Procedures & surgery prices at UT Health East Texas Quitman Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $194.43 $1,944.35 0.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $115.82 $1,158.23 0.1×
Acne surgery (10040) $39.80 $398 0.2×
Anal/Urinary Muscle Study (51784) $29.10 $291 0.2×
Anoscopy diagnostic (46600) $23.20 $232 0.2×
Application cast elbow finger short arm (29075) $71.75 $717.53 0.3×
Application finger splint static (29130) $30.69 $306.90 0.2×
Application long arm splint shoulder hand (29105) $36.97 $369.72 0.2×
Application Long Leg Splint (29505) $37.69 $376.93 0.2×
Application of long leg cast (29345) $71.75 $717.53 0.3×
Application of rigid total contact leg cast (29445) $79.70 $797 0.3×
Application short arm splint forearm-hand static (29125) $34.33 $343.27 0.3×
Application short leg splint calf foot (29515) $35.05 $350.48 0.2×
Apply hand/wrist cast (29085) $39.66 $396.58 0.2×
Apply long arm cast (29065) $71.75 $717.53 0.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines		 $76.10–$171.30 $761–$1,713 varies
Apply Short Leg Cast (29405) $26.93 $269.28 0.1×
Arterial puncture (36600) $33.55 $335.49 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $53.41–$80.12 $534.14–$801.21 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $138.60 $1,386 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $81.47–$122.20 $814.68–$1,222.02 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $54.40 $544 0.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $71.95–$107.92 $719.46–$1,079.19 varies
Aspirate pleura w/ imaging (32555) $150.29 $1,502.92 0.2×
Aspirate Pleura W/O Imaging (32554) $160.67 $1,606.68 0.3×
Aspirate/Inj Ganglion Cyst (20612) $54.40 $544 0.2×
Aspiration bladder insert suprapubic catheter (51102) $640.70 $6,407 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $55.43 $554.28 0.3×
Biopsy of penis (54100) $299.90 $2,999 0.2×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $641 $6,410 0.2×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $720.30 $7,203 0.2×
Bladder instillation anticarcinogenic agent (51720) $125.10 $1,251 0.2×
Bladder Irrigation (51700) $64.50 $645 0.3×
Bladder Scan (51798) $17.20 $172 0.3×
Blood Transfusion Service (36430) $297.43 $2,974.31 0.7×
Bx breast 1st lesion us imag (19083) $299.90 $2,999 0.2×
Bx prostate in-bore CT/MRI trgt les only 1st (55714)
likely a partial charge, not the full procedure		 $1,095.60 $10,956 0.2×
Bx prostate strtctc saturation sampling img gid (55706) $641 $6,410 0.2×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $720.30 $7,203 0.2×
Bx prostate transperineal ultrasound-guided (55709) $720.30 $7,203 0.2×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $720.30 $7,203 0.2×
Bx prst8 in-bore CT/MRI bx 1 (55713)
likely a partial charge, not the full procedure		 $1,095.60 $10,956 0.2×
Bx prst8 tprn us w/MRI fus 1 (55710) $720.30 $7,203 0.2×
Bx prst8 trct us w/MRI fus 1 (55708) $720.30 $7,203 0.2×
Change Cystostomy Tube Complicated (51710) $125 $1,250 0.2×
Change Cystostomy Tube Simple (51705) $64.50 $645 0.3×
Change of Windpipe Airway (31502) $78.36 $783.62 0.3×
Chemical Cautery Tissue (17250) $57.30 $573 0.3×
Chemodenerv 1 extrem 5/> mus (64644) $138.60 $1,386 0.2×
Chemodenerv 1 extremity 1-4 (64642) $128.90 $1,289 0.2×
Chemodenerv Musc Migraine (64615) $54.40 $544 0.2×
Chemodenerv musc neck dyston (64616) $54.40 $544 0.2×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $54.40 $544 0.2×
Chemodenerv trunk musc 1-5 (64646) $128.90 $1,289 0.2×
Chemodenerv trunk musc 6/> (64647) $128.90 $1,289 0.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $54.40 $544 0.2×
Chest tube placement (32551) $417.81 $4,178.13 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $286.90 $2,869 0.2×
Clear outer ear canal (69200) $29.10 $290.97 0.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $61.28 $612.81 0.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $50.50 $505 0.2×
Closed Treatment Ulnar Styloid Fracture (25650) $41.40 $414 0.2×
Closed tx ankle dislocation w/o anesthesia (27840) $61.28 $612.81 0.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $413.84 $4,138.38 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $41.40 $414 0.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $41.40 $414 0.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $41.40 $414 0.2×
Closed Tx Knee Dislocation W/Anesthesia (27552) $286.90 $2,869 0.2×
Closed tx knee dislocation w/o anesthesia (27550) $41.40 $414 0.2×
Closed tx metatarsal fracture w/o manipulation (28470) $41.40 $414 0.2×
Closed tx patellar dislocation w/o anesthesia (27560) $59.06 $590.65 0.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $41.40 $414 0.2×
Closed tx radial head/neck fx w/manipulation (24655) $286.90 $2,869 0.2×
Closed tx radial head/neck fx w/o manipulation (24650) $41.40 $414 0.2×
