Procedures & surgery prices at Wallowa Memorial Hospital

Enterprise, OR · every code in this section with a posted price and a Medicare benchmark.

407 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		 $440–$1,146 $440–$1,146 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $630 $630 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,968 $1,968 0.5×
Amputation foot transmetarsal (28805) $1,699 $1,699 0.5×
Amputation metatarsal with toe single (28810) $1,080 $1,080 0.3×
Amputation toe interphalangeal joint (28825) $889 $889 0.2×
Amputation toe metatarsophalangeal joint (28820) $1,559 $1,559 0.4×
Anoscopy diagnostic (46600) $313 $313 2.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $400 $400 0.1×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,777 $1,777 0.2×
Application cast elbow finger short arm (29075) $300 $300 1.0×
Application finger splint static (29130) $114 $114 0.8×
Application long arm splint shoulder hand (29105) $263 $263 1.5×
Application Long Leg Splint (29505) $324 $324 1.8×
Application of cylinder cast (thigh to ankle) (29365) $318 $318 1.0×
Application of long leg cast (29345) $451 $451 1.5×
Application short arm splint forearm-hand static (29125) $228 $228 1.5×
Application short leg splint calf foot (29515) $305 $305 1.7×
Apply hand/wrist cast (29085) $291 $291 1.6×
Apply long arm cast (29065) $334 $334 1.1×
Apply Multlay Comprs Lwr Leg (29581) $125 $125 0.7×
Apply Short Leg Cast (29405) $462 $462 1.5×
Arterial puncture (36600)
range across 2 matching MRF lines		 $11–$129 $11–$129 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,303 $2,303 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $190–$267 $190–$267 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $318 $318 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $217–$373 $217–$373 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $287 $287 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $173–$261 $173–$261 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,434 $2,434 0.3×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $2,422 $2,422 0.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $2,328 $2,328 0.6×
Arthroscopy Ankle Surgical Debridement Limited (29897) $1,357 $1,357 0.4×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $1,612 $1,612 0.4×
Arthroscopy knee synovectomy limited spx (29875) $1,394 $1,394 0.4×
Arthroscopy shoulder distal claviculectomy (29824) $1,975 $1,975 0.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,783 $1,783 0.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $2,478 $2,478 0.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $2,433 $2,433 0.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,966 $2,966 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $3,517 $3,517 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure		 $2,706 $2,706 0.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,514 $1,514 0.4×
Artificial insemination intra-uterine (58322) $248 $248 1.1×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $286–$976 $286–$976 varies
Aspirate Pleura W/O Imaging (32554) $291 $291 0.4×
Aspirate/Inj Ganglion Cyst (20612) $181 $181 0.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $341–$376 $341–$376 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $646–$1,494 $646–$1,494 varies
Biopsy of breast; open, incisional (19101) $934 $934 0.2×
Biopsy of rectum (45100) $735 $735 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $526 $526 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $279 $279 0.3×
Bladder Scan (51798)
range across 2 matching MRF lines		 $68–$265 $68–$265 varies
Blepharotomy drainage abscess eyelid (67700) $656 $656 1.9×
Blood Transfusion Service (36430) $369 $369 0.8×
Bone Marrow Biopsy (38221) $413 $413 0.2×
Bx breast 1st lesion strtctc (19081) $1,895 $1,895 1.0×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $247–$996 $247–$996 varies
Bx/exc lymph node open deep axillary node (38525) $1,388 $1,388 0.3×
Bx/exc lymph node open superficial (38500) $994 $994 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $872 $872 0.2×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,826 $1,826 1.0×
Carpal Tunnel Surgery (64721) $1,330 $1,330 0.6×
Change Cystostomy Tube Simple (51705) $340 $340 1.2×
Chemical Cautery Tissue (17250) $246 $246 1.1×
Chemodenerv Eccrine Glands (64650) $295 $295 0.9×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $302–$308 $302–$308 varies
