Procedures & surgery prices at Thayer County Health Services

Hebron, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,115 $1,394 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $358 $447 0.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,784 $3,480 1.3×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,246 $1,557 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,148 $1,435 0.3×
Anoscopy Ablation Lesion (46615) $2,148 $2,685 0.7×
Anoscopy diagnostic (46600) $170 $213 1.2×
Application cast elbow finger short arm (29075) $154 $192 0.5×
Application finger splint static (29130) $74 $93 0.5×
Application long arm splint shoulder hand (29105) $147 $184 0.9×
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$153–$177 $191–$221 varies
Application of long leg cast (29345) $240 $300 0.8×
Application short arm splint forearm-hand static (29125) $116 $145 0.8×
Application short leg splint calf foot (29515) $128 $160 0.8×
Apply long arm cast (29065) $170 $213 0.6×
Apply Multlay Comprs Lwr Leg (29581) $152 $190 0.9×
Apply Short Leg Cast (29405) $145 $181 0.5×
Apply short leg cast (29425) $200 $250 0.7×
Arterial puncture (36600) $110 $137 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $198 $247 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $107 $134 0.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $88 $110 0.3×
Aspirate/Inj Ganglion Cyst (20612) $134 $134 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $197 $246 0.9×
Biopsy external ear (69100) $175 $219 0.7×
Biopsy muscle percutaneous needle (20206) $1,236 $1,545 0.7×
Biopsy nail unit (11755) $547 $684 0.7×
Biopsy of breast; open, incisional (19101) $595 $744 0.1×
Biopsy of floor of mouth (41108) $1,237 $1,546 0.7×
Biopsy of palate, uvula (42100) $1,150 $1,437 0.7×
Bladder Scan (51798) $147 $184 2.4×
Blepharotomy drainage abscess eyelid (67700) $496 $620 1.5×
Blood Transfusion Service (36430) $1,100 $1,100 2.4×
Bx breast 1st lesion us imag (19083) $2,081 $2,601 1.2×
Bx breast needle core w/o imaging guidance spx (19100) $267 $334 0.2×
Bx Cervix (57500)
range across 2 matching MRF lines
$162–$240 $203–$300 varies
Change Cystostomy Tube Simple (51705) $170 $212 0.7×
Chemical Cautery Tissue (17250) $146 $182 0.7×
Chemical peel, facial; epidermal (15788) $801 $1,001 1.9×
Chemodenerv Musc Migraine (64615) $382 $477 1.2×
Chemodenervation of internal anal sphincter (46505) $2,093 $2,616 1.7×
Circumcision w/clamp/oth dev w/block (54150) $279 $349 0.1×
Clear outer ear canal (69200) $146 $183 1.1×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $506 $632 2.0×
Closed Treatment Sesamoid Fracture (28530) $213 $266 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $577 $721 2.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $445 $556 1.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $545 $681 2.1×
Closed tx metatarsal fracture w/o manipulation (28470) $394 $493 1.5×
Closed Tx Patellar Fracture W/O Manipulation (27520) $574 $718 2.2×
Closed tx radial head/neck fx w/o manipulation (24650) $466 $582 1.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $494 $617 1.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $920 $1,150 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $503 $629 2.0×
Closed tx talus fracture w/o manipulation (28430) $427 $534 1.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $518 $647 2.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $466 $583 1.8×
Clsd tx clavicular fracture w/o manipulation (23500) $390 $488 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,588 $1,985 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $571 $714 2.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $411 $514 1.6×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $544 $680 2.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $620 $775 2.4×
Cltx dstl fibular fx lat malls w/manj (27788) $756 $945 3.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $562 $703 2.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $564 $705 2.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $412 $412 1.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $588 $735 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $965 $1,206 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $326 $407 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $260 $325 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $288 $360 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $222 $278 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,174 $2,718 1.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $564 $705 2.2×
Cltx greater humeral tuberosity fx w/o manj (23620) $478 $597 1.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $582 $728 2.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $214 $267 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $501 $626 2.0×
Cltx Medial Ankle Fx (27760) $595 $744 2.3×
Cltx metacarpal fx w/manipulation each bone (26605) $578 $722 2.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $526 $657 2.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $605 $756 2.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $353 $441 1.4×
