Procedures & surgery prices at The Hospitals of Providence Horizon City Campus

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,131.44 $1,414.30 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $836.76 $1,045.95 0.9×
Anoscopy diagnostic (46600) $358.61 $448.26 2.7×
Anoscopy W/Rmvl Foreign Body (46608) $5,304.14 $6,630.18 5.7×
Application cast elbow finger short arm (29075) $719.80 $899.75 2.6×
Application cast shoulder hand long arm (29065) $358.61 $448.26 1.3×
Application finger splint static (29130) $358.61 $448.26 2.7×
Application long arm splint shoulder hand (29105) $773.94 $967.43 4.7×
Application long leg splint thigh ankle/toes (29505) $626.06 $782.58 3.8×
Application of hip spica cast; one and one-half spica or both legs (29325) $880.22 $1,100.28 3.1×
Application of long leg cast (29345) $358.61 $448.26 1.3×
Application short arm splint forearm-hand static (29125) $913.43 $1,141.79 6.8×
Application short leg splint calf foot (29515) $358.61 $448.26 2.2×
Apply short leg cast (29405) $358.61 $448.26 1.3×
Apply short leg cast (29425) $659.78 $824.72 2.3×
Arterial puncture (36600) $254.62 $318.28 1.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $658.85 $823.56 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,446.50 $1,808.13 2.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $658.85 $823.56 2.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $658.85 $823.56 2.1×
Aspirat/Injection Ganglion Cyst(S) (20612) $658.85 $823.56 2.1×
Aspiration Bladder Insert Suprapubic Catheter (51102) $11,079.02 $13,848.78 5.3×
Aspiration bladder needle (51100) $3,229.38 $4,036.72 12.9×
Avulsion nail plate partial/complete simple 1 (11730) $658.85 $823.56 3.3×
Bladder Irrigation Simple (51700) $658.85 $823.56 2.6×
Bladder Scan (51798) $1,000.78 $1,250.98 16.9×
Blood transfusion service (36430) $1,248.19 $1,560.24 2.8×
Change Cystostomy Tube Simple (51705) $2,084.04 $2,605.05 8.3×
Chemical Cautery Tissue (17250) $1,781.94 $2,227.43 8.8×
Chest tube placement (32551) $836.76 $1,045.95 0.5×
Chg Collect Blood From Catheter Venous Nos (36592) $358.61 $448.26 2.7×
Close Rx Fingr Articular Fx,Manip (26742) $836.76 $1,045.95 0.5×
Closed Rx Gr Tuberosity Hum Fx (23620) $658.85 $823.56 2.7×
Closed Rx Humer Epicondylr Fx,Manip (24565) $836.76 $1,045.95 0.5×
Closed Rx Humeral Supracondylar Fx (24530) $658.85 $823.56 2.7×
Closed Rx Med Malleolus Fx (27760) $658.85 $823.56 2.7×
Closed Rx Med Malleolus Fx,Manip (27762) $836.76 $1,045.95 0.5×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $836.76 $1,045.95 0.5×
Closed rx prox/neck femur fx,manip (27232) $836.76 $1,045.95 0.5×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $836.76 $1,045.95 0.5×
Closed Rx Radial Shaft Fx (25500) $658.85 $823.56 2.7×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $836.76 $1,045.95 0.5×
Closed Rx Spontaneous Hip Disloc (27256) $658.85 $823.56 2.7×
Closed Rx Tibia Shaft Fx (27750) $658.85 $823.56 2.7×
Closed Rx Tibial Plateau Fx (27530) $658.85 $823.56 2.7×
Closed Rx Trimalleolar Fx (27816) $658.85 $823.56 2.7×
Closed treat wrist dislocation (25660) $658.85 $823.56 2.7×
Closed Treatment Coccygeal Fracture (27200) $658.85 $823.56 2.7×
Closed treatment nasal fracture w/stabilization (21320) $836.76 $1,045.95 0.3×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $658.85 $823.56 2.7×
Closed treatment of talus fracture; without manipulation (28430) $658.85 $823.56 2.7×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $658.85 $823.56 2.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $658.85 $823.56 2.7×
Closed treatment pst malleolus fracture w/manj (27768) $836.76 $1,045.95 0.5×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $658.85 $823.56 2.7×
Closed Treatment Sternum Fracture (21820) $658.85 $823.56 2.7×
Closed Treatment Ulnar Styloid Fracture (25650) $658.85 $823.56 2.7×
Closed tx ankle dislocation w/o anesthesia (27840) $658.85 $823.56 2.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $836.76 $1,045.95 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $658.85 $823.56 2.7×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $658.85 $823.56 2.7×
Closed tx calcaneal fracture w/o manipulation (28400) $658.85 $823.56 2.7×
Closed tx carpal scaphoid fracture w/manj (25624) $836.76 $1,045.95 0.5×
Closed tx femoral fracture prox head w/o manj (27267) $836.76 $1,045.95 0.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $658.85 $823.56 2.7×
Closed tx knee dislocation w/o anesthesia (27550) $658.85 $823.56 2.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $8,429.74 $10,537.17 5.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $658.85 $823.56 1.2×