Closed tx radial shaft fracture w/manipulation (25505) $286.90 $2,869 0.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $41.40 $414 0.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $430.40 $4,304 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $41.40 $414 0.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $41.40 $414 0.2×
Closed tx talus fracture w/o manipulation (28430) $41.40 $414 0.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $286.90 $2,869 0.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $41.40 $414 0.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $41.40 $414 0.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $41.40 $414 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $41.40 $414 0.2×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $41.40 $414 0.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $413.84 $4,138.38 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $72.14 $721.40 0.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $41.40 $414 0.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $698.20 $6,982 0.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $41.40 $414 0.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $41.40 $414 0.2×
Cltx dstl fibular fx lat malls w/manj (27788) $61.28 $612.81 0.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $41.40 $414 0.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $61.28 $612.81 0.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $41.40 $414 0.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $34.51 $345.07 0.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $459.40 $4,594 0.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $41.40 $414 0.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $50.50 $505 0.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $67.50 $675 0.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $41.40 $414 0.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $39.80 $397.97 0.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $41.40 $414 0.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $41.40 $414 0.2×
Cltx greater humeral tuberosity fx w/o manj (23620) $41.40 $414 0.2×
Cltx Greater Trochanteric Fx W/O Manj (27246) $48 $480 0.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $63.20 $632 0.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $41.40 $414 0.2×
Cltx humeral condylar fx medial/lateral w/manj (24577) $413.84 $4,138.38 0.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $41.40 $414 0.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $49.18 $491.76 0.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $51.34 $513.40 0.2×
Cltx Med Ankle Fx W/Mnpj (27762) $413.84 $4,138.38 0.3×
Cltx Medial Ankle Fx (27760) $41.40 $414 0.2×
Cltx metacarpal fx w/manipulation each bone (26605) $76.08 $760.78 0.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $41.40 $414 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $67.78 $677.82 0.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $41.40 $414 0.2×
Cltx post hip arthrp dislc w/o anes (27265) $66.83 $668.27 0.3×
Cltx prox fibula/shft fx w/o manj (27780) $41.40 $414 0.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $67.50 $675 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $46.41 $464.10 0.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $413.84 $4,138.38 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $480.20 $4,802 0.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $41.40 $414 0.2×
Cltx tibial fx proximal w/o manipulation (27530) $41.40 $414 0.2×
Cltx tibial shaft fx w/o manipulation (27750) $41.40 $414 0.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $413.84 $4,138.38 0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $41.40 $414 0.2×
Collect Blood From Catheter Venous Nos (36592) $34.60 $346 0.3×
Collection of venous blood by venipuncture (36415) $8.20 $82 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $366.73 $3,667.33 0.3×
Colonoscopy thru stoma (44388) $316.16 $3,161.60 0.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $352.82 $3,528.20 0.3×
Colonoscopy w/ablation (45388) $413.14 $4,131.40 0.3×
Colonoscopy W/Band Ligation (45398) $482.30 $4,823.04 0.4×
Colonoscopy w/submucosal inj (45381) $413.14 $4,131.40 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $285.03 $2,850.35 0.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $285.03 $2,850.35 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $52.36–$78.54 $523.62–$785.43 varies
Control Nasal Hemorrhage Anterior Simple (30901) $44.07 $440.66 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $26.03 $260.31 0.2×
Cysto calibration dilat urtl strix/stenosis (52281) $371 $3,710 0.2×
Cysto w/destruction of lesions (52214) $641 $6,410 0.2×
Cysto w/irrig & evac multple obstructing clots (52001) $641.10 $6,411 0.2×
Cysto w/removal of lesions small (52224) $641 $6,410 0.2×
Cysto W/Simple Removal Stone & Stent (52310) $371 $3,710 0.2×
Cystometrogram W/Vp (51728) $125.10 $1,251 0.2×
