Removal of nail bed (11750) $449.25 $748.75 1.1×
Removal shoulder foreign body deep subfascial/im (23333) $1,770 $2,950 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $235.35 $392.25 1.2×
Removal subcutaneous cardiac rhythm monitor (33286) $1,044.15 $1,740.25 1.5×
Remove cerclage suture (59871) $5,702.55 $9,504.25 1.8×
Remove drug implant device (11982) $612.90 $1,021.50 1.4×
Remove Forearm Foreign Body (25248) $4,662.30 $7,770.50 2.9×
Remove foreign body from eye (65235) $3,503.70 $5,839.50 1.5×
Remove foreign body from eye (65205) $339.60 $566 2.5×
Remove Intrauterine Device (58301) $219.60 $366 0.7×
Remove Nasal Foreign Body (30300) $217.20 $362 1.6×
Remove Shoulder Foreign Body (23330) $964.05 $1,606.75 0.6×
Renal Biopsy Perq (50200) $1,241.85 $2,069.75 0.7×
Repair Blood Vessel Direct Upper Extremity (35206) $2,536.80 $4,228 0.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $478.95 $798.25 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $487.20 $812 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $449.25 $748.75 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $478.95 $798.25 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $478.95 $798.25 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $478.95 $798.25 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $423.45 $705.75 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $695.40 $1,159 0.9×
Repair extensor tendon finger w/o graft each (26418) $1,446.15 $2,410.25 0.9×
Repair Eyelid Wound (67935) $1,854 $3,090 0.8×
Repair incomplete circumcision (54163) $4,027.05 $6,711.75 1.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $312.90 $521.50 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $312.90 $521.50 0.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $312.90 $521.50 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $312.90 $521.50 0.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $373.50 $622.50 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $312.90 $521.50 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $312.90 $521.50 0.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $373.50 $622.50 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $449.25 $748.75 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $449.25 $748.75 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $449.25 $748.75 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $695.40 $1,159 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $449.25 $748.75 1.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,840.60 $6,401 1.9×
Repair of nail bed (11760) $373.50 $622.50 0.5×
Repair tongue laceration (41252) $1,536 $2,560 6.5×
Repair tongue laceration (41250) $438.90 $731.50 1.0×
Replace G-J Tube Perc (49452) $1,382.70 $2,304.50 1.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,339.65 $2,232.75 1.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $339.60 $566 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $339.60 $566 2.5×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $339.60 $566 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,822.05 $3,036.75 1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,877.25 $3,128.75 3.0×
Rplc Gtube No Revj Trc (43762) $446.55 $744.25 1.8×
Rplc gtube revj gstrst trc (43763) $507.60 $846 2.0×
Rpr blood vessel direct lower extremity (35226) $2,439.15 $4,065.25 3.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $312.90 $521.50 1.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,536 $2,560 2.8×
Rpr Lip Full Thickness Vermilion Only (40650) $1,536 $2,560 2.8×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,591.05 $2,651.75 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $547.05 $911.75 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $748.50 $1,247.50 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $235.35 $392.25 1.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $748.50 $1,247.50 0.6×
