Procedures & surgery prices at Union General Hospital

Blairsville, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $671.60 $1,343.20 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $779.13 $1,558.25 1.0×
Amniocentesis diagnostic (59000) $373 $746 0.5×
Anoscopy W/Rmvl Foreign Body (46608) $941 $1,882 1.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $177 $354 1.2×
Application finger splint static (29130) $89 $178 0.8×
Application long arm splint shoulder hand (29105) $89 $178 0.6×
Application Long Leg Splint (29505) $89 $178 0.6×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $154–$308.50 $308–$617 varies
Application Short Arm Splint Dynamic (29126) $157.50 $315 1.4×
Application short arm splint forearm-hand static (29125) $95 $190 0.8×
Application short leg splint calf foot (29515) $89 $178 0.6×
Apply hand/wrist cast (29085) $89 $178 0.6×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $18.50–$177 $37–$354 varies
Arterial puncture (36600) $125 $250 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $160 $320 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $160 $320 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $367 $734 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $160 $320 0.6×
Aspirate pleura w/ imaging (32555) $515.50 $1,031 0.9×
Aspirate Pleura W/O Imaging (32554) $472 $944 0.9×
Aspirate/Inj Ganglion Cyst (20612) $342.50 $685 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $231–$765 $462–$1,530 varies
Biopsy of liver, needle; percutaneous (47000) $424 $848 0.3×
Biopsy Salivary Gland Needle (42400) $373.50 $747 0.6×
Biopsy soft tissue neck/thorax (21550) $665.50 $1,331 0.5×
Bladder Scan (51798) $80.50 $161 1.6×
Blepharotomy drainage abscess eyelid (67700) $308.50 $617 1.1×
Blood Transfusion Service (36430) $270 $540 0.7×
Bx breast 1st lesion us imag (19083) $1,379.50 $2,759 1.0×
Catheter aspiration nasotracheal spx (31720) $241 $482 1.3×
Change Cystostomy Tube Simple (51705) $148.50 $297 0.7×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $54–$174.50 $108–$349 varies
Chest tube placement (32551) $1,208 $2,416 0.9×
Circumcision 28 days or older (54161) $544 $1,088 0.3×
Circumcision Neonate (54160) $494.50 $989 0.8×
Circumcision w/clamp/oth dev w/block (54150) $544 $1,088 0.3×
Cl Tx Scapular Fx; W Manip (23575) $257 $514 0.2×
Cl Tx Tib Shft Fx W Manip (27752) $1,203.50 $2,407 0.9×
Clear outer ear canal (69200) $53.50 $107 0.5×
Closed Treatment Ulnar Styloid Fracture (25650) $306.50 $613 1.4×
Closed tx ankle dislocation w/o anesthesia (27840) $121.50 $243 0.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $421 $842 0.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $164.50 $329 0.8×
Closed tx knee dislocation w/o anesthesia (27550) $319 $638 1.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,112.50 $2,225 0.8×
Closed tx patellar dislocation w/anesthesia (27562) $1,216 $2,432 5.6×
Closed tx patellar dislocation w/o anesthesia (27560) $133.50 $267 0.6×
Closed tx radial head/neck fx w/manipulation (24655) $1,083 $2,166 0.8×
Closed tx radial shaft fracture w/manipulation (25505) $554.50 $1,109 0.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $491 $982 0.3×
Closed tx talotarsal joint dislc w/o anes (28570) $263.50 $527 1.2×
Closed Tx Talus Fracture W/Manipulation (28435) $352.50 $705 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $77 $154 0.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,083 $2,166 0.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $258.50 $517 1.2×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $336 $672 0.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $263.50 $527 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $133.50 $267 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,216 $2,432 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $133.50 $267 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $128.50 $257 0.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $121.50 $243 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $321.50 $643 1.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $257 $514 1.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $121.50 $243 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $121.50 $243 0.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $451 $902 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,412.20 $2,824.40 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $163.50 $327 0.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $121.50 $243 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $154 $308 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $121.50 $243 0.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,203.50 $2,407 0.9×
Cltx hip dislocation traumatic req anesthesia (27252) $1,584.13 $3,168.25 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $133.50 $267 0.6×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,211 $2,422 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $133.50 $267 0.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,216 $2,432 5.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $121.50 $243 0.6×