Cystometrogram W/Vp&Up (51729) $125 $1,250 0.2×
Cystourethroscopy (52000) $125.10 $1,251 0.2×
Cystourethroscopy inj chemodenervation bladder (52287) $371 $3,710 0.2×
Cystourethroscopy with biopsy (52204) $371 $3,710 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $183.70 $1,837 0.2×
Debride nail 1-5 (11720) $11.50 $115 0.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $486.10 $4,861 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $114 $1,140 0.3×
Declot vascular device (36593) $99.80 $998 0.3×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $345.20 $3,452 0.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $345.10 $3,451 0.2×
Destr W Neurolytic; Celiac Plexus (64680) $255.70 $2,557 0.3×
Destroy cerv/thor facet jnt (64633) $513.50 $5,135 0.3×
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $551.90–$858.39 $5,519–$8,583.90 varies
Destruct B9 Lesion 1-14 (17110) $59.40 $594 0.3×
Destruction neurolytic agt genicular nerve w/img (64624) $539.30 $5,393 0.3×
Diagnostic sigmoidoscopy (45330) $156.62 $1,566.18 0.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $29.10 $291 0.2×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $23.20 $232 0.2×
Dilate Esophagus 1/Mult Pass (43450) $154.98 $1,549.83 0.2×
Dilate Urethra Stricture (53620) $125 $1,250 0.2×
Dilate Urethra Stricture (53600) $42.90 $429 0.2×
Drain/inj small joint/bursa w/us (20604) $59.10 $591 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $184.91 $1,849.08 0.3×
Drainage Finger Abscess Complicated (26011) $717.20 $7,172 0.4×
Drainage of finger abscess simple (26010) $50.50 $504.98 0.3×
Drainage of hematoma/fluid (10140) $308.85 $3,088.51 0.2×
Drainage of hydrocele (55000) $129.80 $1,298 0.2×
Drainage of rectal abscess (45005) $304.43 $3,044.32 0.3×
Drainage of scrotal wall abscess (55100) $224.48 $2,244.77 0.1×
Drainage of scrotum (54700) $371 $3,710 0.2×
Draw Blood Off Venous Device (36591) $34.60 $346 0.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $201.20 $2,012 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $26.06 $260.61 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $40.04 $400.38 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $255.70–$383.55 $2,557–$3,835.50 varies
Dynamic Cavernosometry Njx Vasoactive Drugs (54231) $43 $430 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $611.26 $6,112.60 0.3×
Egd cautery tumor polyp (43250) $253.69 $2,536.95 0.1×
Egd control bleeding any (43255) $647.14 $6,471.40 0.3×
Egd dilation gastric/duodenal stricture (43245) $497.70 $4,977 0.3×
Egd Flexible Foreign Body Removal (43247) $248 $2,480 0.3×
Egd guide wire insertion (43248) $253.69 $2,536.95 0.3×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $569.10 $5,691 0.3×
Egd place gastrostomy tube (43246) $253.69 $2,536.95 0.1×
Egd remove lesion snare (43251) $253.69 $2,536.95 0.1×
Egd Varices Ligation (43244) $253.69 $2,536.95 0.1×
Electro-Uroflowmetry First (51741) $62.30 $623 0.3×
Endoscopic injection/implant (51715) $641.10 $6,411 0.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $629.50 $6,295 0.2×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $629.50 $6,295 0.2×
Endoven ther chem adhes 1st (36482)
likely a partial charge, not the full procedure		 $1,081.20 $10,812 0.2×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $423.18 $4,231.80 0.2×
Epidural Blood Patch (62273) $193.40 $1,934 0.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $279.10 $2,791 0.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $253.69 $2,536.95 0.1×
Esophagoscopy Flexible Guide Wire Dilation (43226) $253.69 $2,536.95 0.1×
Evacuation of subungual hematoma (11740) $25.16 $251.59 0.2×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $299.90 $2,999 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $300 $3,000 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $129.80 $1,298 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $299.90 $2,999 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $299.90 $2,999 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $324.10 $3,241 0.2×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $324.10 $3,241 0.2×
Fine needle aspiration without imaging guidance (10021) $119.90 $1,199 0.3×
Fluoro exam of g/colon tube (49465) $46.70 $467 0.2×
Fna bx w/us gdn 1st les (10005) $174.53 $1,745.33 0.2×
Foreskin manipulation (54450) $43 $430 0.2×
Frenulotomy of penis (54164) $371 $3,710 0.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $166.20 $1,662 0.2×
I&d abscess simple (10060) $64.75 $647.46 0.3×
I&D Deep Absc/Hematoma Neck/Chest (21501) $572.50 $5,725 0.2×
I&d perianal abscess superficial (46050) $235.81 $2,358.14 0.3×
I&d pilonidal cyst simple (10080) $184.91 $1,849.08 0.3×
Image Cath Fluid Colxn Visc (49405) $529.23 $5,292.30 0.3×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,320.70 $13,207 0.2×
Incise external hemorrhoid (46083) $67.06 $670.61 0.3×
