Procedures & surgery prices at Three Rivers Health
Three Rivers, MI · every code in this section with a posted price and a Medicare benchmark.
259 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $2,631.20 | $4,048 | 2.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,590.55 | $2,447 | 1.7× |
| Application finger splint static (29130) | $232.05 | $357 | 1.7× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$560.30–$1,121.25 | $862–$1,725 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$560.30–$1,121.25 | $862–$1,725 | varies |
| Application of rigid total contact leg cast (29445) | $919.10 | $1,414 | 3.3× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$435.50–$869.70 | $670–$1,338 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$560.30–$1,121.25 | $862–$1,725 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$521.30–$844.35 | $802–$1,299 | varies |
| Apply Short Leg Cast (29405) | $235.95 | $363 | 0.8× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$206.05–$217.10 | $317–$334 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $258.05 | $397 | 0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $274.95 | $423 | 0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $784.55 | $1,207 | 2.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $1,014 | $1,560 | 3.3× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$961.35–$5,074.55 | $1,479–$7,807 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $1,014 | $1,560 | 3.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$464.75–$520 | $715–$800 | varies |
| Biopsy bone open superficial (20240) | $8,437.65 | $12,981 | 2.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $4,879.55 | $7,507 | 2.9× |
| Bladder instillation anticarcinogenic agent (51720) | $341.90 | $526 | 0.5× |
| Bladder Irrigation (51700) | $951.60 | $1,464 | 3.8× |
| Bladder Scan (51798) | $236.60 | $364 | 4.0× |
| Blepharotomy drainage abscess eyelid (67700) | $1,027.65 | $1,581 | 3.2× |
| Blood Transfusion Service (36430) range across 7 matching MRF lines |
$646.10–$737.75 | $994–$1,135 | varies |
| Bx breast 1st lesion us imag (19083) | $4,065.75 | $6,255 | 2.4× |
| Change Cystostomy Tube Simple (51705) | $945.75 | $1,455 | 3.8× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$341.90–$637.65 | $526–$981 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$4,070.95–$8,143.20 | $6,263–$12,528 | varies |
| Circumcision Neonate (54160) | $561.60 | $864 | 0.8× |
| Circumcision w/clamp/oth dev w/block (54150) | $572.65 | $881 | 0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$4,543.50–$9,086.35 | $6,990–$13,979 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$435.50–$871 | $670–$1,340 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Closed rx talotarsal disloc,anesth (28575) range across 2 matching MRF lines |
$10,956.40–$21,912.80 | $16,856–$33,712 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $739.05 | $1,137 | 3.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$589.55–$1,179.10 | $907–$1,814 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$5,871.45–$11,742.25 | $9,033–$18,065 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $257.40 | $396 | 1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $251.55 | $387 | 1.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $665.60 | $1,024 | 1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$935.35–$1,781 | $1,439–$2,740 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$670.15–$1,340.30 | $1,031–$2,062 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$670.15–$1,340.30 | $1,031–$2,062 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $393.25 | $605 | 1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $312 | $480 | 1.3× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$4,543.50–$9,086.35 | $6,990–$13,979 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $983.45 | $1,513 | 3.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $889.85 | $1,369 | 3.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $983.45 | $1,513 | 3.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $889.85 | $1,369 | 3.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$890.50–$1,780.35 | $1,370–$2,739 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$890.50–$1,780.35 | $1,370–$2,739 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$5,591.30–$11,183.25 | $8,602–$17,205 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $578.50 | $890 | 2.3× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$3,532.10–$7,065.50 | $5,434–$10,870 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$890.50–$1,781 | $1,370–$2,740 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $4,644.90 | $7,146 | 2.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$4,543.50–$9,086.35 | $6,990–$13,979 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) range across 2 matching MRF lines |
$10,956.40–$21,912.80 | $16,856–$33,712 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$4,543.50–$9,086.35 | $6,990–$13,979 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $351.65 | $541 | 2.6× |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$20.15–$88.40 | $31–$136 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$8,273.85–$9,630.40 | $12,729–$14,816 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$435.50–$869.70 | $670–$1,338 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$435.50–$869.70 | $670–$1,338 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $505.05 | $777 | 3.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $739.05 | $1,137 | 3.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $2,022.15 | $3,111 | 4.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,797.25 | $2,765 | 2.4× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$206.70–$216.45 | $318–$333 | varies |
| Debride nail 6 or more (11721) | $216.45 | $333 | 3.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $4,904.90 | $7,546 | 3.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$920.40–$1,069.25 | $1,416–$1,645 | varies |
| Declot vascular device (36593) | $411.45 | $633 | 1.2× |
| Drainage external auditory canal abscess (69020) | $2,373.15 | $3,651 | 3.3× |
