Procedures & surgery prices at Touchette Regional Hospital Inc

Centreville, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $649.14 $1,047 0.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $515.22 $831 0.5×
Apheresis Platelets (36513) $1,548.76 $2,498 3.3×
Application Body Cast Shoulder Hips (29035) $207.08 $334 0.7×
Application cast elbow finger short arm (29075) $207.08 $334 0.7×
Application Finger Splint Dynamic (29131) $100.44 $162 1.6×
Application finger splint static (29130) $118.11 $190.50 0.8×
Application long arm splint shoulder hand (29105) $172.05 $277.50 1.0×
Application Long Leg Splint (29505) $119.97 $193.50 0.7×
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure
$2,619.19 $4,224.50 0.2×
Application of cylinder cast (thigh to ankle) (29365) $151.90 $245 0.5×
Application of long leg cast (29345) $165.54 $267 0.6×
Application Short Arm Splint Dynamic (29126) $100.44 $162 0.7×
Application short arm splint forearm-hand static (29125) $100.44 $162 0.7×
Application short leg splint calf foot (29515) $100.44 $162 0.6×
Application, cast; figure-of-eight Facility (29049) $100.44 $162 0.3×
Apply hand/wrist cast (29085) $91.14 $147 0.5×
Apply long arm cast (29065) $170.81 $275.50 0.6×
Apply Short Leg Cast (29405) $207.08 $334 0.7×
Apply short leg cast (29425) $257.92 $416 0.9×
Arterial puncture (36600) $23.56 $38 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$200.26–$215.76 $323–$348 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines
$411.68–$470.27 $664–$758.50 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$121.21–$429.66 $195.50–$693 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$101.06–$432.45 $163–$697.50 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$200.26–$221.34 $323–$357 varies
Aspirate pleura w/ imaging (32555) $434.93 $701.50 0.6×
Aspirate Pleura W/O Imaging (32554) $343.79 $554.50 0.5×
Aspiration bladder insert suprapubic catheter (51102) $1,735.07 $2,798.50 0.8×
Aspiration Bladder Needle (51100) $181.66 $293 0.7×
Aspiration bladder trocar/intracatheter (51101) $83.39 $134.50 0.1×
Avulsion nail plate partial/complete simple 1 (11730) $89.90 $145 0.4×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines
$1,601.46–$1,681.75 $2,583–$2,712.50 varies
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines
$2,039.18–$2,141.17 $3,289–$3,453.50 varies
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines
$4,196.16–$4,406.03 $6,768–$7,106.50 varies
Bladder instillation anticarcinogenic agent (51720) $188.79 $304.50 0.3×
Blepharotomy drainage abscess eyelid (67700) $343.79 $554.50 1.0×
Blood Transfusion Service (36430) $618.14 $997 1.3×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines
$217.62–$228.78 $351–$369 varies
Bone Marrow; Aspiration Only (38220) $228.78 $369 0.1×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines
$335.42–$857.46 $541–$1,383 varies
Canthotomy Separate Procedure (67715) $849.71 $1,370.50 0.3×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines
$74.40–$135.47 $120–$218.50 varies
Change Cystostomy Tube Simple (51705) $215.76 $348 0.8×
Change of Windpipe Airway (31502) $257.92 $416 1.0×
Chemical Cautery Tissue (17250) $151.90 $245 0.7×
Chest tube placement (32551) $649.14 $1,047 0.4×
Cl Tx Scapular Fx; W Manip (23575) $490.42 $791 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $1,285.26 $2,073 0.7×
Clear outer ear canal (69200) $77.50 $125 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $515.22 $831 1.9×
Closed Treatment Ulnar Styloid Fracture (25650) $379.75 $612.50 1.4×
Closed tx ankle dislocation w/o anesthesia (27840) $343.79 $554.50 1.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $523.59 $844.50 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $319.92 $516 1.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $306.90 $495 1.2×
Closed tx carpal scaphoid fracture w/manj (25624) $485.77 $783.50 0.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $349.06 $563 1.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $576.91 $930.50 2.2×
Closed tx knee dislocation w/o anesthesia (27550) $515.22 $831 1.9×
Closed tx metatarsal fracture w/o manipulation (28470) $257.92 $416 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,370.51 $2,210.50 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,447.39 $2,334.50 0.4×
Closed tx patellar dislocation w/anesthesia (27562) $558 $900 2.1×
Closed tx patellar dislocation w/o anesthesia (27560) $419.43 $676.50 1.6×
Closed Tx Patellar Fracture W/O Manipulation (27520) $323.02 $521 1.2×
Closed tx radial head/neck fx w/manipulation (24655) $515.22 $831 0.3×
Closed tx radial shaft fracture w/manipulation (25505) $599.85 $967.50 0.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $266.91 $430.50 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $558 $900 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $263.81 $425.50 1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $306.90 $495 1.2×