Closed tx metatarsal fracture w/o manipulation (28470) $658.85 $823.56 2.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $836.76 $1,045.95 0.5×
Closed tx nasal fracture w/o stabilization (21315) $836.76 $1,045.95 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $658.85 $823.56 2.7×
Closed tx patellar fracture w/o manipulation (27520) $658.85 $823.56 2.7×
Closed tx radial head/neck fx w/manipulation (24655) $836.76 $1,045.95 0.5×
Closed tx radial head/neck fx w/o manipulation (24650) $658.85 $823.56 2.7×
Closed tx radial shaft fracture w/manipulation (25505) $836.76 $1,045.95 0.5×
Closed tx scapular fracture w/o manipulation (23570) $658.85 $823.56 2.7×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $658.85 $823.56 2.7×
Closed tx talotarsal joint dislc w/o anes (28570) $658.85 $823.56 2.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $658.85 $823.56 2.7×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $836.76 $1,045.95 0.5×
Closed tx ulnar fracture prox end w/o manipulate (24670) $658.85 $823.56 2.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $658.85 $823.56 2.7×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $658.85 $823.56 1.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $658.85 $823.56 2.7×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $658.85 $823.56 2.7×
Clsd tx clavicular fracture w/manipulation (23505) $836.76 $1,045.95 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $658.85 $823.56 2.7×
Clsd tx pelvic ring fx w/o manipulation (27197) $658.85 $823.56 2.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $836.76 $1,045.95 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $658.85 $823.56 2.7×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $836.76 $1,045.95 0.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $658.85 $823.56 2.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,917.73 $6,147.16 3.0×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $658.85 $823.56 2.7×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $658.85 $823.56 2.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $658.85 $823.56 2.7×
Cltx dstl fibular fx lat malls w/manj (27788) $658.85 $823.56 2.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $658.85 $823.56 2.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $658.85 $823.56 2.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $658.85 $823.56 2.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $836.76 $1,045.95 0.5×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $658.85 $823.56 0.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $658.85 $823.56 2.7×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $658.85 $823.56 2.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $836.76 $1,045.95 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $658.85 $823.56 2.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $658.85 $823.56 2.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $658.85 $823.56 2.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $658.85 $823.56 2.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $836.76 $1,045.95 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $836.76 $1,045.95 3.4×
Cltx greater trochanteric fx w/o manj (27246) $658.85 $823.56 2.7×
Cltx grter humeral tuberosity fx w/manipulation (23625) $658.85 $823.56 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $658.85 $823.56 2.7×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $836.76 $1,045.95 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $658.85 $823.56 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $658.85 $823.56 2.7×
Cltx metacarpal fx w/manipulation each bone (26605) $658.85 $823.56 2.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $658.85 $823.56 2.7×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $658.85 $823.56 2.7×
Cltx metatarsophlngl jt dislc w/o anes (28630) $658.85 $823.56 2.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $658.85 $823.56 2.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $658.85 $823.56 2.7×
Cltx post hip arthrp dislc w/o anes (27265) $658.85 $823.56 2.7×
Cltx prox fibula/shft fx w/manj (27781) $836.76 $1,045.95 0.5×
Cltx prox fibula/shft fx w/o manj (27780) $658.85 $823.56 2.7×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $836.76 $1,045.95 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $658.85 $823.56 2.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $836.76 $1,045.95 0.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $658.85 $823.56 2.7×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $836.76 $1,045.95 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $836.76 $1,045.95 0.5×
