Procedures & surgery prices at Veterans Memorial Hospital

Waukon, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$205.77–$308.37 $361–$541 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$136.23–$340.86 $239–$598 varies
Acne surgery (10040)
range across 2 matching MRF lines
$165.87–$169.86 $291–$298 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,128.95 $3,735 0.7×
Amputation metatarsal with toe single (28810) $591.09 $1,037 0.2×
Amputation toe metatarsophalangeal joint (28820) $2,201.91 $3,863 0.7×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines
$131.10–$302.10 $230–$530 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$241.68–$246.81 $424–$433 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$316.92–$457.71 $556–$803 varies
Application of long leg cast (29345) $246.81 $433 0.9×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines
$171–$250.80 $300–$440 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$173.28–$187.53 $304–$329 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$181.83–$439.47 $319–$771 varies
Apply long arm cast (29065) $308.37 $541 1.1×
Apply Multlay Comprs Lwr Leg (29581) $112.86 $198 0.7×
Arterial puncture (36600) $71.25 $125 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$100.32–$456.57 $176–$801 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines
$114–$515.28 $200–$904 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$250.80–$628.71 $440–$1,103 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$159.60–$687.42 $280–$1,206 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$182.40–$274.17 $320–$481 varies
Aspirate pleura w/ imaging (32555) $571.71 $1,003 0.9×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$350.55–$525.54 $615–$922 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
$125.40–$189.24 $220–$332 varies
Aspiration bladder insert suprapubic catheter (51102) $320.91 $563 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $188.67 $331 1.0×
Biopsy bone open superficial (20240) $748.41 $1,313 0.3×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$132.24–$197.79 $232–$347 varies
Bladder Scan (51798)
range across 2 matching MRF lines
$28.50–$55.86 $50–$98 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,104.66 $1,938 0.6×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines
$304.95–$450.30 $535–$790 varies
Blood Transfusion Service (36430) $343.71 $603 0.8×
Bx Cervix (57500) $544.35 $955 0.6×
Carpal Tunnel Surgery (64721) $2,407.11 $4,223 1.3×
Cautery Cervix Cryocautery Initial/Repeat (57511) $234.84 $412 0.8×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines
$173.85–$289.56 $305–$508 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$105.45–$263.34 $185–$462 varies
Chemical Cautery Tissue (17250) $148.20 $260 0.8×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines
$518.70–$628.71 $910–$1,103 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines
$213.75–$217.74 $375–$382 varies
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines
$220.02–$228 $386–$400 varies
Chest tube placement (32551) $1,307.58 $2,294 0.9×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines
$209.76–$314.64 $368–$552 varies
Clear outer ear canal (69200) $154.47 $271 1.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,321.83 $2,319 0.9×
Closed tx knee dislocation w/o anesthesia (27550) $599.07 $1,051 2.5×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines
$589.95–$877.80 $1,035–$1,540 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,171.35 $2,055 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines
$474.81–$763.23 $833–$1,339 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$498.75–$880.65 $875–$1,545 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $855 $1,500 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines
$670.89–$855 $1,177–$1,500 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,195.29 $2,097 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $190.95 $335 0.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $695.40 $1,220 2.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $478.80 $840 2.0×
Cltx Med Ankle Fx W/Mnpj (27762) $799.71 $1,403 0.5×
Cltx metacarpal fx w/manipulation each bone (26605) $319.77 $561 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
$453.15–$658.35 $795–$1,155 varies
Cltx post hip arthrp dislc req anes (27266) $808.26 $1,418 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$128.25–$254.79 $225–$447 varies
Collect Blood From Catheter Venous Nos (36592) $71.25 $125 0.6×
Collection of venous blood by venipuncture (36415) $21.09 $37 2.3×
Colonoscopy w/submucosal inj (45381) $2,789.01 $4,893 2.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $423.51 $743 1.4×
Colposcopy entire vagina w/cervix if present (57420) $304.38 $534 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $418.38 $734 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,287.76 $5,768 2.9×
Control Nasal Hemorrhage Anterior Complex (30903) $392.16 $688 3.1×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$302.10–$308.37 $530–$541 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$360.24–$809.97 $632–$1,421 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines
$670.89–$1,076.73 $1,177–$1,889 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$180.69–$271.32 $317–$476 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines
$42.75–$92.91 $75–$163 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines
$59.85–$94.05 $105–$165 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,121.19 $1,967 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$91.77–$137.94 $161–$242 varies
Delivery of placenta (59414)
range across 2 matching MRF lines
$503.88–$513.57 $884–$901 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$142.50–$216.03 $250–$379 varies
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $233.70 $410 1.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $272.46 $478 1.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $171 $300 0.9×
Destruction of skin lesions (17106) $996.36 $1,748 2.5×
Destruction Premalignant Lesion 15/> (17004) $363.09 $637 0.9×
Destruction premalignant lesion 1st (17000) $181.26 $318 0.9×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines
$157.32–$515.28 $276–$904 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$246.81–$384.75 $433–$675 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines
$370.50–$615.60 $650–$1,080 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$906.87–$925.11 $1,591–$1,623 varies
Draw Blood Off Venous Device (36591) $71.25 $125 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $282.72 $496 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$96.90–$144.78 $170–$254 varies
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $400.71 $703 1.0×
Egd dilation gastric/duodenal stricture (43245) $3,346.47 $5,871 1.8×
Egd Flexible Foreign Body Removal (43247) $2,818.08 $4,944 3.2×
Endometrial Biopsy (58100) $190.95 $335 1.0×
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$213.75–$1,211.25 $375–$2,125 varies
Evacuation of subungual hematoma (11740) $90.06 $158 0.7×
Exc arm/elbow les sc < 3 cm (24075) $684 $1,200 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines
$241.68–$262.20 $424–$460 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $816.81 $1,433 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $514.14 $902 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $574.56 $1,008 0.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines
$541.50–$842.46 $950–$1,478 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines
$179.55–$277.59 $315–$487 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $756.39 $1,327 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $272.46 $478 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines
$259.35–$544.35 $455–$955 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $756.39 $1,327 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$247.95–$462.84 $435–$812 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
$401.85–$687.42 $705–$1,206 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines
$370.50–$665.19 $650–$1,167 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines
$627–$1,542.42 $1,100–$2,706 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $604.77 $1,061 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $302.10 $530 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$219.45–$361.95 $385–$635 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines
$285–$524.97 $500–$921 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines
$454.29–$463.41 $797–$813 varies
Excision Chalazion Single (67800) $370.50 $650 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines
$384.75–$453.72 $675–$796 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $514.14 $902 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $604.77 $1,061 0.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $649.80 $1,140 1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines
$228–$342 $400–$600 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $385.32 $676 0.2×
Excision Multiple External Papillae/Tags Anus (46230) $449.16 $788 0.2×
Excision of single external papilla or tag, anus (46220) $589.95 $1,035 0.5×
Excision prepatellar bursa (27340)
range across 2 matching MRF lines
$484.50–$630.99 $850–$1,107 varies
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure
$1,467.75 $2,575 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,010.61 $1,773 0.6×
Excision/curettage cyst/tumor phalanx finger (26210) $1,209.54 $2,122 0.8×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines
$399–$852.15 $700–$1,495 varies
External cephalic version (59412) $616.74 $1,082 0.2×
Fetal non-stress test (59025)
range across 2 matching MRF lines
$88.35–$177.27 $155–$311 varies
Fine needle aspiration without imaging guidance (10021) $196.65 $345 0.5×
I&d abscess simple (10060)
range across 2 matching MRF lines
$171–$256.50 $300–$450 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines
$1,140–$1,197.57 $2,000–$2,101 varies
I&d perianal abscess superficial (46050) $313.50 $550 0.4×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$299.25–$528.96 $525–$928 varies
Incise external hemorrhoid (46083) $308.37 $541 1.3×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$285–$456 $500–$800 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$125.97–$189.24 $221–$332 varies
Incision of labial frenum (frenotomy) (40806) $279.87 $491 0.5×
Incision of lingual frenum (frenotomy) (41010) $357.96 $628 0.2×
Incisional biopsy skin single lesion (11106) $282.15 $495 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $285 $500 1.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$342–$1,211.25 $600–$2,125 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$85.50–$456.57 $150–$801 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines
$213.75–$687.42 $375–$1,206 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines
$327.75–$687.42 $575–$1,206 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines
$80.37–$365.37 $141–$641 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines
$335.16–$687.42 $588–$1,206 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $507.30 $890 0.7×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines
$518.70–$628.71 $910–$1,103 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines
$518.70–$628.71 $910–$1,103 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines
$159.60–$628.71 $280–$1,103 varies
Injection single tendon origin/insertion (20551) $216.03 $379 0.7×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$182.40–$274.17 $320–$481 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$364.80–$456.57 $640–$801 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines
$117.99–$456.57 $207–$801 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$181.83–$913.14 $319–$1,602 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$251.37–$377.34 $441–$662 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines
$228.57–$456.57 $401–$801 varies
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines
$103.17–$155.04 $181–$272 varies
Insert Drug Implant Device (11981) $363.09 $637 2.8×
Insert pessary/other device (57160) $154.47 $271 0.8×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$126.54–$190.95 $222–$335 varies
Insert,Non-Indwelling Bladder Catheter (51701) $154.47 $271 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $361.95 $635 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $216.60 $380 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $554.61 $973 0.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$579.12–$590.52 $1,016–$1,036 varies
Laparoscopy fulguration oviducts (58670) $7,016.13 $12,309 1.2×
