Procedures & surgery prices at Tioga Medical Center

Tioga, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,806 $1,806 1.9×
Acne surgery (10040)
range across 2 matching MRF lines
$185–$393 $185–$393 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,537 $3,537 1.7×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,537 $3,537 1.7×
Amputation toe metatarsophalangeal joint (28820) $5,971 $5,971 1.8×
Anoscopy diagnostic (46600) $249 $249 1.8×
Application cast elbow finger short arm (29075) $274 $274 1.0×
Application finger splint static (29130) $236 $236 1.7×
Application long arm splint shoulder hand (29105) $324 $324 2.0×
Application Long Leg Splint (29505) $349 $349 2.1×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$223–$426 $223–$426 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$152–$384 $152–$384 varies
Apply Short Leg Cast (29405) $564 $564 2.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure
$2,245 $2,245 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$136–$605 $136–$605 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$147–$605 $147–$605 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$170–$583 $170–$583 varies
Arthrodesis great toe interphalangeal joint (28755) $13,548 $13,548 1.8×
Arthrodesis great toe metatarsophalangeal joint (28750) $13,548 $13,548 1.8×
Arthrodesis subtalar (28725) $25,986 $25,986 2.0×
Arthroplasty Ankle (27700) $13,220 $13,220 1.8×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines
$24,984–$25,986 $24,984–$25,986 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898) $5,972 $5,972 1.8×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $6,237 $6,237 1.9×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $6,238 $6,238 1.9×
Arthrotomy ankle w/expl drainage/removal fb (27610) $5,971 $5,971 1.8×
Arthrotomy W/Synovectomy Ankle (27625) $5,972 $5,972 1.8×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $5,972 $5,972 1.8×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines
$1,989–$6,237 $1,989–$6,237 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $5,972 $5,972 1.8×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $5,971 $5,971 1.8×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $6,237 $6,237 1.9×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $6,237 $6,237 1.9×
Aspiration bladder insert suprapubic catheter (51102) $3,739 $3,739 1.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$344–$759 $344–$759 varies
Bladder Irrigation (51700) $557 $557 2.2×
Bladder Scan (51798) $235 $235 3.9×
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$1,017–$2,362 $1,017–$2,362 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $6,238 $6,238 1.9×
Capsular contracture release (23020) $6,238 $6,238 1.9×
Capsulotomy Iphal Joint Each Joint Spx (28272) $3,122 $3,122 1.9×
Capsulotomy Midtarsal (28264) $2,974 $2,974 1.8×
Carpal Tunnel Surgery (64721) $4,340 $4,340 2.2×
Change Cystostomy Tube Simple (51705) $556 $556 2.2×
Chest tube placement (32551)
range across 2 matching MRF lines
$518–$2,832 $518–$2,832 varies
Cl Tx Tib Shft Fx W Manip (27752) $3,122 $3,122 1.9×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$290–$364 $290–$364 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines
$435–$1,413 $435–$1,413 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines
$1,066–$1,190 $1,066–$1,190 varies
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,408 $3,408 2.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines
$481–$3,041 $481–$3,041 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines
$1,418–$2,974 $1,418–$2,974 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines
$1,439–$3,122 $1,439–$3,122 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines
$534–$803 $534–$803 varies
Closed Tx Talus Fracture W/Manipulation (28435) $3,122 $3,122 1.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $534 $534 2.1×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines
$534–$757 $534–$757 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,679 $3,679 2.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$534–$922 $534–$922 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,581 $3,581 2.2×
Cltx dstl fibular fx lat malls w/manj (27788) $435 $435 1.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $435 $435 1.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$644–$993 $644–$993 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,122 $3,122 1.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines
$2,012–$2,825 $2,012–$2,825 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,093 $3,093 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $498 $498 2.0×
Cltx hip dislocation traumatic req anesthesia (27252) $2,833 $2,833 1.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $573 $573 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$534–$810 $534–$810 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines
$1,409–$3,122 $1,409–$3,122 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines
$534–$883 $534–$883 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,122 $3,122 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $737 $737 2.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $825 $825 3.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $644 $644 2.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,941 $2,941 1.8×
Collect Blood From Catheter Venous Nos (36592) $204 $204 1.5×
Collection of venous blood by venipuncture (36415) $28 $28 3.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $653 $653 0.5×
Colonoscopy thru stoma (44388) $1,961 $1,961 2.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,414 $2,414 2.0×
Complex drainage wound (10180)
range across 2 matching MRF lines
$568–$5,286 $568–$5,286 varies
