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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ProcedurePosted cashPosted gross× 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×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $880.22 $1,100.28 3.1×
Application cast elbow finger short arm (29075) $719.80 $899.75 2.6×
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 (29505) $626.06 $782.58 3.8×
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 long arm cast (29065) $358.61 $448.26 1.3×
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×
Aspirate pleura w/ imaging (32555) $4,750.02 $5,937.52 7.5×
Aspirate Pleura W/O Imaging (32554) $836.76 $1,045.95 1.3×
Aspirate/Inj Ganglion Cyst (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×
Aspiration bladder trocar/intracatheter (51101) $6,244.61 $7,805.76 7.2×
Avulsion nail plate partial/complete simple 1 (11730) $658.85 $823.56 3.3×
Bladder Irrigation (51700) $658.85 $823.56 2.6×
Bladder Scan (51798) $1,000.78 $1,250.98 16.9×
Blepharotomy drainage abscess eyelid (67700) $658.85 $823.56 2.1×
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×
Change of Windpipe Airway (31502) $658.85 $823.56 2.8×
Chemical Cautery Tissue (17250) $1,781.94 $2,227.43 8.8×
Chest tube placement (32551) $836.76 $1,045.95 0.5×
Cl Tx Tib Shft Fx W Manip (27752) $836.76 $1,045.95 0.5×
Clear outer ear canal (69200) $358.61 $448.26 2.7×
Closed Rx Spontaneous Hip Disloc (27256) $658.85 $823.56 2.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $836.76 $1,045.95 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $658.85 $823.56 2.7×
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 Carpal Scaphoid Fracture W/O Manj (25622) $658.85 $823.56 2.7×
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 Bone Fx W/Mnpj W/O Stabilization (21315) $836.76 $1,045.95 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $836.76 $1,045.95 0.3×
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 Radial Shaft Fracture W/O Manipulation (25500) $658.85 $823.56 2.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $836.76 $1,045.95 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $658.85 $823.56 2.7×
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 talus fracture w/o manipulation (28430) $658.85 $823.56 2.7×
Closed tx tarsometatarsal dislocation w/o anes (28600) $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 Laceration Vestibule Mouth > 2.5 Cm/Cpl (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 mtcarphlngl/iphal jt w/manj (26742) $836.76 $1,045.95 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $658.85 $823.56 2.7×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $836.76 $1,045.95 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $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/Manj W/WO Skel Tracj (27232) $836.76 $1,045.95 0.5×
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 humeral tuberosity fx w/o manj (23620) $658.85 $823.56 2.7×
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 humeral condylar fx medial/lateral w/manj (24577) $836.76 $1,045.95 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $836.76 $1,045.95 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $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 Med Ankle Fx W/Mnpj (27762) $836.76 $1,045.95 0.5×
Cltx Medial Ankle Fx (27760) $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 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 Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $658.85 $823.56 2.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $658.85 $823.56 2.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $836.76 $1,045.95 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $836.76 $1,045.95 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $658.85 $823.56 2.7×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $658.85 $823.56 2.7×
Cltx tibial fx proximal w/o manipulation (27530) $658.85 $823.56 2.7×
Cltx tibial shaft fx w/o manipulation (27750) $658.85 $823.56 2.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $836.76 $1,045.95 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $658.85 $823.56 2.7×
Collect Blood From Catheter Venous Nos (36592) $358.61 $448.26 2.7×
Collection of venous blood by venipuncture (36415) $99.41 $124.26 10.6×
Colporrhaphy (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 of placenta (59414) $836.76 $1,045.95 0.3×
Destruct B9 Lesion 1-14 (17110) $658.85 $823.56 3.3×
Destruction premalignant lesion 1st (17000) $743.18 $928.97 3.7×
Drain shoulder bursa (23031) $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 cmplx (69005) $836.76 $1,045.95 0.5×
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 Mouth Roof Lesion (42000) $658.85 $823.56 2.8×
Drainage of finger abscess simple (26010) $658.85 $823.56 3.3×
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×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $836.76 $1,045.95 1.2×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $658.85 $823.56 1.2×
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 b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $3,442.50 $4,303.13 4.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $836.76 $1,045.95 0.7×
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×
Foreskin manipulation (54450) $658.85 $823.56 2.6×