Laparoscopy, surgical, appendectomy (44970) $7,632.30 $13,390 1.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $8,806.50 $15,450 1.5×
Laparoscopy, Tubal Block (58671) $7,016.13 $12,309 1.2×
Ligation or biopsy temporal artery (37609) $418.95 $735 0.3×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines
$459.42–$687.42 $806–$1,206 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines
$158.46–$628.71 $278–$1,103 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines
$179.55–$628.71 $315–$1,103 varies
N Block Inj Plantar Digit (64455) $215.46 $378 0.7×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines
$159.03–$628.71 $279–$1,103 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines
$518.70–$628.71 $910–$1,103 varies
Nasal/Orogastric W/Tube Plmt (43752) $86.07 $151 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines
$51.87–$54.15 $91–$95 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $627 $1,100 1.5×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines
$518.70–$628.71 $910–$1,103 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$251.37–$377.34 $441–$662 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,197–$1,211.25 $2,100–$2,125 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines
$370.50–$1,211.25 $650–$2,125 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$373.35–$1,211.25 $655–$2,125 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$156.75–$628.71 $275–$1,103 varies
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines
$627–$1,140 $1,100–$2,000 varies
Placement of needle for intraosseous infusion (36680) $348.27 $611 0.8×
Punch biopsy skin single lesion (11104) $241.68 $424 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$78.66–$117.42 $138–$206 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines
$228–$687.42 $400–$1,206 varies
Removal foreign body foot deep (28192) $751.26 $1,318 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $756.39 $1,327 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$86.64–$88.92 $152–$156 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $105.45 $185 1.9×
Removal of nail bed (11750) $369.93 $649 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $181.26 $318 0.9×
Removal Submand Stone,Complicated (42335) $1,218.09 $2,137 0.4×
Remove drug implant device (11982) $495.90 $870 1.2×
Remove foreign body from eye (65205) $71.25 $125 0.6×
Remove Intrauterine Device (58301) $377.91 $663 1.3×
Remove/Insert Drug Implant (11983) $544.35 $955 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines
$825.93–$842.46 $1,449–$1,478 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $430.92 $756 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$693.69–$804.84 $1,217–$1,412 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $431.49 $757 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$228–$342 $400–$600 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines
$1,133.73–$1,156.53 $1,989–$2,029 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $404.70 $710 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$319.20–$490.20 $560–$860 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$313.50–$498.75 $550–$875 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$251.37–$313.50 $441–$550 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$261.63–$384.75 $459–$675 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $599.07 $1,051 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $499.32 $876 1.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $188.10 $330 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $184.68 $324 0.4×
Rmvl Vitreous Ant Appr Partial Removal (67005) $1,690.62 $2,966 0.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$282.15–$559.74 $495–$982 varies
Shave skin lesion 0.5 cm/< (11300) $181.26 $318 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $181.26 $318 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $154.47 $271 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $200.64 $352 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $184.68 $324 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $272.46 $478 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $184.68 $324 1.0×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $480.51 $843 0.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$324.90–$331.17 $570–$581 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$332.31–$375.06 $583–$658 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $167.01 $293 0.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$184.68–$337.44 $324–$592 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $391.02 $686 2.0×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines
$285–$1,347.48 $500–$2,364 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines
$285–$1,174.20 $500–$2,060 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$246.81–$322.05 $433–$565 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $354.54 $622 0.9×
Spinal puncture lumbar diagnostic (62270) $465.12 $816 0.7×
Strapping Unna Boot (29580) $108.30 $190 0.7×
Tangential biopsy skin single lesion (11102) $302.10 $530 0.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $389.31 $683 0.3×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 2 matching MRF lines
$413.25–$592.80 $725–$1,040 varies
Thrombolytic Therapy Stroke (37195) $310.08 $544 1.0×
Treat Tail Bone Fracture (27200) $301.53 $529 1.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,012.89 $1,777 0.7×
Treatment closed elbow dislocation w/o anes (24600) $190.95 $335 0.8×
Trim skin lesion (11055)
range across 2 matching MRF lines
$91.20–$151.62 $160–$266 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines
$53.58–$80.37 $94–$141 varies
Trimming Nondystrophic Nails Any Number (11719) $45.03 $79 0.8×
Tx Gastro Intub W/Asp (43753) $171.57 $301 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,702.59 $2,987 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $535.23 $939 0.8×
Unlisted Craniofacial & Maxillofacial Procedure (21299)
range across 2 matching MRF lines
$456–$798 $800–$1,400 varies
Unlisted procedure anus (46999) $838.47 $1,471 0.9×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$241.11–$628.71 $423–$1,103 varies
Vaginal delivery only (59409) $1,747.05 $3,065 0.6×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines
$427.50–$989.52 $750–$1,736 varies

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.