Closed tx septal&nose fx (21337) $1,285.26 $2,073 0.4×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $472.13 $761.50 1.8×
Closed tx talotarsal joint dislc w/o anes (28570) $429.66 $693 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $343.79 $554.50 1.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $472.13 $761.50 0.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $237.15 $382.50 0.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $225.99 $364.50 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $669.29 $1,079.50 1.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $386.88 $624 1.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $280.86 $453 1.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,613.24 $2,602 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $278.69 $449.50 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,325.56 $2,138 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $458.49 $739.50 1.7×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $386.88 $624 0.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $408.89 $659.50 0.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,285.26 $2,073 0.7×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $472.13 $761.50 0.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $310 $500 1.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $86.80 $140 0.3×
Cltx dstl fibular fx lat malls w/manj (27788) $599.85 $967.50 2.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $246.14 $397 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $450.12 $726 1.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $224.13 $361.50 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $340.69 $549.50 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $782.75 $1,262.50 0.5×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $857.46 $1,383 0.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $563.27 $908.50 2.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $553.35 $892.50 2.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,199.39 $1,934.50 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $172.05 $277.50 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $160.89 $259.50 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $428.42 $691 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $160.89 $259.50 0.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,285.26 $2,073 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $336.04 $542 1.3×
Cltx hip dislocation traumatic req anesthesia (27252) $899.93 $1,451.50 0.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $300.39 $484.50 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $160.89 $259.50 0.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,260.46 $2,033 4.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $450.12 $726 1.7×
Cltx Medial Ankle Fx (27760) $160.89 $259.50 0.6×
Cltx metacarpal fx w/manipulation each bone (26605) $276.83 $446.50 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $320.54 $517 1.2×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $879.78 $1,419 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $450.12 $726 1.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $195.30 $315 0.7×
Cltx post hip arthrp dislc w/o anes (27265) $429.66 $693 1.6×
Cltx prox fibula/shft fx w/manj (27781) $1,199.39 $1,934.50 0.7×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,370.51 $2,210.50 0.8×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $459.73 $741.50 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,247.44 $2,012 4.7×
Cltx tibial shaft fx w/o manipulation (27750) $358.98 $579 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $617.21 $995.50 0.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $323.02 $521 1.2×
Collection of venous blood by venipuncture (36415) $23.56 $38 2.5×
Control Nasal Hemorrhage Anterior Complex (30903) $189.72 $306 1.3×
Control Nasal Hemorrhage Anterior Simple (30901) $102.92 $166 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $150.66 $243 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $240.25 $387.50 0.6×
Declot vascular device (36593) $257.92 $416 0.7×
Delivery of placenta (59414) $1,707.17 $2,753.50 0.5×
Destruction of skin lesions (17106)
range across 2 matching MRF lines
$416.64–$832.04 $672–$1,342 varies
Drain Cerebro Spinal Fluid (62272) $368.59 $594.50 0.5×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines
$190.96–$200.57 $308–$323.50 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $1,093.06 $1,763 1.9×
Drainage external auditory canal abscess (69020) $194.68 $314 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $283.34 $457 0.4×
Drainage Finger Abscess Complicated (26011) $1,037.88 $1,674 0.6×
Drainage Mouth Roof Lesion (42000) $233.74 $377 0.9×