Cltx prox fibula/shft fx w/o manj (27780) $545 $681 2.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $184 $230 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $677 $846 2.6×
Cltx tibial fx proximal w/o manipulation (27530) $539 $674 2.1×
Cltx tibial shaft fx w/o manipulation (27750) $616 $770 2.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $870 $1,088 0.5×
Collect Blood From Catheter Venous Nos (36592) $140 $175 1.0×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$32–$42 $40–$42 varies
Colonoscopy w/submucosal inj (45381) $796 $995 0.6×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $284 $355 0.9×
Colposcopy Cervix Endocervical Curettage (57456) $250 $313 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $210 $262 0.7×
Complex drainage wound (10180) $3,468 $4,335 1.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,030 $1,287 0.3×
Control Nasal Hemorrhage Anterior Simple (30901) $246 $308 1.8×
Correction of trichiasis; epilation, by forceps only (67820) $59 $74 0.4×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $1,968 $2,460 0.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $615 $769 2.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $3,197 $3,996 0.6×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,232 $1,540 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $864 $1,080 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $414 $517 0.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $561 $701 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $218 $273 0.5×
Dermabrasion total face (15780) $1,644 $2,055 0.5×
Destroy lumb/sac facet jnt (64635) $2,015 $2,519 1.0×
Destruct B9 Lesion 1-14 (17110) $197 $246 0.9×
Destruction Benign Lesions 15/> (17111) $234 $293 1.1×
Destruction Lesions Vulva Simple (56501) $259 $324 0.1×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $440 $550 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $336 $420 1.6×
Destruction Premalignant Lesion 15/> (17004) $271 $339 0.6×
Destruction premalignant lesion 1st (17000) $118 $147 0.6×
Destruction Vaginal Lesions Simple (57061) $222 $278 0.1×
Diagnostic sigmoidoscopy (45330) $306 $383 0.3×
Dilation & curettage dx&/ther nonobstetric (58120) $484 $605 0.1×
Dilation Cervical Canal (57800) $118 $147 0.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $578 $722 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $334 $418 0.5×
Drainage of finger abscess simple (26010) $487 $609 2.3×
Drainage of gum lesion (41800) $522 $652 3.8×
Drainage of hematoma/fluid (10140) $301 $376 0.2×
Drainage of hydrocele (55000) $212 $265 0.3×
Drainage of scrotal wall abscess (55100) $1,237 $1,546 0.7×
Draw Blood Off Venous Device (36591) $122 $152 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $146 $183 0.7×
Dstrj Lesion Anus Simple Chemical (46900) $425 $531 1.0×
Dstrj lesion anus simple cryosurgery (46916) $277 $346 1.3×
Dstrj lesion anus simple surg excision (46922) $4,275 $5,344 1.5×
Dstrj Lesion Penis Simple Chemical (54050) $240 $300 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $254 $317 1.2×
Dstrj lesion penis simple surg excision (54060) $349 $436 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,076 $1,345 1.5×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $80 $100 0.3×
Endocervical curettage (57505) $104 $130 0.1×
Endometrial Biopsy (58100) $167 $209 0.8×
Evacuation of subungual hematoma (11740) $93 $116 0.7×
Exc arm/elbow les sc < 3 cm (24075) $3,018 $3,772 1.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $222 $278 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $362 $453 0.2×
Exc Back Les Sc < 3 Cm (21930) $858 $1,072 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $426 $532 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $486 $607 0.7×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $704 $880 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $247 $309 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $303 $379 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $352 $440 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $402 $503 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,248 $1,560 0.7×
Exc Forearm Les Sc 3 Cm/> (25071) $754 $943 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $235 $294 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $284 $355 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $330 $413 0.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $503 $629 0.5×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,189 $2,736 1.3×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $389 $486 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $346 $433 0.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $419 $524 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $598 $747 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $560 $700 0.3×
