Procedures & surgery prices at UT Health East Texas Athens Hospital

Athens, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $333.80 $3,338 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $342 $3,420 0.4×
Anoscopy; with biopsy, single or multiple (46606) $321.70 $3,217 0.3×
Application finger splint static (29130) $36.30 $363 0.3×
Application long arm splint shoulder hand (29105) $49.80 $498 0.3×
Application Long Leg Splint (29505) $63.80 $638 0.4×
Application of rigid total contact leg cast (29445) $426.50 $4,265 1.5×
Application Short Arm Splint Dynamic (29126) $41 $410 0.3×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $42.10–$63.15 $421–$631.50 varies
Application short leg splint calf foot (29515) $54.90 $549 0.3×
Apply long arm cast (29065) $66.30 $663 0.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines		 $44–$99 $440–$990 varies
Apply short leg cast (29425) $84.50 $845 0.3×
Arterial puncture (36600) $298.90 $2,989 2.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $83.60 $836 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $230.60 $2,306 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $81.20 $812 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $81.20 $812 0.3×
Aspirate pleura w/ imaging (32555) $206.90 $2,069 0.3×
Aspirate Pleura W/O Imaging (32554) $172.90 $1,729 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $55.90 $559 0.3×
Biopsy soft tissue neck/thorax (21550) $520.90 $5,209 0.3×
Bladder Irrigation (51700) $79.50 $795 0.3×
Bladder Scan (51798) $17.50 $175 0.3×
Blepharotomy drainage abscess eyelid (67700) $95.10 $951 0.3×
Blood Transfusion Service (36430) $328.90 $3,289 0.7×
Brnchsc Brushing/Protected Brushings (31623) $510.60 $5,106 0.3×
Bronchoscopy Clear Airways (31645) $548.40 $5,484 0.3×
Bronchoscopy/Needle Bx Each (31629) $990.10 $9,901 0.3×
Catheter aspiration nasotracheal spx (31720) $58.40 $584 0.3×
Change Cystostomy Tube Simple (51705) $83.10 $831 0.3×
Change of Windpipe Airway (31502) $73.90 $739 0.3×
Chemical Cautery Tissue (17250) $57.60 $576 0.3×
Chest tube placement (32551) $436.20 $4,362 0.3×
Circumcision w/clamp/oth dev w/block (54150) $556.20 $5,562 0.3×
Cl Tx Scapular Fx; W Manip (23575) $516.20 $5,162 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $445.20 $4,452 0.3×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $34.90–$52.35 $349–$523.50 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $66 $660 0.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $480.90 $4,809 0.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $76.30 $763 0.3×
Closed tx ankle dislocation w/o anesthesia (27840) $66 $660 0.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $432 $4,320 0.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $474.60 $4,746 1.9×
Closed tx knee dislocation w/o anesthesia (27550) $66 $660 0.3×
Closed tx patellar dislocation w/anesthesia (27562) $76.30 $763 0.3×
Closed tx patellar dislocation w/o anesthesia (27560) $64.10 $641 0.3×
Closed tx radial head/neck fx w/manipulation (24655) $494.80 $4,948 0.3×
Closed tx radial shaft fracture w/manipulation (25505) $432 $4,320 0.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $445.20 $4,452 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $66 $660 0.3×
Closed Tx Talus Fracture W/Manipulation (28435) $494.80 $4,948 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $66–$99 $660–$990 varies
Closure Gastrostomy Surg (43870) $1,230 $12,300 0.3×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $73.40 $734 0.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $445.20 $4,452 0.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $494.80 $4,948 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $61.80 $618 0.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $445.20 $4,452 0.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $445.20 $4,452 0.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $66 $660 0.3×
Cltx dstl fibular fx lat malls w/manj (27788) $64.40 $644 0.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $74.20 $742 0.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $75.90 $759 0.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $432 $4,320 0.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $516.20 $5,162 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $570.80 $5,708 0.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $66 $660 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $66 $660 0.3×
Cltx hip dislocation traumatic req anesthesia (27252) $588.40 $5,884 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $66 $660 0.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $85.90 $859 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $75.90 $759 0.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $84.60 $846 0.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $66 $660 0.3×
Cltx Med Ankle Fx W/Mnpj (27762) $512.70 $5,127 0.3×
Cltx Medial Ankle Fx (27760) $74.20 $742 0.3×