Drainage of finger abscess simple (26010) $292.95 $472.50 1.4×
Drainage of gum lesion (41800) $281.48 $454 2.0×
Drainage of hematoma/fluid (10140) $1,037.88 $1,674 0.6×
Drainage of nose lesion (30000) $1,330.83 $2,146.50 5.2×
Drainage of scrotal wall abscess (55100) $1,003.47 $1,618.50 0.6×
Drainage of scrotum (54700) $1,456.38 $2,349 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $171.43 $276.50 0.2×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $857.46 $1,383 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $240.25 $387.50 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $240.25 $387.50 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $132.99 $214.50 0.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $488.56 $788 0.6×
Egd Flexible Foreign Body Removal (43247) $764.46 $1,233 0.8×
Egd guide wire insertion (43248) $764.46 $1,233 0.8×
Egd us exam duodenum/jejunum (43259) $1,496.68 $2,414 0.7×
Episiotomy or vaginal repair (59300) $1,114.14 $1,797 0.3×
Escharotomy; initial incision (16035) $270.94 $437 0.6×
Evacuation of subungual hematoma (11740) $45.57 $73.50 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,445.22 $2,331 0.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $763.84 $1,232 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $387.50 $625 0.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $515.22 $831 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $686.34 $1,107 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $729.12 $1,176 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $729.12 $1,176 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $771.59 $1,244.50 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $729.12 $1,176 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $771.59 $1,244.50 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $797.63 $1,286.50 1.1×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,071.05 $1,727.50 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,520.24 $2,452 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,285.26 $2,073 0.7×
Exc Skin Benig >4cm Face,Facial (11446) $1,414.22 $2,281 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,028.58 $1,659 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $2,067.70 $3,335 0.9×
Explo/Drain Breast Abscess (19020) $1,643.93 $2,651.50 0.9×
Exploration penetrating wound spx extremity (20103) $865.83 $1,396.50 0.5×
External cephalic version (59412) $1,606.73 $2,591.50 0.5×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines
$206.46–$217 $333–$350 varies
Fetal non-stress test (59025)
range across 5 matching MRF lines
$51.46–$281.48 $83–$454 varies
Fluid Pressure Muscle (20950) $257.92 $416 0.3×
Fluoro exam of g/colon tube (49465) $300.39 $484.50 1.2×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines
$61.38–$295.74 $99–$477 varies
Foreskin manipulation (54450) $431.21 $695.50 1.6×
I&d abscess peritonsillar (42700) $225.99 $364.50 0.9×
I&d abscess simple (10060) $292.95 $472.50 1.4×
I&d perianal abscess superficial (46050) $1,280.61 $2,065.50 1.3×
I&d pilonidal cyst simple (10080) $292.95 $472.50 0.4×
Incise external hemorrhoid (46083) $181.66 $293 0.7×
Incision & drainage abscess complicated/multiple (10061) $330.77 $533.50 0.8×
Incision & removal foreign body subq tiss compl (10121) $1,491.72 $2,406 0.8×
Incision & removal foreign body subq tiss simple (10120) $292.95 $472.50 0.7×
Incision and drainage of bartholin's gland abscess (56420) $292.95 $472.50 1.4×
Incision and drainage of vulva or perineal abscess (56405) $249.55 $402.50 0.8×
Incision of rectal abscess (46040) $2,041.66 $3,293 1.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,643.93 $2,651.50 0.9×
Initial Tx 1st Degree Burn Local Tx (16000) $72.54 $117 0.3×
Injection 1 tendon sheath/ligament aponeurosis (20550) $201.81 $325.50 0.6×
Injection aa&/strd axillary nerve w/img gdn (64417) $300.39 $484.50 0.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $515.22 $831 0.5×
Injection for identification of sentinel node (38792) $292.95 $472.50 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $257.92 $416 0.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $368.59 $594.50 0.5×
Insert Bladder Cath Complex (51703) $108.19 $174.50 0.8×
Insert cath pleura w/o image (32556) $585.90 $945 0.3×
Insert non-tunnel cv cath (36556) $1,829.31 $2,950.50 0.5×
Insert Temp Bladder Cath (51702) $57.35 $92.50 0.4×
Insert,Non-Indwelling Bladder Catheter (51701) $57.35 $92.50 0.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $771.59 $1,244.50 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $979.91 $1,580.50 0.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure
$3,253.14 $5,247 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $382.23 $616.50 0.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $473.37 $763.50 1.1×
Intubation endotracheal emergency procedure (31500) $222.27 $358.50 0.9×
