Procedures & surgery prices at Thomas H Boyd Memorial Hospital
Carrollton, IL · every code in this section with a posted price and a Medicare benchmark.
280 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate inf turbinate submuc (30802) | $320.80 | $401 | 0.2× |
| Application cast elbow finger short arm (29075) | $98.40 | $123 | 0.3× |
| Application finger splint static (29130) | $57.60 | $72 | 0.4× |
| Application long arm splint shoulder hand (29105) | $102.40 | $128 | 0.6× |
| Application Long Leg Splint (29505) | $94.40 | $118 | 0.5× |
| Application of rigid total contact leg cast (29445) | $205.60 | $257 | 0.7× |
| Application short arm splint forearm-hand static (29125) | $85.60 | $107 | 0.6× |
| Application short leg splint calf foot (29515) | $102.40 | $128 | 0.6× |
| Apply hand/wrist cast (29085) | $107.20 | $134 | 0.6× |
| Apply long arm cast (29065) | $110.40 | $138 | 0.4× |
| Apply Multlay Comprs Lwr Leg (29581) | $60 | $75 | 0.3× |
| Apply Short Leg Cast (29405) | $115.20 | $144 | 0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $71.20 | $89 | 0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$105.60–$153.60 | $132–$192 | varies |
| Aspirate Pleura W/O Imaging (32554) | $156 | $195 | 0.2× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$92–$454.40 | $115–$568 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$131.20–$263.20 | $164–$329 | varies |
| Biopsy Oropharynx (42800) | $194.40 | $243 | 0.1× |
| Biopsy Salivary Gland Needle (42400) | $177.60 | $222 | 0.2× |
| Biopsy Tongue Posterior One-Third (41105) range across 2 matching MRF lines |
$87.20–$147.20 | $109–$184 | varies |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$750.40–$796.80 | $938–$996 | varies |
| Bladder Irrigation (51700) | $80.80 | $101 | 0.3× |
| Bladder Scan (51798) | $27.20 | $34 | 0.4× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$599.20–$1,528 | $749–$1,910 | varies |
| Bone Marrow; Aspiration Only (38220) | $131.20 | $164 | 0.1× |
| Change Cystostomy Tube Complicated (51710) | $136.80 | $171 | 0.2× |
| Change Cystostomy Tube Simple (51705) | $116.80 | $146 | 0.4× |
| Chest tube placement (32551) | $334.40 | $418 | 0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) | $908 | $1,135 | 0.5× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$83.20–$195.20 | $104–$244 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $581.60 | $727 | 2.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $811.20 | $1,014 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $471.20 | $589 | 1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $372.80 | $466 | 1.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $400 | $500 | 1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $844 | $1,055 | 3.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $314.40 | $393 | 1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $261.60 | $327 | 0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $234.40 | $293 | 0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $525.60 | $657 | 2.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $484 | $605 | 1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $378.40 | $473 | 1.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $384 | $480 | 1.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $390.40 | $488 | 1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $372.80 | $466 | 1.4× |
| Closed tx septal&nose fx (21337) | $366.40 | $458 | 0.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $410.40 | $513 | 1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $362.40 | $453 | 1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $340 | $425 | 1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $430.40 | $538 | 1.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $448 | $560 | 1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $474.40 | $593 | 1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $477.60 | $597 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $300 | $375 | 1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $455.20 | $569 | 1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $972 | $1,215 | 0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $234.40 | $293 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $236.80 | $296 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $480.80 | $601 | 1.8× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $523.20 | $654 | 2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $162.40 | $203 | 0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $388 | $485 | 1.5× |
| Cltx Medial Ankle Fx (27760) | $484 | $605 | 1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $549.60 | $687 | 2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $390.40 | $488 | 1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $288.80 | $361 | 1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $149.60 | $187 | 0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $544.80 | $681 | 2.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $799.20 | $999 | 0.5× |
| Collect Blood From Catheter Venous Nos (36592) | $40.80 | $51 | 0.3× |
| Collection of venous blood by venipuncture (36415) | $23.20 | $29 | 2.5× |