Cltx metacarpal fx w/manipulation each bone (26605) $64.10 $641 0.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $75.90 $759 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $66 $660 0.3×
Cltx post hip arthrp dislc req anes (27266) $494.80 $4,948 0.3×
Cltx post hip arthrp dislc w/o anes (27265) $66 $660 0.3×
Cltx prox fibula/shft fx w/manj (27781) $445.20 $4,452 0.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $445.20 $4,452 0.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $67.80 $678 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $64.10 $641 0.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $498.10 $4,981 0.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $445.20 $4,452 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $516.20 $5,162 0.3×
Cltx tibial shaft fx w/o manipulation (27750) $72.10 $721 0.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $434.20 $4,342 0.3×
Collect Blood From Catheter Venous Nos (36592) $36.30 $363 0.3×
Collection of venous blood by venipuncture (36415) $4.30 $43 0.5×
Colonoscopy Flexible With Decompression (45393) $442.10 $4,421 0.4×
Colonoscopy Stoma Control Bleeding (44391) $431.20 $4,312 0.4×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $429.10 $4,291 0.4×
Colonoscopy Stoma W/Submucosal Injection (44404) $379.20 $3,792 0.3×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $429.10 $4,291 0.4×
Colonoscopy thru stoma (44388) $256.10 $2,561 0.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $429.10 $4,291 0.4×
Colonoscopy w/ablation (45388) $442.10 $4,421 0.4×
Colonoscopy W/Band Ligation (45398) $368.40 $3,684 0.3×
Colonoscopy w/fb removal (45379) $376.10 $3,761 0.3×
Colonoscopy W/Resection (45390) $1,041.10 $10,411 0.4×
Colonoscopy w/submucosal inj (45381) $326.90 $3,269 0.3×
Colposcopy cervix upper/adjacent vagina (57452) $25.10 $251 0.1×
Colposcopy of vulva (56820) $48.10 $481 0.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $429.10 $4,291 0.4×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $379.20 $3,792 0.3×
Colsc flx w/removal lesion by hot bx forceps (45384) $326.90 $3,269 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $34.90 $349 0.3×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $33.60–$50.40 $336–$504 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $34.90 $349 0.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $78.50 $785 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $201.80 $2,018 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $167.60 $1,676 0.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $449.90 $4,499 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $110.70 $1,107 0.3×
Declot vascular device (36593) $109 $1,090 0.3×
Destroy lumb/sac facet jnt (64635) $741.90 $7,419 0.4×
Diagnostic sigmoidoscopy (45330) $199.50 $1,995 0.2×
Dilat Xst Trc New Access Rcs (50437) $1,298.70 $12,987 0.4×
Dilation Esophagus Guide Wire (43453) $611.20 $6,112 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $199.10 $1,991 0.3×
Drainage Finger Abscess Complicated (26011) $520.90 $5,209 0.3×
Drainage of finger abscess simple (26010) $55.90 $559 0.3×
Drainage of gum lesion (41800) $33.60 $336 0.3×
Drainage of hematoma/fluid (10140) $436.50 $4,365 0.3×
Drainage of scrotal wall abscess (55100) $449.90 $4,499 0.3×
Drainage of scrotum (54700) $636 $6,360 0.3×
Draw Blood Off Venous Device (36591) $36.30 $363 0.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $194 $1,940 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $128.20 $1,282 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $64.40 $644 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $55.90 $559 0.3×
Dx Bronchoscope/Lavage (31624) $464.20 $4,642 0.3×
Dx Bronchoscope/Wash (31622) $464.20 $4,642 0.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $611.20 $6,112 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $256.10 $2,561 0.1×
Egd cautery tumor polyp (43250) $326.90 $3,269 0.2×
Egd control bleeding any (43255) $326.90 $3,269 0.2×
Egd dilation gastric/duodenal stricture (43245) $692.30 $6,923 0.4×
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure		 $1,872.80 $18,728 0.3×
Egd Flexible Foreign Body Removal (43247) $326.90 $3,269 0.4×
Egd guide wire insertion (43248) $326.90 $3,269 0.4×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $603.20 $6,032 0.3×
Egd lesion ablation (43270) $577 $5,770 0.3×
Egd place gastrostomy tube (43246) $326.90 $3,269 0.2×
Egd remove lesion snare (43251) $326.90 $3,269 0.2×
Egd Tube/Cath Insertion (43241) $534 $5,340 0.3×
Egd Varices Ligation (43244) $326.90 $3,269 0.2×
Endoscopy Upper Small Intestine (44360) $604.70 $6,047 0.3×
Endoscopy upper small intestine w/biopsy (44361) $622.40 $6,224 0.3×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $622.40 $6,224 0.3×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $519.30 $5,193 0.3×
Epidural Blood Patch (62273) $197.10 $1,971 0.3×