Irrigation of corpora cavernosa for priapism (54220) $171.43 $276.50 0.6×
Laryngoscopy diagnostic (31505) $121.21 $195.50 0.6×
Laryngoscopy W/Foreign Body Removal (31530) $2,039.18 $3,289 1.1×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $172.05 $277.50 0.4×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $2,078.24 $3,352 0.6×
Lithotripsy, extracorporeal shock wave (50590) $4,387.74 $7,077 1.2×
N block inj intercost sng (64420) $379.13 $611.50 0.5×
Needle Biopsy Lymph Nodes (38505) $1,180.48 $1,904 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $210.49 $339.50 0.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines
$275.90–$289.85 $445–$467.50 varies
Occipital Nerve Block (64405) $343.79 $554.50 1.0×
Open tx interphalangeal joint dislocation (26785) $3,158.28 $5,094 0.9×
Perq dev breast 1st us imag (19285) $337.28 $544 0.4×
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$329.84–$346.58 $532–$559 varies
Placement of needle for intraosseous infusion (36680) $257.92 $416 0.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,456.38 $2,349 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $292.95 $472.50 0.7×
Puncture Aspiration Cyst Breast (19000) $389.36 $628 0.5×
Removal Embedded Foreign Body Eyelid (67938) $114.08 $184 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $599.85 $967.50 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $387.50 $625 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $111.60 $180 1.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $57.35 $92.50 0.9×
Removal of foreign body from pharynx (42809) $180.42 $291 0.4×
Removal of nail bed (11750) $387.50 $625 0.9×
Removal or bivalving full arm or full leg cast (29705) $100.44 $162 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $89.90 $145 0.4×
Removal/bivalving gauntlet boot/body cast (29700) $100.44 $162 0.3×
Remove foreign body from eye (65205) $79.67 $128.50 0.6×
Remove Intrauterine Device (58301) $881.02 $1,421 2.7×
Remove Nasal Foreign Body (30300) $162.75 $262.50 1.1×
Repair Blood Vessel Direct Hand Finger (35207) $2,869.05 $4,627.50 0.8×
Repair blood vessel direct neck (35201) $4,571.57 $7,373.50 0.8×
Repair Blood Vessel Direct Upper Extremity (35206) $2,869.05 $4,627.50 0.8×
Repair blood vessel lesion (35236)
unusually low: confirm this is the full procedure
$2,622.29 $4,229.50 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $407.03 $656.50 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $569.78 $919 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $407.03 $656.50 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $599.85 $967.50 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $324.26 $523 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $416.64 $672 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $587.45 $947.50 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $587.45 $947.50 0.7×
Repair extensor tendon finger w/o graft each (26418) $1,285.26 $2,073 0.7×
Repair Hand Tendon (26410) $1,477.77 $2,383.50 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $236.53 $381.50 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $265.67 $428.50 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $279.93 $451.50 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $304.73 $491.50 0.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $535.37 $863.50 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $340.07 $548.50 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $217.62 $351 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $252.03 $406.50 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $281.48 $454 0.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $446.71 $720.50 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $327.05 $527.50 0.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $199.95 $322.50 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $250.79 $404.50 0.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $387.50 $625 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $483.29 $779.50 1.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $450.74 $727 0.2×
Repair of nail bed (11760) $300.39 $484.50 0.4×
Repair tongue laceration (41252) $1,040.36 $1,678 4.1×
Repair tongue laceration (41250) $225.99 $364.50 0.5×
Reposition Gastrostomy Tube (43761) $764.46 $1,233 2.9×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,713.68 $2,764 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $177.32 $286 0.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,499.47 $2,418.50 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $79.67 $128.50 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $79.67 $128.50 0.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $79.67 $128.50 0.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $781.20 $1,260 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $899.93 $1,451.50 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $599.85 $967.50 0.9×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $207.08 $334 0.7×