Control Nasal Hemorrhage Anterior Complex (30903) $225 $225 1.7×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$180–$226 $180–$226 varies
Correction hammertoe (28285) $6,238 $6,238 1.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $6,237 $6,237 1.9×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $5,972 $5,972 1.8×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $13,548 $13,548 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $13,548 $13,548 1.8×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $6,237 $6,237 1.9×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $13,220 $13,220 1.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $303 $303 2.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines
$91–$1,081 $91–$1,081 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$495–$1,081 $495–$1,081 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$732–$3,056 $732–$3,056 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$196–$713 $196–$713 varies
Decomp forearm,1 compart,w/o debride (25020) $2,974 $2,974 1.8×
Decompression of tibia nerve (28035) $3,702 $3,702 1.9×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$377–$392 $377–$392 varies
Destruction premalignant lesion 1st (17000) $275 $275 1.3×
Diagnostic sigmoidoscopy (45330) $1,919 $1,919 2.0×
Drainage of finger abscess simple (26010) $925 $925 4.5×
Drainage of gum lesion (41800) $945 $945 7.0×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$378–$3,056 $378–$3,056 varies
Dressing Change Under Anesthesia (15852) $142 $142 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $392 $392 1.9×
Dx gastr intub w/asp spec (43754) $589 $589 2.7×
Egd cautery tumor polyp (43250) $1,441 $1,441 0.7×
Endoscopic plantar fasciotomy (29893) $6,237 $6,237 1.9×
Escharotomy; initial incision (16035) $713 $713 1.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $3,822 $3,822 1.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$164–$238 $164–$238 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines
$259–$1,288 $259–$1,288 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines
$498–$3,056 $498–$3,056 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines
$330–$1,288 $330–$1,288 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines
$418–$1,288 $418–$1,288 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines
$463–$1,288 $463–$1,288 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines
$568–$3,056 $568–$3,056 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines
$723–$3,056 $723–$3,056 varies
Exc Frenum Labial/Buccal (40819) $3,019 $3,019 1.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
$259–$3,056 $259–$3,056 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines
$350–$1,288 $350–$1,288 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines
$434–$3,056 $434–$3,056 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $3,311 $3,311 2.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $3,122 $3,122 1.9×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $6,107 $6,107 1.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$472–$1,288 $472–$1,288 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines
$574–$3,056 $574–$3,056 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines
$883–$5,286 $883–$5,286 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
$791–$3,056 $791–$3,056 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines
$1,037–$5,286 $1,037–$5,286 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines
$1,029–$3,057 $1,029–$3,057 varies
Exc tendon shth lesion leg/ankle (27630) $5,971 $5,971 1.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines
$334–$944 $334–$944 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$366–$1,288 $366–$1,288 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines
$521–$3,056 $521–$3,056 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $5,599 $5,599 1.9×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $5,002 $5,002 1.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,969 $2,969 1.8×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $12,710 $12,710 1.7×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines
$1,144–$6,237 $1,144–$6,237 varies
Excision Lingual Frenum Frenectomy (41115) $3,019 $3,019 1.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines
$523–$3,060 $523–$3,060 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines
$481–$3,060 $481–$3,060 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines
$522–$1,282 $522–$1,282 varies
Excision of gum flap (41821) $183 $183 0.1×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $4,340 $4,340 2.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $11,409 $11,409 1.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,973 $2,973 1.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $3,271 $3,271 1.9×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,968 $2,968 1.8×
Excision, interdigital (morton) neuroma, single, each (28080) $3,122 $3,122 1.9×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines
$1,438–$5,002 $1,438–$5,002 varies
Fasciectomy Plantar Fascia Partial Spx (28060) $5,972 $5,972 1.8×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines
$1,391–$6,237 $1,391–$6,237 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $6,092 $6,092 1.8×
Fusion Finger Joint (26860) $6,237 $6,237 1.9×
Fusion of foot bones (28740) $13,553 $13,553 1.8×
Gastrocnemius recession (27687) $6,177 $6,177 1.8×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $13,419 $13,419 1.8×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $5,730 $5,730 2.0×
I&d abscess simple (10060)
range across 2 matching MRF lines
$312–$930 $312–$930 varies
I&d perianal abscess superficial (46050) $1,771 $1,771 1.9×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines
$541–$1,288 $541–$1,288 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$327–$1,288 $327–$1,288 varies
Incise external hemorrhoid (46083) $594 $594 2.3×
Incise finger tendon sheath (26055) $3,093 $3,093 1.9×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$574–$845 $574–$845 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$330–$1,172 $330–$1,172 varies
Incision and drainage of bartholin's gland abscess (56420) $351 $351 1.7×
Incision of Foot Tendon (28234) $3,122 $3,122 1.9×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines
$194–$1,081 $194–$1,081 varies
Initial Tx 1st Degree Burn Local Tx (16000) $392 $392 1.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$124–$588 $124–$588 varies
Injection single/mlt trigger point 1/2 muscles (20552) $121 $121 0.4×
Injection therapeutic carpal tunnel (20526) $561 $561 1.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,626 $1,626 2.3×
Insert Bladder Cath Complex (51703) $301 $301 2.3×
Insert cath pleura w/o image (32556) $3,389 $3,389 1.7×
Insert Drug Implant Device (11981) $453 $453 3.3×
Insert Temp Bladder Cath (51702) $246 $246 1.8×
Insert,Non-Indwelling Bladder Catheter (51701) $246 $246 1.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $713 $713 1.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $713 $713 1.7×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$452–$512 $452–$512 varies
Manipulation Ankle Under General Anesthesia (27860) $5,673 $5,972 1.7×
Manipulation, finger joint, under anesthesia, each joint (26340)
range across 2 matching MRF lines
$1,075–$3,122 $1,075–$3,122 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $3,122 $3,122 1.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $52 $52 1.8×
Needle insertion w/o injection 3 or more muscles (20561) $52 $52 1.8×
Neurectomy, Intrinsic Musculature Of Foot (28055) $3,701 $3,701 1.9×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $4,431 $4,431 2.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$423–$672 $423–$672 varies
Open Treatment Bimalleolar Ankle Fracture (27814) $13,419 $13,419 1.8×
Open treatment calcaneal fracture (28415) $13,219 $13,219 1.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $13,548 $13,548 1.8×
Ostc prtl exostc/condylc metar head (28288) $6,237 $6,237 1.9×
Ostectomy calcaneus (28118) $6,177 $6,177 1.8×
Ostectomy, complete excision; fifth metatarsal head (28113) $6,092 $6,092 1.8×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $6,237 $6,237 1.9×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $12,710 $12,710 1.7×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $13,220 $13,220 1.8×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $13,548 $13,548 1.8×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $6,238 $6,238 1.9×
Osteotomy calcaneus w/wo internal fixation (28300) $13,220 $13,220 1.8×
Osteotomy talus (28302) $13,220 $13,220 1.8×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $12,710 $12,710 1.7×
Part remv talus or calcaneus (28120) $5,972 $5,972 1.8×
Partial removal of fibula (27641) $5,972 $5,972 1.8×
Partial removal of tibia (27640) $6,177 $6,177 1.8×
Partial removal of toe (28160) $5,972 $5,972 1.8×
Partical Excision Bone Phalanx Toe (28124) $6,237 $6,237 1.9×
Placement of needle for intraosseous infusion (36680) $925 $925 2.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $6,238 $6,238 1.9×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$392–$713 $392–$713 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$302–$713 $302–$713 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $13,219 $13,219 1.8×
Removal Foreign Body Foot Subcutaneous (28190) $1,378 $1,378 1.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $45 $45 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $175 $175 2.9×
Removal Implant Deep (20680) $5,654 $5,654 1.9×
Removal of foreign body from pharynx (42809) $855 $855 1.9×
Removal of heel spur (28119) $5,972 $5,972 1.8×
Removal of nail bed (11750)
range across 2 matching MRF lines
$821–$1,320 $821–$1,320 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines
$234–$392 $234–$392 varies
Removal/bivalving gauntlet boot/body cast (29700) $202 $202 0.7×
Remove Forearm Foreign Body (25248) $2,974 $2,974 1.8×
Remove foreign body from eye (65205) $300 $300 2.2×
Remove Intrauterine Device (58301) $312 $312 1.0×
Remove Lower Leg Bone Lesion (27635) $5,972 $5,972 1.8×
Remove Nasal Foreign Body (30300) $255 $255 1.9×
Remove Tendon Sheath Lesion (26160) $3,122 $3,122 1.9×
Remove/graft foot lesion (28107) $13,220 $13,220 1.8×
Remove/Insert Drug Implant (11983) $713 $713 1.6×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines
$12,559–$13,219 $13,219–$13,220 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,197 $1,197 1.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,197 $1,197 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,197 $1,197 2.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,197 $1,197 2.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,197 $1,197 2.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,197 $1,197 2.9×
Repair complex trunk 1.1-2.5 cm (13100) $3,949 $3,949 5.2×
Repair complex trunk 2.6-7.5 cm (13101) $1,197 $1,197 1.6×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $5,972 $5,972 1.8×
Repair Foot Dislocation (28615) $13,220 $13,220 1.8×
Repair Hallux Rigidus (28289) $6,177 $6,177 1.8×