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure		 $2,079.50 $20,795 0.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $1,280.70 $12,807 0.3×
Ercp ea duct/ampulla dilate (43277) $1,209.90 $12,099 0.3×
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,280.70 $12,807 0.3×
Ercp remove forgn body duct (43275) $1,090.50 $10,905 0.6×
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure		 $2,079.50 $20,795 0.3×
Ercp W/Biopsy Single/Multiple (43261) $1,274.10 $12,741 0.3×
Ercp,Sphincterotomy (43262) $1,280.70 $12,807 0.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $336.70 $3,367 0.4×
Esophagoscop Stent Placement (43212)
unusually low: confirm this is the full procedure		 $1,872.80 $18,728 0.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $672 $6,720 0.3×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $672 $6,720 0.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $286.80 $2,868 0.3×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $672 $6,720 0.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $675.50 $6,755 0.4×
Evacuation of subungual hematoma (11740) $35.10 $351 0.3×
Explo/Drain Breast Abscess (19020) $520.90 $5,209 0.3×
Fetal non-stress test (59025) $53 $530 0.3×
Fine needle aspiration without imaging guidance (10021) $127.10 $1,271 0.3×
I&d abscess peritonsillar (42700) $67.70 $677 0.3×
I&d abscess simple (10060) $55.90 $559 0.3×
I&d perianal abscess superficial (46050) $246.30 $2,463 0.3×
I&d pilonidal cyst complicated (10081) $199.10 $1,991 0.3×
I&d pilonidal cyst simple (10080) $193.10 $1,931 0.3×
Ileoscopy Stoma W/Balloon Dilation (44381) $519.30 $5,193 0.3×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $251.30 $2,513 0.3×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $295.10 $2,951 0.3×
Incise external hemorrhoid (46083) $77 $770 0.3×
Incision & drainage abscess complicated/multiple (10061) $107.40 $1,074 0.3×
Incision & removal foreign body subq tiss compl (10121) $449.90 $4,499 0.3×
Incision & removal foreign body subq tiss simple (10120) $107.40 $1,074 0.3×
Incision and drainage of bartholin's gland abscess (56420) $53 $530 0.3×
Incision and drainage of vulva or perineal abscess (56405) $87.50 $875 0.3×
Incision of rectal abscess (46040) $321.70 $3,217 0.3×
Incisional biopsy skin single lesion (11106) $167.60 $1,676 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $55.90 $559 0.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $263.30 $2,633 0.3×
Inj W/Fluor Eval Cv Device (36598) $116.40 $1,164 0.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $203.10 $2,031 0.3×
Injection anesthetic agent suprascapular nerve (64418) $225.70 $2,257 0.3×
Injection for identification of sentinel node (38792) $134 $1,340 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $95.20 $952 0.3×
Injection, anesthetic agent; brachial plexus, single (64415) $255.20 $2,552 0.3×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $197.10–$222.20 $1,971–$2,222 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $197.10 $1,971 0.3×
Insert cath pleura w/ image (32557) $436.20 $4,362 0.3×
Insert cath pleura w/o image (32556) $519.30 $5,193 0.3×
Insert non-tunnel cv cath (36556) $939.80 $9,398 0.3×
Insert Temp Bladder Cath (51702) $36.30 $363 0.3×
Insert,Non-Indwelling Bladder Catheter (51701) $94.60 $946 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $939.80 $9,398 0.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $915.10 $9,151 0.3×
Intraoral i&d tongue/floor lingual (41000) $176.80 $1,768 0.3×
Intraoral i&d tongue/floor submndblr space (41008) $971.60 $9,716 0.3×
Intubation endotracheal emergency procedure (31500) $133.60 $1,336 0.6×
Irrigation of corpora cavernosa for priapism (54220) $77 $770 0.3×
N Block Inj Ilio-Ing/Hypogi (64425) $203.10 $2,031 0.3×
Nasal/Orogastric W/Tube Plmt (43752) $84 $840 0.2×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $288.70 $2,887 0.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $83.60 $836 0.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,102.80 $11,028 0.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $263.30–$394.95 $2,633–$3,949.50 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $203.10 $2,031 0.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $256.40 $2,564 0.3×
Occipital Nerve Block (64405) $93.90 $939 0.3×
Placement of needle for intraosseous infusion (36680) $86.90 $869 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $872.20 $8,722 0.3×
Punch biopsy skin single lesion (11104) $107.90 $1,079 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $107.40 $1,074 0.3×
Removal Embedded Foreign Body Eyelid (67938) $93 $930 0.3×
Removal foreign body foot deep (28192) $449.90 $4,499 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $193.10 $1,931 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $16.20–$24.30 $162–$243 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $16 $160 0.3×
Removal of nail bed (11750) $110.70 $1,107 0.3×