| Drainage external ear abscess/hematoma cmplx (69005) | $5,583.50 | $8,590 | 3.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $2,029.30 | $3,122 | 2.9× |
| Drainage Finger Abscess Complicated (26011) | $4,590.95 | $7,063 | 2.8× |
| Drainage Mouth Roof Lesion (42000) | $555.10 | $854 | 2.3× |
| Drainage of finger abscess simple (26010) | $474.50 | $730 | 2.4× |
| Drainage of gum lesion (41800) | $442 | $680 | 3.3× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$4,590.95–$5,149.95 | $7,063–$7,923 | varies |
| Drainage of nose lesion (30000) | $688.35 | $1,059 | 2.9× |
| Drainage of scrotal wall abscess (55100) | $5,583.50 | $8,590 | 3.4× |
| Draw Blood Off Venous Device (36591) | $228.80 | $352 | 1.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $2,029.30 | $3,122 | 2.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$1,110.20–$1,126.45 | $1,708–$1,733 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$581.10–$607.10 | $894–$934 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$581.10–$607.10 | $894–$934 | varies |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $9,371.70 | $14,418 | 3.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) range across 2 matching MRF lines |
$3,957.20–$5,773.30 | $6,088–$8,882 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $5,498.35 | $8,459 | 2.7× |
| Epidural Blood Patch (62273) | $1,329.25 | $2,045 | 1.9× |
| Escharotomy; initial incision (16035) | $972.40 | $1,496 | 2.4× |
| Evacuation of subungual hematoma (11740) | $194.35 | $299 | 1.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $670.15 | $1,031 | 1.6× |
| Excision of submandibular (submaxillary) gland (42440) | $8,691.15 | $13,371 | 1.5× |
| Fetal Contraction Stress Test (59020) | $577.85 | $889 | 2.8× |
| Fetal non-stress test (59025) | $308.10 | $474 | 1.5× |
| Fine needle aspiration without imaging guidance (10021) | $393.90 | $606 | 1.0× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$1,167.40–$1,186.90 | $1,796–$1,826 | varies |
| I&d abscess peritonsillar (42700) | $660.40 | $1,016 | 2.8× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$432.90–$607.10 | $666–$934 | varies |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $8,371.35 | $12,879 | 3.0× |
| I&d perianal abscess superficial (46050) | $2,590.25 | $3,985 | 2.8× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$1,834.30–$1,918.15 | $2,822–$2,951 | varies |
| Incise external hemorrhoid (46083) | $522.60 | $804 | 2.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$1,110.20–$1,160.25 | $1,708–$1,785 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,698.80 | $4,152 | 1.6× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$314.60–$341.25 | $484–$525 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $665.60 | $1,024 | 3.3× |
| Incision and drainage of vulva or perineal abscess (56405) | $330.20 | $508 | 1.1× |
| Incision of rectal abscess (46040) | $5,292.95 | $8,143 | 4.4× |
| Incisional biopsy skin single lesion (11106) | $1,126.45 | $1,733 | 1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$172.25–$285.35 | $265–$439 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,014 | $1,560 | 3.3× |
| Injection for identification of sentinel node (38792) | $1,454.70 | $2,238 | 3.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $1,014 | $1,560 | 3.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $692.90 | $1,066 | 1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $678.60 | $1,044 | 1.0× |
| Insert Bladder Cath Complex (51703) | $319.80 | $492 | 2.5× |
| Insert cervical dilator (59200) | $1,105 | $1,700 | 3.6× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$8,931–$9,338.55 | $13,740–$14,367 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $3,210.35 | $4,939 | 2.0× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$113.75–$118.30 | $175–$182 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$108.55–$112.45 | $167–$173 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,137.20 | $3,288 | 1.4× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$490.75–$666.25 | $755–$1,025 | varies |
| Laryngoscopy flexible diagnostic (31575) | $574.60 | $884 | 2.9× |
| Needle Biopsy Lymph Nodes (38505) | $1,489.80 | $2,292 | 0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $60.45 | $93 | 2.1× |
| Needle insertion w/o injection 3 or more muscles (20561) | $73.45 | $113 | 2.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$464.10–$884.65 | $714–$1,361 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $1,114.75 | $1,715 | 2.7× |
| Perq dev breast 1st us imag (19285) | $1,184.95 | $1,823 | 1.7× |
| Perq device breast 1st imag (19281) | $1,185.60 | $1,824 | 0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,049.75 | $1,615 | 1.5× |
| Placement of needle for intraosseous infusion (36680) | $1,366.95 | $2,103 | 3.0× |
| Punch biopsy skin single lesion (11104) | $1,126.45 | $1,733 | 2.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$314.60–$341.25 | $484–$525 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,167.40 | $1,796 | 1.6× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$1,108.90–$2,217.15 | $1,706–$3,411 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$2,373.15–$4,745.65 | $3,651–$7,301 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $5,583.50 | $8,590 | 3.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$232.05–$464.10 | $357–$714 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$232.05–$464.10 | $357–$714 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$404.95–$546 | $623–$840 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$982.80–$1,965.60 | $1,512–$3,024 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $699.40 | $1,076 | 3.5× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$982.80–$1,965.60 | $1,512–$3,024 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$435.50–$870.35 | $670–$1,339 | varies |
| Remove Intrauterine Device (58301) | $631.15 | $971 | 2.1× |