Sigmoidoscopy w/plcmt stent (45347) $3,571.80 $5,953 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $547.05 $911.75 0.6×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $748.50 $1,247.50 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $607.35 $1,012.25 1.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $312.90 $521.50 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $312.90 $521.50 1.6×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $607.35 $1,012.25 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $312.90 $521.50 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $312.90 $521.50 1.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $235.35 $392.25 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $235.35 $392.25 1.2×
Skin sub graft face/nk/hf/g (15275) $2,189.70 $3,649.50 2.9×
Skin sub graft trnk/arm/leg (15271) $2,189.70 $3,649.50 2.9×
Skin sub grft t/arm/lg child (15273) $3,840.60 $6,401 1.9×
Skin Tissue Procedure (17999) $237.60 $396 1.2×
Skn sub grft f/n/hf/g child (15277) $2,105.40 $3,509 1.0×
Slitting of prepuce (54001) $3,281.10 $5,468.50 1.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $312.90 $521.50 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $449.25 $748.75 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $449.25 $748.75 1.1×
Spinal puncture lumbar diagnostic (62270) $1,045.65 $1,742.75 1.5×
Strapping ankle (29540) $205.20 $342 1.3×
Strapping elbow or wrist (29260) $225.15 $375.25 3.8×
Strapping hand/finger (29280) $225.15 $375.25 3.8×
Strapping knee (29530) $205.20 $342 1.5×
Strapping shoulder (29240) $205.20 $342 1.5×
Strapping toes (29550) $142.05 $236.75 2.4×
Strapping Unna Boot (29580) $192.60 $321 1.2×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,721.70 $2,869.50 0.7×
Suture digital nerve hand/foot 1 nerve (64831) $2,861.70 $4,769.50 1.5×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines
$431.85–$449.25 $719.75–$748.75 varies
Ther Apheresis,Red Blood Cells (36512) $2,772.60 $4,621 1.8×
Ther Spi Pnxr Csf Fluor/Ct (62329) $2,776.65 $4,627.75 3.9×
Thrombolytic Therapy Stroke (37195) $5,052.15 $8,420.25 15.2×
Thyroid biopsy (60100) $733.05 $1,221.75 1.0×
Tooth extraction (41899) $1,536 $2,560 6.5×
Transfusion Intrauterine Fetal (36460) $589.35 $982.25 1.3×
Treat Hip Socket Fracture (27222) $1,701.75 $2,836.25 6.9×
Treat humerus fracture (24500) $279.90 $466.50 1.1×
Treat Humerus Fracture (24505) $2,327.55 $3,879.25 1.4×
Treat humerus fracture (23600) $279.90 $466.50 1.1×
Treat Knuckle Dislocation (26700) $211.95 $353.25 0.9×
Treat Thumb Dislocation (26641) $279.90 $466.50 1.1×
Treat toe dislocation (28630) $211.95 $353.25 0.9×
Treat Vaginal Bleeding (57180) $306.90 $511.50 1.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,408.80 $2,348 0.9×
Treatment closed elbow dislocation w/o anes (24600) $279.90 $466.50 1.1×
Trim skin lesion (11055) $235.35 $392.25 1.2×
Trim skin lesions 2 to 4 (11056) $235.35 $392.25 1.2×
Trim skin lesions over 4 (11057) $226.20 $377 1.1×
Trimming Nondystrophic Nails Any Number (11719) $84.15 $140.25 1.4×
Tx Gastro Intub W/Asp (43753) $196.95 $328.25 0.9×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,907.85 $3,179.75 0.6×
Tx Missed Abortion First Trimester Surgical (59820) $1,858.95 $3,098.25 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$668.55–$695.40 $1,114.25–$1,159 varies
Unlisted procedure anus (46999) $1,680.90 $2,801.50 1.8×
Unlisted Procedure Casting/Strapping (29799) $136.50 $227.50 0.8×
Unlisted procedure femur or knee (27599) $269.10 $448.50 1.1×
Unlisted Procedure Intestine (44799) $2,163.45 $3,605.75 2.4×
Unlisted procedure nervous system (64999) $832.50 $1,387.50 2.7×
Unlisted Procedure Rectum (45999) $543.60 $906 0.6×
Unlisted Procedure Tongue Floor Mouth (41599) $211.95 $353.25 0.9×
Unlisted Procedure Vascular Surgery (37799) $1,311 $2,185 2.1×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,163.45 $3,605.75 2.4×
Unlisted Procedure, Urinary System (53899) $275.25 $458.75 1.1×
Unlisted px female genital system nonobstetrical (58999) $513.30 $855.50 2.5×
Vaginal Delivery After Cesarean Delivery (59612) $3,843.60 $6,406 1.2×
Vaginal delivery only (59409) $1,907.85 $3,179.75 0.6×
Wedge excision skin nail fold (11765) $449.25 $748.75 1.1×
Wound Prep F/N/Hf/G (15004) $695.40 $1,159 1.7×
Wound Prep Trk/Arm/Leg (15002) $2,189.70 $3,649.50 2.9×

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.