Rplc Gtube No Revj Trc (43762) $186.93 $301.50 0.7×
Rplc gtube revj gstrst trc (43763) $281.48 $454 1.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $979.91 $1,580.50 0.6×
Rpr blood vessel direct lower extremity (35226) $2,384.83 $3,846.50 3.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $253.89 $409.50 1.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $276.83 $446.50 0.3×
Rpr Lip Full Thickness Vermilion Only (40650) $669.29 $1,079.50 1.2×
Shave skin lesion 0.5 cm/< (11300) $104.16 $168 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $121.21 $195.50 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $131.13 $211.50 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $95.79 $154.50 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $95.79 $154.50 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $138.88 $224 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $100.44 $162 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $121.21 $195.50 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $138.88 $224 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $79.05 $127.50 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $131.13 $211.50 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $131.13 $211.50 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $310.62 $501 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $188.17 $303.50 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $188.17 $303.50 0.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $376.96 $608 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $203.36 $328 0.9×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $455.08 $734 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $188.17 $303.50 0.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $297.60 $480 1.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $188.17 $303.50 0.9×
Skin Tissue Procedure (17999) $215.76 $348 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $188.17 $303.50 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $234.36 $378 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $296.36 $478 0.7×
Spinal puncture lumbar diagnostic (62270) $368.59 $594.50 0.5×
Strapping ankle (29540) $100.44 $162 0.6×
Strapping elbow or wrist (29260) $131.13 $211.50 2.1×
Strapping hand/finger (29280) $100.44 $162 1.6×
Strapping knee (29530) $100.44 $162 0.7×
Strapping shoulder (29240) $100.44 $162 0.7×
Strapping toes (29550) $100.44 $162 1.6×
Strapping Unna Boot (29580) $95.79 $154.50 0.6×
Ther Apheresis,Red Blood Cells (36512) $1,548.76 $2,498 0.9×
Therapeutic Apheresis White Blood Cells (36511) $1,548.76 $2,498 0.9×
Therapeutic plasma exchange (36514) $1,753.36 $2,828 1.1×
Thrombolytic Therapy Stroke (37195) $257.92 $416 0.7×
Tooth extraction (41899) $144.46 $233 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $599.85 $967.50 2.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $599.85 $967.50 0.4×
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure
$1,874.88 $3,024 0.3×
Treat humerus fracture (24500) $356.81 $575.50 1.3×
Treat Humerus Fracture (24505) $515.22 $831 0.3×
Treat humerus fracture (23600) $390.60 $630 1.5×
Treat Knuckle Dislocation (26700) $450.12 $726 1.7×
Treat Metatarsal Fracture (28475) $220.10 $355 0.8×
Treat Thumb Dislocation (26641) $369.21 $595.50 1.4×
Treat Thumb Fracture (26645) $343.79 $554.50 0.2×
Treat toe dislocation (28630) $450.12 $726 1.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,028.58 $1,659 0.6×
Treatment closed elbow dislocation w/o anes (24600) $447.33 $721.50 1.7×
Trim skin lesion (11055) $43.71 $70.50 0.2×
Trim skin lesions 2 to 4 (11056) $57.97 $93.50 0.3×
Trim skin lesions over 4 (11057) $278.69 $449.50 1.3×
Tx Gastro Intub W/Asp (43753) $26.97 $43.50 0.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $578.77 $933.50 0.7×
Tx superficial wound dehiscence w/packing (12021) $189.72 $306 0.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $310 $500 0.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $224.13 $361.50 0.8×
Unlisted procedure anus (46999) $2,908.73 $4,691.50 2.9×
Unlisted Procedure Casting/Strapping (29799) $215.76 $348 1.2×
Unlisted Procedure Rectum (45999) $352.47 $568.50 0.4×
Unlisted px female genital system nonobstetrical (58999) $131.13 $211.50 0.6×
Vaginal delivery only (59409) $1,606.73 $2,591.50 0.5×
Vein Access Cutdown < 1 Yr (36420) $62.62 $101 0.4×
Venous Cutdown >1 Y/O (36425) $86.80 $140 0.2×
Wedge excision skin nail fold (11765) $132.99 $214.50 0.3×
Wedging of cast (29740) $86.80 $140 0.3×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
likely a partial charge, not the full procedure
$1,005.33 $1,621.50 0.2×

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.