Colporrhaphy suture injury vagina (57200) $836.76 $1,045.95 0.3×
Complex Drainage, Wound (10180) $836.76 $1,045.95 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $358.61 $448.26 2.7×
Control Nasal Hemorrhage Anterior Simple (30901) $358.61 $448.26 2.7×
Control Oropharyngeal Hemorrhage Simple (42960) $658.85 $823.56 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $358.61 $448.26 2.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $658.85 $823.56 2.8×
Curette/treat cornea (65435) $658.85 $823.56 0.7×
Debride nail 1-5 (11720) $923.87 $1,154.84 15.6×
Debride nail 6 or more (11721) $658.85 $823.56 11.1×
Delivery placenta separate procedure (59414) $836.76 $1,045.95 0.3×
Destruction Benign Lesions Up To 14 (17110) $658.85 $823.56 3.3×
Destruction premalignant lesion 1st (17000) $743.18 $928.97 3.7×
Drain bladder by trocar/cath (51101) $6,244.61 $7,805.76 7.2×
Drain Ext Ear Absc/Blood,Complic (69005) $836.76 $1,045.95 0.5×
Drain lower leg bursa (27604) $836.76 $1,045.95 0.3×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $836.76 $1,045.95 1.2×
Drain shoulder bursa (23031) $836.76 $1,045.95 0.3×
Drain shoulder lesion (23030) $836.76 $1,045.95 0.3×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,803.35 $2,254.19 3.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $836.76 $1,045.95 1.2×
Drainage Finger Abscess Complicated (26011) $836.76 $1,045.95 0.5×
Drainage Finger Abscess Simple (26010) $658.85 $823.56 3.3×
Drainage mouth roof lesion (42000) $658.85 $823.56 2.8×
Drainage of abscess; submaxillary or sublingual, intraoral (42310) $658.85 $823.56 1.2×
Drainage of eyelid abscess (67700) $658.85 $823.56 2.1×
Drainage of gum lesion (41800) $358.61 $448.26 2.7×
Drainage of hematoma/fluid (10140) $836.76 $1,045.95 0.5×
Drainage of scrotal wall abscess (55100) $836.76 $1,045.95 0.5×
Draw blood off venous device (36591) $303.94 $379.93 2.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $658.85 $823.56 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $658.85 $823.56 3.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $658.85 $823.56 3.3×
Escharotomy initial incision (16035) $658.85 $823.56 1.6×
Evacuation of subungual hematoma (11740) $358.61 $448.26 2.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $836.76 $1,045.95 0.7×
Exc tr-ext b9+marg 0.5 cm or less (11400) $3,442.50 $4,303.13 4.8×
Excision of nail fold toe (11765) $658.85 $823.56 1.6×
Expl penetrating wound spx abdomen/flank/back (20102) $836.76 $1,045.95 0.4×
Exploration penetrating wound spx chest (20101) $836.76 $1,045.95 0.4×
Exploration penetrating wound spx extremity (20103) $836.76 $1,045.95 0.5×
Fine needle aspiration without imaging guidance (10021) $949.82 $1,187.27 2.3×
Fluoro exam of g/colon tube (49465) $1,492.83 $1,866.04 6.2×
I&D Abscess Peritonsillar (42700) $658.85 $823.56 2.8×
I&d abscess simple (10060) $658.85 $823.56 3.3×
I&d deep absc bursa/hematoma thigh/knee region (27301) $836.76 $1,045.95 0.3×
I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) $658.85 $823.56 0.2×
I&d perianal abscess superficial (46050) $836.76 $1,045.95 0.9×
I&d pilonidal cyst simple (10080) $836.76 $1,045.95 1.2×
I&D Upper Arm/Elbow Bursa (23931) $836.76 $1,045.95 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $836.76 $1,045.95 0.3×
Incision & drainage abscess complicated/multiple (10061) $658.85 $823.56 1.6×
Incision & drainage leg/ankle abscess/hematoma (27603) $836.76 $1,045.95 0.3×
Incision & drainage pilonidal cyst complicated (10081) $5,129.94 $6,412.42 7.2×
Incision & removal foreign body subq tiss compl (10121) $836.76 $1,045.95 0.5×
Incision & removal foreign body subq tiss simple (10120) $658.85 $823.56 1.6×
Incision and drainage of bartholin's gland abscess (56420) $658.85 $823.56 3.2×
Incision and drainage of vulva or perineal abscess (56405) $658.85 $823.56 2.2×
Incision of rectal abscess (46040) $836.76 $1,045.95 0.7×
Incision of urethra (53000) $9,281.33 $11,601.66 4.4×
Incision thrombosed hemorrhoid external (46083) $658.85 $823.56 2.6×
Initial tx 1st degree burn local tx (16000) $658.85 $823.56 3.3×
Inj tendon sheath/ligament (20550) $658.85 $823.56 2.1×
Inject Nerv Blck,Intercostal,One (64420) $836.76 $1,045.95 1.2×
Inject Tendon Origin/Insert (20551) $658.85 $823.56 2.1×
Injection aa&/strd trigeminal nerve each branch (64400) $658.85 $823.56 2.1×