| Remove lung catheter (32552) | $1,911 | $2,940 | 3.0× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$435.50–$869.70 | $670–$1,338 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) | $7,445.75 | $11,455 | 2.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $7,421.70 | $11,418 | 2.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $500.50 | $770 | 0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,123.55 | $3,267 | 2.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $395.20 | $608 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $498.55 | $767 | 1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $2,022.15 | $3,111 | 4.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $2,123.55 | $3,267 | 5.2× |
| Repair complex trunk 1.1-2.5 cm (13100) | $2,022.15 | $3,111 | 2.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $2,123.55 | $3,267 | 2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $384.15 | $591 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $454.35 | $699 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $431.60 | $664 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $432.25 | $665 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $303.55 | $467 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $347.10 | $534 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $436.80 | $672 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $510.25 | $785 | 1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,129.05 | $1,737 | 2.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $344.50 | $530 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $393.25 | $605 | 1.0× |
| Repair of nail bed (11760) | $619.45 | $953 | 0.8× |
| Repair tongue laceration (41252) | $1,324.70 | $2,038 | 5.6× |
| Repair tongue laceration (41250) | $301.60 | $464 | 0.7× |
| Reposition Gastrostomy Tube (43761) | $793 | $1,220 | 3.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $2,388.75 | $3,675 | 2.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$1,366.95–$2,734.55 | $2,103–$4,207 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$435.50–$871 | $670–$1,340 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$1,366.95–$2,734.55 | $2,103–$4,207 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $626.60 | $964 | 1.0× |
| Rplc Gtube No Revj Trc (43762) | $793.65 | $1,221 | 3.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $3,210.35 | $4,939 | 2.0× |
| Rpr blood vessel direct lower extremity (35226) | $1,894.10 | $2,914 | 2.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $271.70 | $418 | 1.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $739.05 | $1,137 | 3.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,904.50 | $2,930 | 3.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,129.05 | $1,737 | 2.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $213.20 | $328 | 1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $263.25 | $405 | 1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $260 | $400 | 1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$249.60–$325 | $384–$500 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $699.40 | $1,076 | 3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $356.85 | $549 | 1.8× |
| Skin sub graft face/nk/hf/g (15275) | $5,073.90 | $7,806 | 6.8× |
| Skin sub graft trnk/arm/leg (15271) | $5,663.45 | $8,713 | 7.6× |
| Skin sub grft t/arm/lg child (15273) | $8,802.95 | $13,543 | 4.2× |
| Skn sub grft f/n/hf/g child (15277) | $1,584.05 | $2,437 | 0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $347.75 | $535 | 1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $522.60 | $804 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,287.65 | $1,981 | 3.2× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$1,994.85–$2,071.55 | $3,069–$3,187 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$196.30–$1,121.25 | $302–$1,725 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$131.95–$165.75 | $203–$255 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$131.30–$263.90 | $202–$406 | varies |
| Strapping Hip (29520) | $171.60 | $264 | 1.3× |
| Strapping knee (29530) range across 3 matching MRF lines |
$190.45–$869.70 | $293–$1,338 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$196.30–$869.70 | $302–$1,338 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$161.20–$232.05 | $248–$357 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$496.60–$804.05 | $764–$1,237 | varies |
| Tangential biopsy skin single lesion (11102) | $625.95 | $963 | 1.5× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$362.70–$980.20 | $558–$1,508 | varies |
| Tooth extraction (41899) | $574.60 | $884 | 2.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,903.85 | $2,929 | 8.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $4,713.80 | $7,252 | 3.0× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$739.05–$1,478.10 | $1,137–$2,274 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$889.85–$1,779.70 | $1,369–$2,738 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$890.50–$1,780.35 | $1,370–$2,739 | varies |
| Trim skin lesion (11055) | $607.10 | $934 | 3.0× |
| Trim skin lesions 2 to 4 (11056) | $607.10 | $934 | 3.0× |
| Trim skin lesions over 4 (11057) | $589.55 | $907 | 2.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $216.45 | $333 | 3.7× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$490.10–$585 | $754–$900 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) | $4,715.10 | $7,254 | 2.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$5,591.95–$11,183.25 | $8,603–$17,205 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $683.15 | $1,051 | 0.9× |
| Tx superficial wound dehiscence w/packing (12021) | $1,287.65 | $1,981 | 3.2× |
| Unlisted Procedure Hands/Fingers (26989) | $934.05 | $1,437 | 3.8× |
| Unlisted Procedure Male Genital System (55899) | $999.05 | $1,537 | 4.0× |
| Unlisted procedure nervous system (64999) | $592.15 | $911 | 1.9× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $776.10 | $1,194 | 3.3× |
| Unlisted Procedure Rectum (45999) | $2,828.15 | $4,351 | 3.0× |
| Unlisted Procedure Vascular Surgery (37799) | $1,918.15 | $2,951 | 3.0× |
| Unlisted px female genital system nonobstetrical (58999) | $698.75 | $1,075 | 3.4× |
| Vaginal delivery only (59409) | $8,560.50 | $13,170 | 2.6× |
| Wedge excision skin nail fold (11765) | $385.45 | $593 | 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.