Procedures & surgery prices at The University of Vermont Health Network - Alice Hyde Medical Center

Malone, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,143 $1,143 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,079 $1,079 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,977 $3,977 1.0×
Anoscopy diagnostic (46600) $212 $212 1.3×
Anoscopy W/Rmvl Foreign Body (46608) $1,090 $1,090 0.9×
Application cast elbow finger short arm (29075) $294 $294 0.8×
Application Finger Splint Dynamic (29131) $234 $234 3.2×
Application finger splint static (29130)
range across 3 matching MRF lines		 $132–$249 $132–$249 varies
Application long arm splint shoulder hand (29105) $401 $401 2.0×
Application Long Leg Splint (29505) $435 $435 2.1×
Application of long leg cast (29345) $314 $314 0.9×
Application Short Arm Splint Dynamic (29126) $290 $290 1.7×
Application short arm splint forearm-hand static (29125) $224 $224 1.3×
Application short leg splint calf foot (29515) $405 $405 2.0×
Apply long arm cast (29065) $453 $453 1.3×
Apply Short Leg Cast (29405) $341 $341 1.0×
Apply short leg cast (29425) $314 $314 0.9×
Arterial puncture (36600) $150 $150 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $380 $380 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $866 $866 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $2,285 $2,285 6.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $396 $396 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $380 $380 1.0×
Aspirate pleura w/ imaging (32555) $1,119 $1,119 1.4×
Aspirate Pleura W/O Imaging (32554) $756 $756 1.0×
Aspiration bladder insert suprapubic catheter (51102) $2,683 $2,683 1.0×
Aspiration Bladder Needle (51100) $899 $899 2.9×
Avulsion nail plate partial/complete simple 1 (11730) $216 $216 0.9×
Biopsy muscle percutaneous needle (20206) $3,371 $3,371 1.6×
Bladder instillation anticarcinogenic agent (51720) $374 $374 0.4×
Bladder Irrigation (51700) $520 $520 1.7×
Bladder Scan (51798) $98 $98 1.3×
Blepharotomy drainage abscess eyelid (67700) $347 $347 0.9×
Blood Transfusion Service (36430) $1,295 $1,295 2.4×
Bone Marrow; Aspiration Only (38220) $2,018 $2,018 1.0×
Bx breast 1st lesion us imag (19083) $4,500 $4,500 2.2×
Canthotomy Separate Procedure (67715) $2,910 $2,910 1.0×
Carpal Tunnel Surgery (64721) $2,349 $2,349 1.0×
Catheter aspiration nasotracheal spx (31720) $477 $477 1.7×
Change Cystostomy Tube Complicated (51710) $930 $930 1.1×
Change Cystostomy Tube Simple (51705) $666 $666 2.1×
Change of Windpipe Airway (31502) $291 $291 1.0×
Chest tube placement (32551) $2,796 $2,796 1.4×
Circumcision w/clamp/oth dev w/block (54150) $2,683 $2,683 1.0×
Cl Tx Scapular Fx; W Manip (23575) $1,915 $1,915 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $1,732 $1,732 0.9×
Clear outer ear canal (69200) $198 $198 1.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $281 $281 0.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,989 $1,989 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,317 $1,317 4.3×
Closed Treatment Ulnar Styloid Fracture (25650) $1,101 $1,101 3.6×
Closed tx ankle dislocation w/o anesthesia (27840) $1,374 $1,374 4.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,708 $1,708 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $931 $931 3.0×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,665 $1,665 0.8×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,258 $2,258 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $1,590 $1,590 5.2×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,997 $1,997 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,637 $2,637 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,403 $3,403 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $1,217 $1,217 4.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,989 $1,989 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $1,531 $1,531 5.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,874 $1,874 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $294 $294 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,691 $1,691 0.8×
Closed Tx Talus Fracture W/Manipulation (28435) $2,486 $2,486 1.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $305 $305 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,875 $1,875 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $656 $656 1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,041 $1,041 3.4×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,989 $1,989 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,989 $1,989 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $868 $868 2.8×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,002 $4,002 2.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,989 $1,989 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,206 $1,206 3.9×
Cltx dstl fibular fx lat malls w/manj (27788) $1,358 $1,358 4.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,014 $1,014 3.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,012 $1,012 3.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $568 $568 1.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $819 $819 2.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,853 $1,853 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,002 $2,002 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $664 $664 2.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $474 $474 1.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,593 $1,593 0.8×