| Complex drainage wound (10180) | $325.60 | $407 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$140.80–$152 | $176–$190 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$101.60–$133.60 | $127–$167 | varies |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$227.20–$796.80 | $284–$996 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $131.20 | $164 | 2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$189.60–$260 | $237–$325 | varies |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $545.60 | $682 | 0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $55.20 | $69 | 0.1× |
| Debride nail 1-5 (11720) | $64.80 | $81 | 1.0× |
| Debridement Mastoidectomy Cavity Cmplx (69222) range across 2 matching MRF lines |
$232.80–$796.80 | $291–$996 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $98.40 | $123 | 0.2× |
| Delivery of placenta (59414) | — | $184 | — |
| Destruct B9 Lesion 1-14 (17110) | $263.20 | $329 | 1.2× |
| Destruction premalignant lesion 1st (17000) | $156.80 | $196 | 0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) | $272 | $340 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$189.60–$992 | $237–$1,240 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$195.20–$277.60 | $244–$347 | varies |
| Drainage of hematoma/fluid (10140) | $193.60 | $242 | 0.1× |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$38.40–$153.60 | $48–$192 | varies |
| Dressing Change Under Anesthesia (15852) range across 2 matching MRF lines |
$116.80–$180 | $146–$225 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $244.80 | $306 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$192.80–$373.60 | $241–$467 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $109.60 | $137 | 0.5× |
| Dx laryngoscopy w/oper scope (31526) | $311.20 | $389 | 0.2× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$528–$1,980 | $660–$2,475 | varies |
| Endoven ther chem adhes 1st (36482) range across 3 matching MRF lines |
$342.40–$3,062.40 | $428–$3,828 | varies |
| Enterorrhaphy single perforation (44602) | $2,411.20 | $3,014 | 0.6× |
| Episiotomy or vaginal repair (59300) | $256 | $320 | 0.1× |
| Evacuation of subungual hematoma (11740) | $57.60 | $72 | 0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $298.40 | $373 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$264–$420.80 | $330–$526 | varies |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) | $496 | $620 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$275.20–$992 | $344–$1,240 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
$324–$992 | $405–$1,240 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$178.40–$992 | $223–$1,240 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$228–$992 | $285–$1,240 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 5 matching MRF lines |
$91.20–$992 | $114–$1,240 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $311.20 | $389 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $350.40 | $438 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$141.60–$992 | $177–$1,240 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$192.80–$992 | $241–$1,240 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 5 matching MRF lines |
$238.40–$992 | $298–$1,240 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $575.20 | $719 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$253.60–$470.40 | $317–$588 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $326.40 | $408 | 0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) | $430.40 | $538 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $71.20 | $89 | 0.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $363.20 | $454 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$185.60–$404 | $232–$505 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $532.80 | $666 | 0.3× |
| Excision inferior turbinate partial/complete (30130) | $639.20 | $799 | 0.2× |
| Excision lesion mouth roof (42104) | $242.40 | $303 | 0.1× |
| Excision Lingual Frenum Frenectomy (41115) | $254.40 | $318 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $328.80 | $411 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $360.80 | $451 | 0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$220.80–$992 | $276–$1,240 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$407.20–$416 | $509–$520 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $662.40 | $828 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$213.60–$992 | $267–$1,240 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$264–$992 | $330–$1,240 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$301.60–$992 | $377–$1,240 | varies |
| Excision nasal polyp(s) simple (30110) | $224 | $280 | 0.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $457.60 | $572 | 0.2× |
| Exploration penetrating wound spx extremity (20103) | $688 | $860 | 0.4× |
| Fine needle aspiration without imaging guidance (10021) | $152 | $190 | 0.3× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $1,467.20 | $1,834 | 0.7× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$309.60–$497.60 | $387–$622 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$170.40–$288.80 | $213–$361 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $892.80 | $1,116 | 0.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $568 | $710 | 0.2× |