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 complicated (10081) $5,129.94 $6,412.42 7.2×
I&d pilonidal cyst simple (10080) $836.76 $1,045.95 1.2×
I&d shoulder deep abscess/hematoma (23030) $836.76 $1,045.95 0.3×
I&d upper arm/elbow deep abscess/hematoma (23930) $836.76 $1,045.95 0.3×
Incise external hemorrhoid (46083) $658.85 $823.56 2.6×
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 leg/ankle infected bursa (27604) $836.76 $1,045.95 0.3×
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&Drainage Upper Arm/Elbow Bursa (23931) $836.76 $1,045.95 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $658.85 $823.56 3.3×
Injection 1 tendon sheath/ligament aponeurosis (20550) $658.85 $823.56 2.1×
Injection Anes Agent Sphenopalatine Ganglion (64505) $1,628.37 $2,035.46 5.3×
Injection single tendon origin/insertion (20551) $658.85 $823.56 2.1×
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; other peripheral nerve or branch (64450) $836.76 $1,045.95 1.2×
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 cath pleura w/o image (32556) $836.76 $1,045.95 0.4×
Insert non-tunnel cv cath (36556) $836.76 $1,045.95 0.3×
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×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $836.76 $1,045.95 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $10,145.90 $12,682.37 6.4×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,479.01 $3,098.76 0.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $658.85 $823.56 1.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $658.85 $823.56 1.6×
Intraoral i&d tongue/floor lingual (41000) $658.85 $823.56 1.2×
Intubation endotracheal emergency procedure (31500) $658.85 $823.56 2.8×
Irrigation of corpora cavernosa for priapism (54220) $658.85 $823.56 2.6×
Laryngoscopy diagnostic (31505) $658.85 $823.56 3.3×
Laryngoscopy W/Foreign Body Removal (31530) $7,826.49 $9,783.11 4.4×
N block inj intercost sng (64420) $836.76 $1,045.95 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $1,777.32 $2,221.65 4.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $658.85 $823.56 2.1×
Occipital Nerve Block (64405) $658.85 $823.56 2.1×
Penile Injection (54235) $948.89 $1,186.11 3.8×
Placement of needle for intraosseous infusion (36680) $658.85 $823.56 1.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $658.85 $823.56 1.6×
Puncture Aspiration Cyst Breast (19000) $1,766.20 $2,207.75 2.5×
Removal Embedded Foreign Body Eyelid (67938) $658.85 $823.56 2.1×
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 Scrotum (55120) $836.76 $1,045.95 0.4×
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 foreign body from pharynx (42809) $658.85 $823.56 1.5×
Removal of nail bed (11750) $658.85 $823.56 1.6×
Removal or bivalving full arm or full leg cast (29705) $361.66 $452.07 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $658.85 $823.56 3.3×
Removal/bivalving gauntlet boot/body cast (29700) $243.84 $304.80 0.9×
Remove foreign body from eye (65205) $358.61 $448.26 2.7×
Remove Intrauterine Device (58301) $658.85 $823.56 2.2×
Remove Nasal Foreign Body (30300) $658.85 $823.56 4.9×
Remove Shoulder Foreign Body (23330) $836.76 $1,045.95 0.5×
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 Hand Tendon (26410) $836.76 $1,045.95 0.5×
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 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 (41252) $658.85 $823.56 2.8×
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 Auditory Canal Anes (69205) $5,838.82 $7,298.53 3.5×
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 fb xtrnl eye embed scjncl/scleral nonperfor (65210) $658.85 $823.56 1.5×
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×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $836.76 $1,045.95 0.5×
Rplc Gtube No Revj Trc (43762) $658.85 $823.56 2.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $658.85 $823.56 3.3×
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 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×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $11,916.72 $14,895.90 3.6×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $10,341.42 $12,926.77 3.1×
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 >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×
Thrombolytic Therapy Stroke (37195) $1,924.66 $2,405.82 5.8×
Tracheostomy Emergency Cricothyroid Membrane (31605) $658.85 $823.56 2.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $836.76 $1,045.95 0.5×
Treat humerus fracture (24500) $658.85 $823.56 2.7×
Treat Humerus Fracture (24505) $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 Knuckle Dislocation (26700) $658.85 $823.56 2.7×
Treat Metatarsal Fracture (28475) $658.85 $823.56 2.7×
Treat Tail Bone Fracture (27200) $658.85 $823.56 2.7×
Treat Thumb Dislocation (26641) $658.85 $823.56 2.7×
Treat Thumb Fracture (26645) $836.76 $1,045.95 0.5×
Treat toe dislocation (28630) $658.85 $823.56 2.7×
Treat Vaginal Bleeding (57180) $658.85 $823.56 3.2×
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×
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×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $658.85 $823.56 2.7×
Unlisted procedure nervous system (64999) $6,872.97 $8,591.21 22.3×
Vaginal delivery only (59409) $836.76 $1,045.95 0.3×
Venous Cutdown >1 Y/O (36425) $658.85 $823.56 1.5×
Wedge excision skin nail fold (11765) $658.85 $823.56 1.6×