Remove foreign body from eye (65205) $38.70 $387 0.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $34.90–$52.35 $349–$523.50 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $167.60 $1,676 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $186.10 $1,861 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $107.40 $1,074 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $167.60 $1,676 0.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $157 $1,570 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $107.40 $1,074 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $107.40 $1,074 0.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $118.30 $1,183 0.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $128.20 $1,282 0.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $201.80 $2,018 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $107.40 $1,074 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $107.40 $1,074 0.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $167.60 $1,676 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $107.40 $1,074 0.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $107.40 $1,074 0.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $107.40 $1,074 0.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $201.80 $2,018 0.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $107.40 $1,074 0.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $585.80 $5,858 0.3×
Repair of nail bed (11760) $207.70 $2,077 0.3×
Replace g/c tube perc (49450) $251.30 $2,513 0.3×
Reposition Gastrostomy Tube (43761) $85.20 $852 0.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $295.10 $2,951 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $93.20–$139.80 $932–$1,398 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $40.30 $403 0.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $135 $1,350 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $387 $3,870 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $499.80 $4,998 0.3×
Rplc Gtube No Revj Trc (43762) $88.90 $889 0.4×
Rplc gtube revj gstrst trc (43763) $88.90 $889 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $55.90 $559 0.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $176.80 $1,768 0.3×
Rpr Lip Full Thickness Vermilion Only (40650) $144.70 $1,447 0.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $316.80 $3,168 0.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $256.10 $2,561 0.2×
Sigmoidoscopy & decompress (45337) $282.10 $2,821 0.3×
Sigmoidoscopy & Polypectomy (45333) $328.40 $3,284 0.4×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $379.20 $3,792 0.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $431.20 $4,312 0.4×
Sigmoidoscopy W/Resection (45349) $1,010.60 $10,106 0.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $316.80 $3,168 0.3×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $376.10 $3,761 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $133.60 $1,336 0.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $55.90 $559 0.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $61.40 $614 0.3×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $133.60 $1,336 0.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $67.70 $677 0.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $81 $810 0.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $64.70 $647 0.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $98.10 $981 0.5×
Skin sub graft face/nk/hf/g (15275) $723.60 $7,236 1.0×
Skin sub graft trnk/arm/leg (15271) $723.60 $7,236 1.0×
Small bowel endoscopy (44366) $665.40 $6,654 0.3×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $603.20 $6,032 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $55.90 $559 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $110.70 $1,107 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $121.70 $1,217 0.3×
Sphincterotomy anal division sphincter spx (46080) $307.80 $3,078 0.1×
Spinal puncture lumbar diagnostic (62270) $197.10 $1,971 0.3×
Strapping shoulder (29240) $41.10 $411 0.3×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $46.20–$103.95 $462–$1,039.50 varies
Thrombolytic Therapy Stroke (37195) $105.30 $1,053 0.3×
Thrombolytic Venous Therapy (37212) $1,061.10 $10,611 0.3×
Tracheostomy planned (31600) $1,155.70 $11,557 0.3×
Treat Humerus Fracture (24505) $445.20 $4,452 0.3×
Treat Knuckle Dislocation (26700) $66 $660 0.3×
Treat Metatarsal Fracture (28475) $76.30 $763 0.3×
Treat toe dislocation (28630) $72.10 $721 0.3×
Treatment closed elbow dislocation w/o anes (24600) $64.10 $641 0.3×
Tx Gastro Intub W/Asp (43753) $84.80 $848 0.4×
Tx Missed Abortion Second Trimester Surgical (59821) $838.70 $8,387 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $201.80 $2,018 0.3×
Unlisted Procedure Intestine (44799) $295.10 $2,951 0.3×
Unlisted procedure nervous system (64999) $107.30 $1,073 0.3×
Unlisted procedure stomach (43999) $298.20 $2,982 0.3×
Wedge excision skin nail fold (11765) $110.70 $1,107 0.3×

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.