Cltx Med Ankle Fx W/Mnpj (27762) $1,857 $3,714 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $121.50 $243 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $121.50 $243 0.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,238 $2,476 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $133.50 $267 0.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $121.50 $243 0.6×
Cltx post hip arthrp dislc w/o anes (27265) $257 $514 1.2×
Cltx prox fibula/shft fx w/manj (27781) $1,189 $2,378 0.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,355.50 $2,711 1.0×
Cltx prox tibfib jt dislc w/o anes (27830) $260.50 $521 1.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $133.50 $267 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,334.50 $2,669 0.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,172 $2,344 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,141 $2,282 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $464 $928 0.3×
Collect Blood From Catheter Venous Nos (36592) $137 $274 1.2×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $5–$12 $10–$24 varies
Control Nasal Hemorrhage Anterior Complex (30903) $77 $154 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $77 $154 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $77 $154 0.7×
Cystourethroscopy (52000) $611.50 $1,223 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $230.50–$530 $461–$1,060 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $83–$220 $166–$440 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $135.50–$370 $271–$740 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $344–$1,164 $688–$2,328 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $91–$334.50 $182–$669 varies
Declot vascular device (36593) $299.50 $599 1.0×
Dilate Urethra Stricture (53620) $625 $1,250 1.0×
Drain Cerebro Spinal Fluid (62272) $359 $718 0.6×
Drainage external auditory canal abscess (69020) $148.50 $297 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $98 $196 0.2×
Drainage Finger Abscess Complicated (26011) $890 $1,780 0.6×
Drainage of finger abscess simple (26010) $98 $196 0.6×
Drainage of gum lesion (41800) $98 $196 0.8×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $172–$1,163 $344–$2,326 varies
Drainage of scrotal wall abscess (55100) $890 $1,780 0.6×
Drainage of scrotum (54700) $1,579 $3,158 0.9×
Draw Blood Off Venous Device (36591) $135.50 $271 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $157 $314 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $197–$419.50 $394–$839 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $163.50–$334.50 $327–$669 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $78.50–$107 $157–$214 varies
Dx Bronchoscope/Lavage (31624) $1,468 $2,936 0.9×
Dx Bronchoscope/Wash (31622) $1,468 $2,936 0.9×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 2 matching MRF lines		 $879.50–$1,817.58 $1,759–$3,635.15 varies
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $854.50–$1,817.58 $1,709–$3,635.15 varies
Epidural Blood Patch (62273) $408 $816 0.7×
Evacuation of subungual hematoma (11740) $35.50 $71 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $119.50–$609.50 $239–$1,219 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $748.50 $1,497 1.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $654.50 $1,309 1.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $791 $1,582 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,003.50 $2,007 1.0×
Explo/Drain Breast Abscess (19020) $1,276.50 $2,553 0.9×
Exploration penetrating wound spx extremity (20103) $890 $1,780 0.6×
External cephalic version (59412) $1,159.20 $2,318.40 0.4×
Eye Surg Ant Sgmt Proc Unlisted (66999) $300 $600 0.1×
Fetal Contraction Stress Test (59020) $331.50 $663 1.9×
Fetal non-stress test (59025) $123.50 $247 0.7×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $74–$425 $148–$850 varies
Fluoro exam of g/colon tube (49465) $118.50 $237 0.6×
I&d abscess simple (10060) $174.50 $349 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,017.50 $4,035 0.8×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,107 $2,214 0.4×
I&d perianal abscess superficial (46050) $624 $1,248 0.8×
I&d pilonidal cyst complicated (10081) $890 $1,780 1.4×
I&d pilonidal cyst simple (10080) $98 $196 0.2×
Image Cath Fluid Colxn Visc (49405) $1,504.78 $3,009.55 1.0×
Incise external hemorrhoid (46083) $148.50 $297 0.7×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $260.50–$338.50 $521–$677 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $152–$388 $304–$776 varies
Incision and drainage of bartholin's gland abscess (56420) $121.50 $243 0.7×
Incision and drainage of vulva or perineal abscess (56405) $383 $766 1.4×
Incision of lingual frenum (frenotomy) (41010) $682 $1,364 0.5×