Cltx hip dislocation traumatic req anesthesia (27252) $2,489 $2,489 1.2×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $1,027 $1,027 3.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $567 $567 1.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,441 $1,441 4.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $399 $399 1.3×
Cltx Med Ankle Fx W/Mnpj (27762) $1,989 $1,989 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $1,031 $1,031 3.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $819 $819 2.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $973 $973 3.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $631 $631 2.0×
Cltx post hip arthrp dislc req anes (27266) $2,043 $2,043 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $281 $281 0.9×
Cltx prox fibula/shft fx w/manj (27781) $3,315 $3,315 1.7×
Cltx prox fibula/shft fx w/o manj (27780) $2,768 $2,768 9.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,989 $1,989 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $290 $290 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,989 $1,989 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,009 $2,009 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,874 $1,874 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,396 $1,396 4.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,573 $1,573 5.1×
Cltx tibial shaft fx w/o manipulation (27750) $956 $956 3.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,989 $1,989 1.0×
Collect Blood From Catheter Venous Nos (36592) $168 $168 1.0×
Collection of venous blood by venipuncture (36415) $19 $19 2.0×
Colonoscopy w/ablation (45388) $3,723 $3,723 2.5×
Colonoscopy W/Band Ligation (45398) $3,723 $3,723 2.5×
Colonoscopy W/Resection (45390) $3,723 $3,723 1.1×
Colonoscopy w/submucosal inj (45381) $3,723 $3,723 2.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,723 $3,723 2.5×
Colsc flx w/removal lesion by hot bx forceps (45384) $3,723 $3,723 2.5×
Complex drainage wound (10180) $3,505 $3,505 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $633 $633 3.8×
Control Nasal Hemorrhage Anterior Simple (30901) $222 $222 1.3×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,177 $2,177 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $789 $789 4.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $297 $297 1.0×
Cysto w/insert ureteral stent (52332) $3,097 $3,097 0.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,505 $3,505 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $3,822 $3,822 4.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,105 $1,105 1.2×
Debride nail 1-5 (11720) $95 $95 1.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,018 $2,018 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $514 $514 1.0×
Declot vascular device (36593) $160 $160 0.4×
Delivery of placenta (59414) $3,111 $3,111 0.8×
Destroy cerv/thor facet jnt (64633) $2,581 $2,581 1.1×
Destroy lumb/sac facet jnt (64635) $2,581 $2,581 1.1×
Diagnostic sigmoidoscopy (45330) $3,049 $3,049 2.6×
Drain Cerebro Spinal Fluid (62272) $745 $745 0.8×
Drain chest lesion (21502) $4,001 $4,001 1.0×
Drainage external auditory canal abscess (69020) $838 $838 0.9×
Drainage external ear abscess/hematoma cmplx (69005) $1,931 $1,931 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $881 $881 1.0×
Drainage Finger Abscess Complicated (26011) $2,018 $2,018 1.0×
Drainage Mouth Roof Lesion (42000) $490 $490 1.7×
Drainage of finger abscess simple (26010) $839 $839 3.3×
Drainage of gum lesion (41800) $789 $789 4.8×
Drainage of hematoma/fluid (10140) $2,018 $2,018 1.0×
Drainage of scrotal wall abscess (55100) $2,018 $2,018 1.0×
Drainage of scrotum (54700) $2,683 $2,683 1.0×
Draw Blood Off Venous Device (36591) $175 $175 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $599 $599 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $497 $497 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $215 $215 0.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,079 $1,079 1.0×
Dx Bone Marrow Bx & Aspir (38222) $2,186 $2,186 0.6×
Dx gastr intub w/asp spec (43754) $381 $381 1.4×
Dx Laryngoscopy Excl Nb (31525) $2,072 $2,072 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,723 $3,723 1.6×
Egd control bleeding any (43255) $3,723 $3,723 1.6×
Egd dilation gastric/duodenal stricture (43245) $2,274 $2,274 0.9×
Egd Flexible Foreign Body Removal (43247) $3,723 $3,723 3.3×
Egd place gastrostomy tube (43246) $3,049 $3,049 1.3×
Egd remove lesion snare (43251) $3,723 $3,723 1.6×
Egd Varices Ligation (43244) $4,024 $4,024 1.7×
Epidural Blood Patch (62273) $915 $915 1.0×
Episiotomy or vaginal repair (59300) $3,401 $3,401 0.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,276 $1,276 1.1×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $3,723 $3,723 0.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,205 $2,205 1.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $3,723 $3,723 1.6×
Evacuation of subungual hematoma (11740) $108 $108 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,662 $1,662 1.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $881 $881 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $881 $881 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,434 $1,434 1.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $835 $835 1.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,765 $2,765 1.1×
Exchange Transfusion Blood Newborn (36450) $758 $758 1.4×
Expl po hemrrg thrombosis/infctj xtr (35860) $3,892 $3,892 1.0×
Exploration penetrating wound spx extremity (20103) $2,139 $2,139 1.0×