Repair inguinal hernia, sliding, any age (49525) $7,234 $7,234 2.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $7,245 $7,245 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $713 $713 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$649–$713 $649–$713 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $713 $713 1.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $713 $713 1.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $713 $713 1.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,081 $1,081 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $713 $713 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$640–$713 $640–$713 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,081 $1,081 1.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $3,537 $3,537 1.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $713 $713 1.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$490–$713 $490–$713 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$659–$713 $659–$713 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,197 $1,197 1.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$662–$713 $662–$713 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $3,949 $3,949 1.9×
Repair of metatarsals (28322) $13,548 $13,548 1.8×
Repair of nail bed (11760) $1,081 $1,081 1.4×
Repair secondary achilles tendon w/wo graft (27654) $13,553 $13,553 1.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,972 $5,972 1.8×
Repair, primary, disrupted ligament, ankle; collateral (27695) $12,748 $13,419 1.7×
Revise Hand/Foot Nerve (64704) $4,431 $4,431 2.2×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure
$1,967 $1,967 0.3×
Revision of big toe (28310) $13,220 $13,220 1.8×
Revision of foot (28116) $5,971 $5,971 1.8×
Revision of foot bones (28737)
likely a partial charge, not the full procedure
$2,083 $2,083 0.2×
Revision of lower leg tendon (27685) $2,044 $2,044 0.6×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines
$584–$1,753 $584–$1,753 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $980 $980 2.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines
$691–$7,472 $691–$7,472 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$392–$435 $392–$435 varies
Rpr flexor tendon leg secondary w/o graft each (27659) $12,710 $12,710 1.7×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,081 $1,081 1.4×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $13,219 $13,219 1.8×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $5,972 $5,972 1.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,414 $2,414 2.0×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines
$113–$713 $113–$713 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines
$151–$392 $151–$392 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines
$123–$392 $123–$392 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines
$166–$392 $166–$392 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines
$215–$392 $215–$392 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines
$210–$392 $210–$392 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines
$171–$392 $171–$392 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines
$238–$713 $238–$713 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines
$200–$392 $200–$392 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,919 $1,919 2.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $736 $736 1.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$243–$392 $243–$392 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$288–$392 $288–$392 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $736 $736 1.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$345–$392 $345–$392 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $644 $644 3.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$247–$392 $247–$392 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $630 $630 3.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$336–$392 $336–$392 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$289–$392 $289–$392 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$400–$736 $400–$736 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $736 $736 1.8×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$119–$324 $119–$324 varies
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $13,220 $13,220 1.8×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines
$126–$392 $126–$392 varies
Tenolysis extensor foot single tendon (28225) $5,972 $5,972 1.8×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)
range across 2 matching MRF lines
$5,971–$5,972 $5,971–$5,972 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $5,972 $5,972 1.8×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,937 $2,937 1.8×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $957 $957 0.6×
Tooth extraction (41899) $3,404 $3,404 14.1×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines
$534–$1,081 $534–$1,081 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $2,974 $2,974 1.8×
Treatment closed elbow dislocation w/o anes (24600) $435 $435 1.7×
Trim skin lesion (11055)
range across 2 matching MRF lines
$190–$392 $190–$392 varies
Trim skin lesions 2 to 4 (11056) $379 $379 1.8×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines
$67–$619 $67–$619 varies
Tx open tendon flexor toe 1 tendon spx (28232) $3,122 $3,122 1.9×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,914 $2,914 1.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,197 $1,197 1.6×
Tx superficial wound dehiscence w/packing (12021) $1,197 $1,197 2.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $646 $646 2.6×
Unlisted procedure arthroscopy (29999) $534 $534 2.1×
Unlisted procedure excision pressure ulcer (15999) $1,288 $1,288 1.8×
Unlisted procedure foot or toes (28899) $534 $534 2.1×
Unlisted Procedure Leg/Ankle (27899) $417 $439 1.7×
Unlisted procedure nervous system (64999) $646 $646 2.1×
Vaginal delivery only (59409)
range across 2 matching MRF lines
$2,599–$5,536 $2,599–$5,536 varies
Xfer Single Deep Low Leg Tendon (27691) $13,548 $13,548 1.8×

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.