Exc Skin Benig >4cm Face,Facial (11446) $719 $899 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $538 $672 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $750 $937 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $802 $1,002 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $740 $925 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $270 $338 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $299 $374 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $391 $489 0.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $794 $992 0.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $878 $1,097 0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $718 $898 0.2×
Excis Mouth Mucosa/Sub,No Repair (40810) $376 $470 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $520 $650 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $507 $634 0.7×
Excision lesion tendon sheath forearm&/wrist (25110) $1,194 $1,492 0.7×
Excision Lesion Tongue W/O Closure (41110) $390 $488 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $348 $435 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $410 $513 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $443 $554 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $562 $702 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $361 $451 0.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,236 $1,545 0.7×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,962 $4,952 1.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $350 $437 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $412 $515 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $458 $573 0.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $606 $758 0.4×
Excision of single external papilla or tag, anus (46220) $389 $486 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $831 $1,039 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $3,852 $4,815 2.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $742 $927 0.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $839 $1,049 0.5×
Exploration penetrating wound spx extremity (20103) $1,038 $1,298 0.6×
Fetal non-stress test (59025) $302 $377 1.4×
Fine needle aspiration without imaging guidance (10021) $175 $219 0.4×
Fna bx w/us gdn 1st les (10005) $846 $1,057 1.2×
Foreskin manipulation (54450) $126 $158 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $520 $650 0.5×
I&d abscess simple (10060) $398 $268 1.9×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,202 $1,502 0.4×
I&d perianal abscess superficial (46050) $374 $467 0.4×
I&d pilonidal cyst simple (10080) $329 $411 0.4×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure
$480 $600 0.0×
Incise external hemorrhoid (46083) $328 $410 1.3×
Incision & drainage abscess complicated/multiple (10061) $894 $1,117 2.1×
Incision & removal foreign body subq tiss simple (10120) $273 $341 0.6×
Incision and drainage of bartholin's gland abscess (56420) $245 $306 1.2×
Incision and drainage of vulva or perineal abscess (56405) $206 $257 0.7×
Incision of labial frenum (frenotomy) (40806) $419 $524 0.7×
Incision of lingual frenum (frenotomy) (41010) $371 $464 0.2×
Incisional biopsy skin single lesion (11106) $269 $336 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $158 $158 0.8×
Inj W/Fluor Eval Cv Device (36598) $515 $644 2.3×
Injection 1 tendon sheath/ligament aponeurosis (20550) $96 $120 0.3×
Injection single tendon origin/insertion (20551) $98 $122 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $100 $125 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $116 $145 0.4×
Injection therapeutic carpal tunnel (20526) $138 $173 0.4×
Injection, intralesional; up to and including 7 lesions (11900) $158 $198 0.8×
Insert Drug Implant Device (11981) $253 $316 1.8×
Insert Gastrostomy Tube Percutaneous (49440) $1,450 $1,813 0.7×
Insert pessary/other device (57160) $114 $142 0.5×
Insert Temp Bladder Cath (51702) $112 $140 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $81 $101 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,566 $3,207 1.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$1,270–$1,331 $1,588–$1,664 varies
Island pedicle flap graft (15740) $1,810 $2,263 0.8×
Ligamentous reconstruction knee intra-articular (27428) $10,032 $12,540 0.8×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $621 $776 0.2×
Lysis/excision penile postcircumcision adhesions (54162) $470 $588 0.2×
Myelography Lumbar Injection (62304) $986 $1,233 1.2×
N Block Inj Ilio-Ing/Hypogi (64425) $870 $1,088 1.2×
N Block Inj Plantar Digit (64455) $230 $287 0.7×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,939 $2,424 1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,330 $1,662 0.7×
Needle Biopsy Lymph Nodes (38505) $1,236 $1,545 0.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $35 $44 1.2×
Needle insertion w/o injection 3 or more muscles (20561) $62 $78 2.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $540 $675 1.3×
Nfct ds pthgn-sna 10vir&4bct (0564U) $400 $500 1.0×
Nfct ds pthgn-sna 11vir&4bct (0563U) $400 $500 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $342 $428 0.8×
Occipital Nerve Block (64405) $146 $183 0.5×