Fetal Contraction Stress Test (59020) $761 $761 3.0×
Fetal non-stress test (59025) $250 $250 1.0×
Fluoro exam of g/colon tube (49465) $684 $684 2.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $881 $881 1.0×
Fna bx w/us gdn 1st les (10005) $881 $881 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,001 $2,001 1.7×
I&d abscess peritonsillar (42700) $620 $620 2.1×
I&d abscess simple (10060) $642 $642 2.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,627 $3,627 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,627 $3,627 1.0×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $4,001 $4,001 1.0×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $4,001 $4,001 1.0×
I&d perianal abscess superficial (46050) $943 $943 0.8×
I&d pilonidal cyst complicated (10081) $881 $881 1.0×
I&d pilonidal cyst simple (10080) $881 $881 1.0×
I&d shoulder deep abscess/hematoma (23030) $3,505 $3,505 1.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,100 $2,100 0.6×
Image Cath Fluid Colxn Visc (49405) $2,081 $2,081 1.0×
Incise external hemorrhoid (46083) $832 $832 2.7×
Incise finger tendon sheath (26055) $1,405 $1,405 0.7×
Incision & drainage abscess complicated/multiple (10061) $723 $723 1.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $3,627 $3,627 1.0×
Incision & removal foreign body subq tiss compl (10121) $2,018 $2,018 1.0×
Incision & removal foreign body subq tiss simple (10120) $787 $787 1.6×
Incision and drainage of bartholin's gland abscess (56420) $334 $334 1.3×
Incision and drainage of vulva or perineal abscess (56405) $639 $639 1.7×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
likely a partial charge, not the full procedure		 $1,412 $1,412 0.2×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
likely a partial charge, not the full procedure		 $1,398 $1,398 0.2×
Incision of rectal abscess (46040) $1,597 $1,597 1.1×
Incision of urethra (53000) $2,683 $2,683 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,018 $2,018 1.0×
Incisional biopsy skin single lesion (11106) $501 $501 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,739 $1,739 1.6×
Inj W/Fluor Eval Cv Device (36598) $269 $269 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $862 $862 1.0×
Injection anesthetic agent suprascapular nerve (64418) $866 $866 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $475 $475 1.2×
Injection, anesthetic agent; brachial plexus, single (64415) $1,086 $1,086 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $862 $862 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $832 $832 0.9×
Insert Bladder Cath Complex (51703) $824 $824 5.1×
Insert cath pleura w/o image (32556) $2,275 $2,275 0.9×
Insert Gastrostomy Tube Percutaneous (49440) $3,120 $3,120 1.3×
Insert non-tunnel cv cath (36556) $2,150 $2,150 0.5×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,095 $1,095 0.6×
Insert Temp Bladder Cath (51702) $458 $458 2.8×
Insert tunneled cv cath (36561) $3,892 $3,892 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $356 $356 2.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,737 $1,737 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $974 $974 0.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,892 $3,892 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,290 $1,290 0.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,734 $4,734 1.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,521 $9,521 0.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,203 $1,203 2.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,633 $1,633 3.2×
Intubation endotracheal emergency procedure (31500) $653 $653 2.2×
Laryngoscopy diagnostic (31505) $221 $221 0.9×
Laryngoscopy flexible diagnostic (31575) $298 $298 1.2×
Lithotripsy, extracorporeal shock wave (50590) $5,164 $5,164 1.2×
Manipulation tmj therapeutic require anesthesia (21073) $1,694 $1,694 0.9×
Myelography Lumbar Injection (62304) $942 $942 1.0×
N Block Inj Ilio-Ing/Hypogi (64425) $915 $915 1.0×
N block inj intercost sng (64420) $862 $862 1.0×
N Block Inj Paracervical (64435) $872 $872 1.0×
N Block Lumbar/Thoracic (64520) $1,154 $1,154 1.0×
Needle Biopsy Lymph Nodes (38505) $2,018 $2,018 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $369 $369 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,285 $2,285 2.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,037 $1,037 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,037 $1,037 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,037 $1,037 1.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $895 $895 1.0×
Occipital Nerve Block (64405) $626 $626 1.6×
Perq dev breast 1st us imag (19285) $881 $881 1.0×
Placement of needle for intraosseous infusion (36680) $433 $433 0.8×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $3,723 $3,723 2.5×
Punch biopsy skin single lesion (11104) $271 $271 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $702 $702 1.4×
Puncture Aspiration Cyst Breast (19000) $848 $848 1.0×
Reduction of rectal prolapse (45900) $1,090 $1,090 0.9×
Removal Embedded Foreign Body Eyelid (67938) $792 $792 2.0×
Removal Foreign Body Foot Subcutaneous (28190) $881 $881 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $239 $239 3.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $159 $159 2.2×
Removal of foreign body from pharynx (42809) $570 $570 1.0×
Removal of nail bed (11750) $594 $594 1.2×
Removal or bivalving full arm or full leg cast (29705) $363 $363 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $328 $328 1.3×
Remove foreign body from eye (65205) $151 $151 0.9×