| I&d pilonidal cyst complicated (10081) | $270.40 | $338 | 0.4× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$210.40–$388.80 | $263–$486 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$313.60–$506.40 | $392–$633 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $839.20 | $1,049 | 0.3× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$321.60–$653.60 | $402–$817 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$165.60–$359.20 | $207–$449 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $176.80 | $221 | 0.8× |
| Incision and drainage of vulva or perineal abscess (56405) | $178.40 | $223 | 0.5× |
| Incision of eardrum (69421) | $255.20 | $319 | 0.1× |
| Incision of eardrum (69420) range across 3 matching MRF lines |
$206.40–$309.60 | $258–$387 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $187.20 | $234 | 0.1× |
| Incision of rectal abscess (46040) | $757.60 | $947 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$88.80–$180 | $111–$225 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $72.80 | $91 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $77.60 | $97 | 0.1× |
| Insert Bladder Cath Complex (51703) | $160 | $200 | 1.2× |
| Insert non-tunnel cv cath (36556) | $266.40 | $333 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$81.60–$196.80 | $102–$246 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $60 | $75 | 0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $160 | $200 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $174.40 | $218 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$231.20–$757.60 | $289–$947 | varies |
| Irrigation maxillary sinus (31000) range across 4 matching MRF lines |
$130.40–$195.20 | $163–$244 | varies |
| Largsc Arytenoidectomy Microscope/Telescope (31561) likely a partial charge, not the full procedure |
$704.80 | $881 | 0.1× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$130.40–$173.60 | $163–$217 | varies |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 2 matching MRF lines |
$210.40–$389.60 | $263–$487 | varies |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) | $417.60 | $522 | 0.1× |
| Laryngoscopy W/Biopsy (31535) | $336 | $420 | 0.1× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $374.40 | $468 | 0.1× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $194.40 | $243 | 0.5× |
| Larynscop w/tumr exc + scope (31541) | $466.40 | $583 | 0.1× |
| Middle ear expl thru postaur/ear canal inc (69440) | $1,171.20 | $1,464 | 0.3× |
| Middle ear surgery proc unlisted (69799) range across 2 matching MRF lines |
$44–$65.60 | $55–$82 | varies |
| Myringoplasty (69620) | $865.60 | $1,082 | 0.2× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$116–$273.60 | $145–$342 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$59.20–$455.20 | $74–$569 | varies |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $360 | $450 | 0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $446.40 | $558 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) | $283.20 | $354 | 0.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $335.20 | $419 | 0.2× |
| Needle Biopsy Lymph Nodes (38505) | $124 | $155 | 0.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $104 | $130 | 0.3× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) range across 2 matching MRF lines |
$230.40–$2,366.40 | $288–$2,958 | varies |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) range across 2 matching MRF lines |
$290.40–$2,484 | $363–$3,105 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) range across 2 matching MRF lines |
$74.40–$224 | $93–$280 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 2 matching MRF lines |
$144–$384 | $180–$480 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) likely a partial charge, not the full procedure |
$551.20 | $689 | 0.1× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) | $1,246.40 | $1,558 | 0.4× |
| Placement of needle for intraosseous infusion (36680) | $115.20 | $144 | 0.2× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$157.60–$230.40 | $197–$288 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$160–$238.40 | $200–$298 | varies |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) likely a partial charge, not the full procedure |
$1,399.20 | $1,749 | 0.2× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$224–$385.60 | $280–$482 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $341.60 | $427 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$32.80–$117.60 | $41–$147 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $117.60 | $147 | 1.9× |
| Removal of adenoids (42835) | $332 | $415 | 0.1× |
| Removal of adenoids (42831) | $386.40 | $483 | 0.1× |
| Removal of adenoids (42830) | $358.40 | $448 | 0.1× |
| Removal of foreign body from pharynx (42809) | $244.80 | $306 | 0.5× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$328.80–$372.80 | $411–$466 | varies |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$453.60 | $567 | 0.1× |
| Removal of tonsils (42826) | $438.40 | $548 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$150.40–$212.80 | $188–$266 | varies |
| Removal Submand Stone,Complicated (42335) | $859.20 | $1,074 | 0.2× |
| Remove foreign body from eye (65205) | $84.80 | $106 | 0.6× |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