Incision of rectal abscess (46040) $1,548.50 $3,097 1.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,159.20 $2,318.40 0.8×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $91.50–$131 $183–$262 varies
Initial Tx 1st Degree Burn Local Tx (16000) $90 $180 0.5×
Inj W/Fluor Eval Cv Device (36598) $303.45 $606.90 1.6×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $864 $1,728 1.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $118.50 $237 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $956 $1,912 1.2×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $945 $1,890 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $854 $1,708 1.1×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $854 $1,708 1.1×
Injection anesthetic agent suprascapular nerve (64418) $279 $558 0.5×
Injection single tendon origin/insertion (20551) $300 $600 1.1×
Injection single/mlt trigger point 1/2 muscles (20552) $160 $320 0.6×
Injection single/mlt trigger point 3/> muscles (20553) $224 $448 0.8×
Injection, anesthetic agent; brachial plexus, single (64415) $854 $1,708 1.1×
Injection, anesthetic agent; femoral nerve, single (64447) $740 $1,480 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $740 $1,480 1.2×
Insert Bladder Cath Complex (51703) $192.50 $385 1.7×
Insert cath pleura w/o image (32556) $1,412 $2,824 0.8×
Insert cervical dilator (59200) $331.50 $663 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $1,543.50 $3,087 0.9×
Insert non-tunnel cv cath (36556) $2,458.50 $4,917 0.9×
Insert Temp Bladder Cath (51702) $116 $232 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $81.50 $163 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,928 $3,856 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,536 $5,072 0.9×
Intubation endotracheal emergency procedure (31500) $282.90 $565.80 1.4×
Irrigation of corpora cavernosa for priapism (54220) $343 $686 1.6×
Lip Surgery Procedure (40799) $100.63 $201.25 0.5×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,141 $2,282 0.8×
N Block Inj Ilio-Ing/Hypogi (64425) $657.50 $1,315 1.1×
N block inj intercost sng (64420) $854 $1,708 1.4×
Nasal surgery procedure (30999) $162.15 $324.30 0.8×
Nasal/Orogastric W/Tube Plmt (43752) $284.50 $569 0.7×
Needle Biopsy Lymph Nodes (38505) $384.50 $769 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $40 $80 1.6×
Needle insertion w/o injection 3 or more muscles (20561) $40 $80 1.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $521 $1,042 1.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $178 $356 0.7×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $264.60 $529.20 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $429.98 $859.95 0.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $657.50 $1,315 1.1×
Occipital Nerve Block (64405) $342.50 $685 1.3×
Open Tx Distal Phalangeal Fracture Each (26765) $1,871.50 $3,743 0.7×
Open tx interphalangeal joint dislocation (26785) $2,052.50 $4,105 0.7×
Perq dev breast 1st us imag (19285) $289.80 $579.60 0.5×
Perq device breast 1st imag (19281) $836.05 $1,672.10 0.6×
Placement of needle for intraosseous infusion (36680) $135.50 $271 0.3×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $75–$404.50 $150–$809 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $98 $196 0.3×
Puncture Aspiration Cyst Breast (19000) $237.50 $475 0.4×
Reduction of rectal prolapse (45900) $430 $860 0.5×
Removal Embedded Foreign Body Eyelid (67938) $156 $312 0.6×
Removal Foreign Body Deep Thigh/Knee (27372) $851.50 $1,703 0.3×
Removal foreign body foot deep (28192) $1,333 $2,666 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $563.50 $1,127 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,223.50 $2,447 0.8×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,590 $5,180 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $81 $162 1.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $48–$69 $96–$138 varies
Removal of foreign body from pharynx (42809) $345 $690 0.9×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $202–$397 $404–$794 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $88.50 $177 0.5×
Removal/bivalving gauntlet boot/body cast (29700) $50.50 $101 0.2×
Remove foreign body from eye (65205) $75 $150 0.6×
Remove Intrauterine Device (58301) $115.50 $231 0.4×
Remove Nasal Foreign Body (30300) $47.50 $95 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $651.50 $1,303 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $302.50 $605 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $295 $590 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $504 $1,008 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $494.50 $989 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $544 $1,088 1.5×
Repair complex trunk 1.1-2.5 cm (13100) $353 $706 0.5×
Repair extensor tendon finger w/o graft each (26418) $1,334.50 $2,669 0.9×