Remove Intrauterine Device (58301) $557 $557 1.5×
Remove Nasal Foreign Body (30300) $723 $723 4.4×
Repair Blood Vessel Direct Upper Extremity (35206) $4,070 $4,070 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,348 $1,348 1.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,865 $2,865 3.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,190 $1,190 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,394 $2,394 4.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,078 $1,078 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,819 $1,819 3.6×
Repair complex trunk 1.1-2.5 cm (13100) $1,036 $1,036 1.1×
Repair complex trunk 2.6-7.5 cm (13101) $930 $930 1.0×
Repair Eyelid Wound (67935) $3,919 $3,919 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,182 $1,182 2.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,235 $1,235 2.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $934 $934 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $985 $985 1.9×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,824 $1,824 3.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,206 $1,206 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,455 $1,455 2.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $862 $862 1.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,967 $1,967 2.1×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,331 $2,331 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $786 $786 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $899 $899 1.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $882 $882 1.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,313 $1,313 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $642 $642 1.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $4,083 $4,083 1.6×
Repair of nail bed (11760) $742 $742 0.8×
Repair tongue laceration (41252) $1,689 $1,689 5.7×
Repair tongue laceration (41250) $787 $787 1.4×
Replace g/c tube perc (49450) $1,391 $1,391 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $433 $433 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $246 $246 1.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,505 $3,505 1.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,018 $2,018 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $987 $987 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,119 $1,119 1.4×
Rplc Gtube No Revj Trc (43762) $446 $446 1.4×
Rplc gtube revj gstrst trc (43763) $355 $355 1.1×
Rpr blood vessel direct lower extremity (35226) $2,408 $2,408 2.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $792 $792 3.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,428 $1,428 1.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $770 $770 2.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,584 $1,584 2.4×
Rpr Lip Full Thickness Vermilion Only (40650) $686 $686 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,864 $1,864 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,683 $1,683 2.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,723 $3,723 2.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,106 $1,106 2.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $420 $420 1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $826 $826 3.3×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $909 $909 1.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $672 $672 2.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,117 $1,117 4.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $352 $352 1.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,065 $1,065 4.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $483 $483 1.9×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $2,339 $2,339 0.4×
Slitting of prepuce (54001) $2,683 $2,683 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $390 $390 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,182 $1,182 2.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $947 $947 1.9×
Spinal puncture lumbar diagnostic (62270) $832 $832 0.9×
Strapping ankle (29540) $174 $174 0.9×
Strapping elbow or wrist (29260) $73 $73 1.0×
Strapping hand/finger (29280) $76 $76 1.0×
Strapping knee (29530) $174 $174 1.0×
Strapping shoulder (29240) $174 $174 1.0×
Strapping thorax (29200) $206 $206 1.0×
Strapping toes (29550) $149 $149 2.0×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $179–$369 $179–$369 varies
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,910 $2,910 1.0×
Tangential biopsy skin single lesion (11102) $271 $271 0.5×
Thrombolytic Therapy Stroke (37195) $446 $446 1.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $648 $648 2.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,427 $1,427 0.7×
Treat humerus fracture (24500) $1,562 $1,562 5.1×
Treat Humerus Fracture (24505) $1,625 $1,625 0.8×
Treat knee fracture (27532) $4,056 $4,056 1.0×
Treat Knuckle Dislocation (26700) $1,192 $1,192 3.9×
Treat toe dislocation (28630) $489 $489 1.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,989 $1,989 1.0×
Treatment closed elbow dislocation w/o anes (24600) $1,062 $1,062 3.4×
Treatment of foot infection (28003) $4,001 $4,001 1.0×
Tx Gastro Intub W/Asp (43753) $381 $381 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,537 $1,537 1.7×
Tx superficial wound dehiscence w/packing (12021) $517 $517 1.0×
Unlisted Procedure Intestine (44799) $1,887 $1,887 1.7×
Vaginal delivery only (59409) $4,037 $4,037 1.0×
Wedge excision skin nail fold (11765) $480 $480 0.9×

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.