Incision & drainage abscess complicated/multiple (10061) $118.13 $1,181.30 0.3×
Incision & removal foreign body subq tiss compl (10121) $299.90 $2,999 0.2×
Incision & removal foreign body subq tiss simple (10120) $84.16 $841.64 0.2×
Incision and drainage of bartholin's gland abscess (56420) $56.45 $564.50 0.3×
Incision and drainage of vulva or perineal abscess (56405) $89.18 $891.84 0.3×
Incision of rectal abscess (46040) $190.82 $1,908.16 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $57.30 $573 0.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $283.66 $2,836.59 0.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $296.04 $2,960.39 0.3×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $77.67–$116.50 $776.67–$1,165.01 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $267.10 $2,671 0.3×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $244.64 $2,446.37 0.3×
Injection aa&/strd genicular nrv branches w/img (64454) $193.40 $1,934 0.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $170.40 $1,704 0.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $193.40–$290.10 $1,934–$2,901 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $188.69 $1,886.90 0.3×
Injection Anes Agent Sphenopalatine Ganglion (64505) $54.40 $544 0.2×
Injection anesthetic agent suprascapular nerve (64418) $184.62 $1,846.17 0.3×
Injection enzyme palmar fascial cord (20527) $77.67 $776.67 0.3×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $77.67–$116.50 $776.67–$1,165.01 varies
Injection single/mlt trigger point 1/2 muscles (20552) $65.59 $655.88 0.2×
Injection single/mlt trigger point 3/> muscles (20553) $77.67 $776.67 0.3×
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $77.67–$116.50 $776.67–$1,165.01 varies
Injection, anesthetic agent; brachial plexus, single (64415) $244.64 $2,446.37 0.3×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 6 matching MRF lines		 $188.69–$283.03 $1,886.90–$2,830.35 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines		 $163.77–$245.65 $1,637.70–$2,456.55 varies
Injection, intralesional; up to and including 7 lesions (11900) $39.80 $398 0.2×
Insert Bladder Cath Complex (51703) $29 $290 0.2×
Insert cath pleura w/ image (32557) $394.54 $3,945.42 0.2×
Insert non-tunnel cv cath (36556) $893.70 $8,937 0.3×
Insert Temp Bladder Cath (51702) $34.38 $343.79 0.3×
Insert,Non-Indwelling Bladder Catheter (51701) $32.40 $324 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $876.63 $8,766.33 0.6×
Instlj ther agent renal pelvis&/ureter via tub (50391) $46.70 $467 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $150.58 $1,505.83 0.4×
Intraoral i&d tongue/floor lingual (41000) $157.30 $1,573 0.3×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
likely a partial charge, not the full procedure		 $1,140.40 $11,404 0.2×
Intubation endotracheal emergency procedure (31500) $167.54 $1,675.38 0.7×
Irrigation of corpora cavernosa for priapism (54220) $79.70 $797 0.3×
N Block Inj Celiac Pelus (64530) $255.70 $2,557 0.3×
N Block Inj Ilio-Ing/Hypogi (64425) $178.12 $1,781.21 0.3×
N block inj intercost sng (64420) $207.80 $2,078 0.3×
Nasal/Orogastric W/Tube Plmt (43752) $58.49 $584.94 0.1×
Neuroeltrd Stim Post Tibial (64566) $54.40 $544 0.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $77.67 $776.67 0.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $255.70–$383.55 $2,557–$3,835.50 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $193.40 $1,934 0.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $193.40 $1,934 0.3×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $365.90 $3,659 0.2×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $365.90 $3,659 0.2×
Njx Sclrsnt 1 Incmptnt Vein (36470) $80 $800 0.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $80 $800 0.2×
Njx Sclrsnt Spider Veins (36468) $80 $800 0.2×
Occipital Nerve Block (64405) $54.40 $544 0.2×
Penile Injection (54235) $73 $730 0.3×
Percut Ablate Liver Rf (47382)
unusually low: confirm this is the full procedure		 $1,903.46 $19,034.60 0.3×
Phleb Veins - Extrem 20+ (37766) $629.50 $6,295 0.2×
Place Rt Device/Marker Pros (55876) $268.10 $2,681 0.2×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $255.70 $2,557 0.3×
Punch biopsy skin single lesion (11104) $176.60 $1,766 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $49.90 $498.97 0.1×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $539.30 $5,393 0.3×
Removal foreign body foot deep (28192) $311.71 $3,117.07 0.2×
Removal Foreign Body Foot Subcutaneous (28190) $171.24 $1,712.43 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $16.47–$24.71 $164.72–$247.08 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $28.37 $283.75 0.5×
Removal Implant Superficial Separate Procedure (20670) $299.90 $2,999 0.2×
Removal of nail bed (11750) $111.90 $1,119 0.3×
Remove foreign body from eye (65205) $49.33 $493.27 0.4×
Remove intrvas foreign body (37197) $1,076.40 $10,764 0.3×