$180–$211.20 | $225–$264 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $551.20 | $689 | 0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $617.60 | $772 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $454.40 | $568 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$555.20–$780 | $694–$975 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$316–$330.40 | $395–$413 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $347.20 | $434 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $386.40 | $483 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $361.60 | $452 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$284.80–$540.80 | $356–$676 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $339.20 | $424 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $395.20 | $494 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $418.40 | $523 | 1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $261.60 | $327 | 0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$344.80–$455.20 | $431–$569 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $477.60 | $597 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $344.80 | $431 | 0.8× |
| Repair tongue laceration (41250) | $218.40 | $273 | 0.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $172.80 | $216 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $78.40 | $98 | 0.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $89.60 | $112 | 0.2× |
| Rplc Gtube No Revj Trc (43762) | $401.60 | $502 | 1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $352 | $440 | 1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $291.20 | $364 | 0.5× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) likely a partial charge, not the full procedure |
$1,092.80 | $1,366 | 0.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $1,052 | $1,315 | 0.3× |
| Shave skin lesion 0.5 cm/< (11300) | $236 | $295 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $96.80 | $121 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $251.20 | $314 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $290.40 | $363 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $257.60 | $322 | 1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $376.80 | $471 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $287.20 | $359 | 1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$318.40–$366.40 | $398–$458 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $332 | $415 | 1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $430.40 | $538 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$208–$260.80 | $260–$326 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$105.60–$234.40 | $132–$293 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $240.80 | $301 | 1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$175.20–$199.20 | $219–$249 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $291.20 | $364 | 1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $260 | $325 | 1.2× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) likely a partial charge, not the full procedure |
$663.20 | $829 | 0.1× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) likely a partial charge, not the full procedure |
$718.40 | $898 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$175.20–$223.20 | $219–$279 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $289.60 | $362 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $243.20 | $304 | 0.6× |
| Strapping ankle (29540) | $66.40 | $83 | 0.4× |
| Strapping elbow or wrist (29260) | $67.20 | $84 | 1.1× |
| Strapping hand/finger (29280) | $67.20 | $84 | 1.1× |
| Strapping toes (29550) | $64.80 | $81 | 1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $471.20 | $589 | 0.1× |
| Thyroid biopsy (60100) | $162.40 | $203 | 0.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,180.80 | $1,476 | 0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $524.80 | $656 | 0.1× |
| Treat humerus fracture (23600) | $418.40 | $523 | 1.6× |
| Treat Knuckle Dislocation (26700) | $464 | $580 | 1.8× |
| Treat toe dislocation (28630) | $209.60 | $262 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $521.60 | $652 | 2.0× |
| Trim skin lesion (11055) | $149.60 | $187 | 0.7× |
| Tx Gastro Intub W/Asp (43753) | $48 | $60 | 0.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) range across 2 matching MRF lines |
$87.20–$108.80 | $109–$136 | varies |
| Tympanoplasty (69631) likely a partial charge, not the full procedure |
$1,505.60 | $1,882 | 0.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) unusually low: confirm this is the full procedure |
$1,980.80 | $2,476 | 0.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) likely a partial charge, not the full procedure |
$1,731.20 | $2,164 | 0.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) likely a partial charge, not the full procedure |
$1,392.80 | $1,741 | 0.2× |
| Tympanostomy general anesthesia (69436) | $275.20 | $344 | 0.2× |
| Unlisted Procedure External Ear (69399) range across 2 matching MRF lines |
$256–$309.60 | $320–$387 | varies |
| Unlisted Procedure Trachea Bronchi (31899) | $282.40 | $353 | 1.3× |
| Vaginal delivery only (59409) | $1,252.80 | $1,566 | 0.4× |
| Ventilating tube removal requiring general anesthesia (69424) | $108 | $135 | 0.0× |
| Wedge excision skin nail fold (11765) | $399.20 | $499 | 0.9× |
| Wedging of cast (29740) | $109.60 | $137 | 0.4× |
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.