Injection anes other peripheral nerve/branch (64450) $836.76 $1,045.95 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $658.85 $823.56 2.1×
Injection single/mlt trigger point 3/> muscles (20553) $658.85 $823.56 2.1×
Injection, anesthetic agent; greater occipital nerve (64405) $658.85 $823.56 2.1×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $1,628.37 $2,035.46 5.3×
Injection, intralesional; up to and including 7 lesions (11900) $1,270.43 $1,588.04 6.3×
Insert Bladder Cath Complex (51703) $860.86 $1,076.08 6.7×
Insert non-tunnel cv cath (36556) $836.76 $1,045.95 0.3×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $836.76 $1,045.95 0.3×
Insert picc cath (36569) $10,145.90 $12,682.37 6.4×
Insert Temp Bladder Cath (51702) $358.61 $448.26 2.7×
Insert,Non-Indwelling Bladder Catheter (51701) $358.61 $448.26 2.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $6,550.49 $8,188.11 4.1×
Intraoral i&d tongue/floor lingual (41000) $658.85 $823.56 1.2×
Intubation endotracheal emergency procedure (31500) $658.85 $823.56 2.8×
Irrigate corpora cavernosa for priapism (54220) $658.85 $823.56 2.6×
Laryngoscopy Indirect Diagnostic Spx (31505) $658.85 $823.56 3.3×
Laryngoscopy W/Foreign Body Removal (31530) $7,826.49 $9,783.11 4.4×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $1,777.32 $2,221.65 4.0×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $948.89 $1,186.11 3.8×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $836.76 $1,045.95 0.4×
Perq replacement gtube not req revj gstrst trc (43762) $658.85 $823.56 2.6×
Placement of needle for intraosseous infusion (36680) $658.85 $823.56 1.5×
Preputial Stretching (54450) $658.85 $823.56 2.6×
Puncture Aspiration (10160) $658.85 $823.56 1.6×
Puncture Aspiration Cyst Breast (19000) $1,766.20 $2,207.75 2.5×
Removal fb intranasal (30300) $658.85 $823.56 4.9×
Removal Foreign Body Deep Thigh/Knee (27372) $836.76 $1,045.95 0.3×
Removal Foreign Body Foot Complicated (28193) $836.76 $1,045.95 0.5×
Removal foreign body foot deep (28192) $836.76 $1,045.95 0.5×
Removal foreign body foot subcutaneous (28190) $836.76 $1,045.95 1.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $836.76 $1,045.95 0.5×
Removal foreign body pharynx (42809) $658.85 $823.56 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $358.61 $448.26 6.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $358.61 $448.26 6.1×
Removal of arm foreign body (24200) $836.76 $1,045.95 0.5×
Removal of foreign body in scrotum (55120) $836.76 $1,045.95 0.4×
Removal of intrauterine device (iud) (58301) $658.85 $823.56 2.2×
Removal of nail bed (11750) $658.85 $823.56 1.6×
Removal of salivary stone (42330) $10,341.42 $12,926.77 3.1×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $658.85 $823.56 3.3×
Removal/bivalving full arm/full leg cast (29705) $361.66 $452.07 1.3×
Removal/bivalving gauntlet boot/body cast (29700) $243.84 $304.80 0.9×
Remove by ligat int hem grp (46945) $2,479.01 $3,098.76 0.9×
Remove Eyelid Foreign Body (67938) $658.85 $823.56 2.1×
Remove foreign body from eye (65210) $658.85 $823.56 1.5×
Remove shoulder foreign body (23330) $836.76 $1,045.95 0.5×
Remv Ext Canal F.B.,Gen Anesth (69205) $5,838.82 $7,298.53 3.5×
Remv Ext Canal Foreign Body (69200) $358.61 $448.26 2.7×
Remv F.B.,Eye,Superf Conjunc (65205) $358.61 $448.26 2.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $658.85 $823.56 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $658.85 $823.56 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $658.85 $823.56 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $658.85 $823.56 1.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $658.85 $823.56 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $658.85 $823.56 1.6×
Repair complex trunk 1.1-2.5 cm (13100) $658.85 $823.56 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $658.85 $823.56 0.9×
Repair extensor tendon finger w/o graft each (26418) $836.76 $1,045.95 0.5×
Repair finger/hand tendon (26350) $836.76 $1,045.95 0.3×
Repair forearm tendon/muscle (25270) $11,916.72 $14,895.90 3.6×