Open Tx Distal Phalangeal Fracture Each (26765) $896 $1,120 0.3×
Peritoneal Lavage (49084) $192 $240 0.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $218 $272 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $274 $342 0.2×
Punch biopsy skin single lesion (11104) $278 $278 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $234 $293 0.6×
Puncture Aspiration Cyst Breast (19000) $537 $671 0.7×
Removal Embedded Foreign Body Eyelid (67938) $457 $571 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $25 $31 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $85 $106 1.4×
Removal Implant Superficial Separate Procedure (20670) $2,347 $2,934 1.4×
Removal implantable contraceptive capsules (11976) $262 $328 0.4×
Removal of nail bed (11750)
range across 2 matching MRF lines
$282–$612 $352–$765 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $158 $198 0.8×
Remove drug implant device (11982) $861 $1,076 1.9×
Remove foreign body from eye (65205) $84 $105 0.6×
Remove Intrauterine Device (58301) $171 $214 0.5×
Remove Nasal Foreign Body (30300) $331 $414 2.4×
Remove Tendon Sheath Lesion (26160) $1,042 $1,303 0.6×
Remove/Insert Drug Implant (11983) $414 $517 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $697 $871 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $716 $895 0.9×
Repair extensor tendon finger w/o graft each (26418) $1,015 $1,269 0.6×
Repair Hand Tendon (26410) $990 $1,238 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $474 $593 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $538 $673 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $658 $823 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $439 $549 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $528 $660 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $653 $816 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $438 $548 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $543 $679 1.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $672 $840 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $569 $711 1.3×
Repair of Ruptured Tendon (24342) $9,411 $11,764 1.2×
Repair tongue laceration (41252) $574 $717 2.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $106 $133 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $125 $156 0.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $102 $128 0.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,510 $1,887 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $230 $288 0.4×
Rplc Gtube No Revj Trc (43762) $397 $496 1.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,127 $1,409 0.3×
Shave skin lesion 0.5 cm/< (11300) $174 $218 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $203 $254 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $334 $417 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $184 $230 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $218 $272 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $258 $323 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $275 $344 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $243 $304 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $285 $356 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $215 $269 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $276 $345 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $250 $313 1.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $418 $523 0.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $195 $244 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $204 $255 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $246 $307 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $199 $199 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $228 $285 1.1×
Skin sub graft face/nk/hf/g (15275) $774 $967 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $243 $417 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $297 $371 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $304 $380 0.7×
Strapping ankle (29540) $53 $66 0.3×
Strapping elbow or wrist (29260) $54 $68 0.9×
Strapping knee (29530) $56 $70 0.4×
Strapping shoulder (29240) $56 $70 0.4×
Strapping Unna Boot (29580) $206 $257 1.2×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $276 $345 0.4×
Tangential biopsy skin single lesion (11102) $176 $220 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,214 $1,518 0.7×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $9,781 $12,226 5.9×
Treat humerus fracture (24500) $638 $797 2.5×
Treat humerus fracture (23600) $586 $732 2.3×
Treat Knuckle Dislocation (26700) $590 $737 2.3×
Trim skin lesion (11055) $102 $127 0.5×
Trim skin lesions 2 to 4 (11056) $122 $152 0.6×
Trim skin lesions over 4 (11057) $135 $169 0.6×
Trimming Nondystrophic Nails Any Number (11719) $26 $33 0.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $384 $480 1.5×
Unlisted procedure arthroscopy (29999) $3,961 $4,951 15.5×
Unlisted Procedure Conjunctiva (68399) $29 $36 0.1×
Urine Flow Measurement (51736) $143 $179 1.0×
Wedge excision skin nail fold (11765) $306 $382 0.7×

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.