Repair inguinal hernia, sliding, any age (49525) $2,195 $4,390 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $296.50 $593 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $346 $692 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $395.50 $791 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $445 $890 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $445 $890 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $296.50 $593 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $346 $692 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $395.50 $791 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $445 $890 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $296.50 $593 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $346 $692 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $494.50 $989 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $395.50 $791 1.1×
Repair of nail bed (11760) $109.50 $219 0.2×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $6,081 $12,162 1.0×
Repair tongue laceration (41252) $923.45 $1,846.90 4.4×
Repair tongue laceration (41250) $77 $154 0.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,184 $2,368 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $75 $150 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $116 $232 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $1,210.50 $2,421 1.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $712 $1,424 0.3×
Rplc Gtube No Revj Trc (43762) $343 $686 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $89 $178 0.5×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $591 $1,182 1.3×
Rpr Lip Full Thickness Vermilion Only (40650) $519 $1,038 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $124 $248 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $89 $178 0.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $89 $178 0.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $89 $178 0.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $89 $178 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $89 $178 0.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $229.50 $459 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $89 $178 0.5×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $143–$1,817.58 $286–$3,635.15 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $1,260–$1,817.58 $2,520–$3,635.15 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $301–$2,753.10 $602–$5,506.20 varies
Skin Tissue Procedure (17999) $35.50 $71 0.2×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $335–$2,753.10 $670–$5,506.20 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $89 $178 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $89 $178 0.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $95 $190 0.3×
Spinal puncture lumbar diagnostic (62270) $425 $850 0.7×
Strapping ankle (29540) $89 $178 0.6×
Strapping elbow or wrist (29260) $95 $190 1.8×
Strapping hand/finger (29280) $95 $190 1.8×
Strapping knee (29530) $89 $178 0.8×
Strapping shoulder (29240) $83 $166 0.7×
Strapping toes (29550) $83 $166 1.6×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $38.50–$177 $77–$354 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $60–$86 $120–$172 varies
Thrombolytic Therapy Stroke (37195) $292.50 $585 1.0×
Thyroid biopsy (60100) $207.50 $415 0.3×
Tooth extraction (41899) $131.10 $262.20 0.6×
Tracheobrnchsc Thru Est Trachs Inc (31615) $681 $1,362 1.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,110.33 $2,220.65 5.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $878.03 $1,756.05 0.6×
Treat Humerus Fracture (24505) $1,084 $2,168 0.8×
Treat Knuckle Dislocation (26700) $121.50 $243 0.6×
Treat Metatarsal Fracture (28475) $146.50 $293 0.7×
Treat Thumb Dislocation (26641) $159 $318 0.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,216 $2,432 0.9×
Treatment closed elbow dislocation w/o anes (24600) $133.50 $267 0.6×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $24–$174.50 $48–$349 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $34–$174.50 $68–$349 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $44.50–$334.50 $89–$669 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $11.50–$83 $23–$166 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $725 $1,450 0.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,362.50 $2,725 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $356 $712 0.5×
Tx superficial wound dehiscence w/packing (12021) $425 $850 1.2×
Unlisted procedure anus (46999) $695.75 $1,391.50 0.9×
Unlisted Procedure Casting/Strapping (29799) $89 $178 0.6×
Unlisted procedure forearm or wrist (25999) $330.05 $660.10 1.5×
Unlisted procedure humerus/elbow (24999) $332.93 $665.85 1.5×
Unlisted Procedure Leg/Ankle (27899) $173.65 $347.30 0.8×
Unlisted procedure nervous system (64999) $472.65 $945.30 1.8×
Unlisted Procedure Vascular Surgery (37799) $57 $114 0.1×
Unlisted Procedure, Urinary System (53899) $386.40 $772.80 1.8×
Wedge excision skin nail fold (11765) $62.50 $125 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.