Remove Nasal Foreign Body (30300) $32.73 $327.34 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $130.51 $1,305.14 0.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $92.25 $922.50 0.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $80.38 $803.76 0.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $155.62 $1,556.25 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $102.68 $1,026.84 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $112.96 $1,129.62 0.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $124.31 $1,243.06 0.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $136.81 $1,368.15 0.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $174.30 $1,743 0.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $54.26 $542.56 0.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $56.75 $567.50 0.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $68.68 $686.84 0.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $76.38 $763.79 0.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $63 $630.03 0.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $83.44 $834.42 0.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $94.86 $948.65 0.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $66.91 $669.10 0.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $316.20 $3,162 0.2×
Repair of nail bed (11760) $174.30 $1,743 0.2×
Repair tongue laceration (41252) $69.90 $699 0.3×
Repair tongue laceration (41250) $119.80 $1,198 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $59.68 $596.84 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $55.29 $552.92 0.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $39.78 $397.80 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $418.01 $4,180.07 0.3×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $539.30 $5,393 0.3×
Rplc Gtube No Revj Trc (43762) $83.65 $836.53 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $52.96 $529.63 0.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $157.30 $1,573 0.3×
Rpr Lip Full Thickness Vermilion Only (40650) $152.80 $1,528 0.3×
Scrotoplasty Simple (55175) $641 $6,410 0.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $324.90 $3,249 0.3×
Shave skin lesion 0.5 cm/< (11300) $119.90 $1,199 0.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $413.14 $4,131.40 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $156.62 $1,566.18 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $112 $1,120 0.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $45.24 $452.38 0.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $48.09 $480.94 0.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $50.32 $503.18 0.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $44.07 $440.66 0.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $42.42 $424.21 0.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $51.22 $512.20 0.3×
Skin sub graft face/nk/hf/g (15275) $548.80 $5,488 0.7×
Skin sub graft trnk/arm/leg (15271) $548.80 $5,488 0.7×
Skin sub grft t/arm/lg child (15273) $1,098.30 $10,983 0.5×
Skn sub grft f/n/hf/g child (15277) $548.80 $5,488 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $46.26 $462.60 0.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $57.05 $570.51 0.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $61.95 $619.51 0.2×
Spinal puncture lumbar diagnostic (62270) $94.08 $940.85 0.1×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $629.50 $6,295 0.2×
Strapping knee (29530) $22.15 $221.53 0.2×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $76.10–$114.20 $761–$1,142 varies
Tangential biopsy skin single lesion (11102) $59.70 $597 0.1×
Thrombolytic Therapy Stroke (37195) $106.45 $1,064.46 0.3×
Thyroid biopsy (60100) $174.53 $1,745.33 0.2×
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure		 $940.50 $9,405 0.2×
Treat humerus fracture (24500) $41.40 $414 0.2×
Treat humerus fracture (23600) $41.40 $414 0.2×
Treat Knee Fracture(S) (27538) $50.50 $505 0.2×
Treat Knuckle Dislocation (26700) $53.92 $539.25 0.2×
Treat Metatarsal Fracture (28475) $41.40 $414 0.2×
Treat Thumb Dislocation (26641) $72 $720 0.3×
Treat toe dislocation (28630) $67.50 $675 0.3×
Treatment closed elbow dislocation w/o anes (24600) $41.36 $413.60 0.2×
Trim skin lesion (11055) $59.70 $597 0.3×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $641.10 $6,411 0.2×
Tx Gastro Intub W/Asp (43753) $93.50 $935 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $116.20 $1,162 0.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $41.40 $414 0.2×
Unlisted procedure nervous system (64999) $104.13 $1,041.30 0.3×
Unlisted procedure stomach (43999) $322.40 $3,224 0.4×
Unlisted px female genital system nonobstetrical (58999) $35.60 $356 0.2×
Urine Flow Measurement (51736) $23.20 $232 0.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $371 $3,710 0.2×
Wedge excision skin nail fold (11765) $61.11 $611.09 0.1×

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.