Repair hand tendon (26410) $836.76 $1,045.95 0.5×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $658.85 $823.56 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $658.85 $823.56 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $658.85 $823.56 1.6×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $658.85 $823.56 1.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $658.85 $823.56 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $658.85 $823.56 1.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $658.85 $823.56 1.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $658.85 $823.56 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $658.85 $823.56 1.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $658.85 $823.56 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $658.85 $823.56 0.9×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $836.76 $1,045.95 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $658.85 $823.56 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $658.85 $823.56 1.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $658.85 $823.56 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $658.85 $823.56 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $658.85 $823.56 1.6×
Repair intermediate s/a/t/e >30.0 cm (12037) $836.76 $1,045.95 0.4×
Repair Laceration Palate </2 Cm (42180) $658.85 $823.56 1.2×
Repair of nail bed (11760) $658.85 $823.56 0.9×
Repair Tongue Laceration (41250) $658.85 $823.56 1.5×
Rmvl embedded fb vestibule mouth comp (40805) $658.85 $823.56 1.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $658.85 $823.56 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $658.85 $823.56 1.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $358.61 $448.26 2.7×
Rmvl fecal impaction/fb spx under anes (45915) $1,184.26 $1,480.33 1.0×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $9,496.12 $11,870.15 3.3×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $836.76 $1,045.95 0.3×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $658.85 $823.56 0.9×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $658.85 $823.56 2.8×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $658.85 $823.56 2.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $658.85 $823.56 1.2×
Rpr Lip Full Thickness Vermilion Only (40650) $658.85 $823.56 1.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $836.76 $1,045.95 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $658.85 $823.56 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $658.85 $823.56 3.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $658.85 $823.56 3.3×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $658.85 $823.56 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $658.85 $823.56 3.3×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $658.85 $823.56 3.3×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $658.85 $823.56 3.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $658.85 $823.56 3.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $658.85 $823.56 3.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $658.85 $823.56 3.3×
Slitting of prepuce (54001) $7,781.71 $9,727.14 3.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $658.85 $823.56 3.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $658.85 $823.56 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $658.85 $823.56 1.6×
Spinal puncture lumbar diagnostic (62270) $836.76 $1,045.95 1.2×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $4,750.02 $5,937.52 7.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $836.76 $1,045.95 1.3×
Thrombolytic Therapy, Stroke (37195) $1,924.66 $2,405.82 5.8×
Trach Tube Change (31502) $658.85 $823.56 2.8×
Tracheostomy emergency cricothyroid membrane (31605) $658.85 $823.56 2.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $836.76 $1,045.95 0.5×
Treat Fracture Radius & Ulna (25560) $658.85 $823.56 2.7×
Treat humerus fracture (24500) $658.85 $823.56 2.7×
Treat humerus fracture (24577) $836.76 $1,045.95 0.5×
Treat humerus fracture (23600) $658.85 $823.56 2.7×
Treat knee fracture (27532) $658.85 $823.56 0.2×
Treat Metatarsal Fracture (28475) $658.85 $823.56 2.7×
Treat Thumb Fx/Disloc,Manip (26645) $836.76 $1,045.95 0.5×
Treat Vaginal Bleeding (57180) $658.85 $823.56 3.2×
Treat wrist bone fracture (25635) $836.76 $1,045.95 0.5×
Treat wrist bone fracture (25622) $658.85 $823.56 2.7×
Treat Wrist Bone Fracture (25630) $658.85 $823.56 2.7×
Treatment closed elbow dislocation req anes (24605) $836.76 $1,045.95 0.5×
Treatment closed elbow dislocation w/o anes (24600) $658.85 $823.56 2.7×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $658.85 $823.56 2.7×
Trim skin lesion (11055) $548.68 $685.85 2.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $658.85 $823.56 0.9×
Tx superficial wound dehiscence w/packing (12021) $658.85 $823.56 1.6×
Unlisted Procedure Nervous System (64999) $6,872.97 $8,591.21 22.3×
Vaginal delivery only (59409) $836.76 $1,045.95 0.3×
Venipuncture (36415) $99.41 $124.26 10.6×
Venipuncture, cutdown; age 1 or over (36425) $658.85 $823.56 1.5×