Chemodenerv musc neck dyston (64616) $302 $302 0.9×
Chemodenerv trunk musc 1-5 (64646) $694 $694 0.9×
Chemodenerv trunk musc 6/> (64647) $716 $716 0.9×
Chemodenervation eccrine glands oth area per day (64653) $310 $310 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $229 $229 0.7×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,070–$1,516 $1,070–$1,516 varies
Circumcision w/clamp/oth dev w/block (54150) $449 $449 0.2×
Clear outer ear canal (69200) $308 $308 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $1,446 $1,446 5.3×
Closed tx patellar dislocation w/o anesthesia (27560) $1,240 $1,240 4.5×
Closed tx radial shaft fracture w/manipulation (25505) $2,067 $2,067 1.2×
Clsd Tx Pelvic Ring Fx (27198) $839 $839 3.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,617 $1,617 0.9×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,194 $1,194 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $1,146 $1,146 4.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,226 $2,226 1.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $619 $619 2.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $329 $329 1.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,181 $1,181 3.8×
Cltx metacarpal fx w/manipulation each bone (26605) $1,018 $1,018 3.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,041 $1,041 3.8×
Cltx post hip arthrp dislc req anes (27266) $2,199 $2,199 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $1,412 $1,412 5.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $508 $508 1.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,409 $1,409 0.8×
Collect Blood From Catheter Venous Nos (36592) $105 $105 0.7×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $34–$38 $34–$38 varies
Colonoscopy thru stoma (44388) $910 $910 0.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,145 $1,145 0.9×
Colonoscopy w/ablation (45388) $7,874 $7,874 5.9×
Colonoscopy W/Band Ligation (45398) $2,256 $2,256 1.7×
Colonoscopy w/submucosal inj (45381) $1,181 $1,181 0.9×
Colporrhaphy (57200) $1,233 $1,233 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $499 $499 1.5×
Colposcopy Cervix Endocervical Curettage (57456) $634 $634 1.9×
Colposcopy cervix upper/adjacent vagina (57452) $368 $368 1.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $451 $451 1.3×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,395 $1,395 1.0×
Complex drainage wound (10180) $640 $640 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $711–$842 $711–$842 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $392–$401 $392–$401 varies
Correction hammertoe (28285) $1,347 $1,347 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,369 $2,369 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $2,122 $2,122 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $863 $863 5.8×
Curettage postpartum (59160) $591 $591 0.2×
Cystostomy Cystotomy W/Drainage (51040) $810 $810 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $179 $179 0.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,619 $2,619 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $195 $195 0.2×
Debride nail 1-5 (11720) $79 $79 1.2×
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $106–$110 $106–$110 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $787 $787 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $313–$359 $313–$359 varies
Declot vascular device (36593) $108 $108 0.3×
Destruct B9 Lesion 1-14 (17110) $326 $326 1.5×
Destruction Benign Lesions 15/> (17111) $343 $343 1.5×
Destruction Lesions Vulva Simple (56501) $375 $375 0.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $408 $408 1.8×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $629 $629 2.8×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $546 $546 2.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $289 $289 1.3×
Destruction Premalignant Lesion 15/> (17004) $427 $427 0.9×
Destruction premalignant lesion 1st (17000) $207 $207 0.9×
Diagnostic sigmoidoscopy (45330) $754 $754 0.7×
Dilation & curettage dx&/ther nonobstetric (58120) $830 $830 0.2×
Drain Cerebro Spinal Fluid (62272) $476.75 $476.75 0.6×
Drain/inj small joint/bursa w/us (20604) $230 $230 0.7×
Drainage of finger abscess simple (26010) $921 $921 4.1×
Drainage of gum lesion (41800) $324 $324 2.2×
Drainage of hematoma/fluid (10140) $561 $561 0.3×
Draw Blood Off Venous Device (36591) $177 $177 1.2×
Dressing Change Under Anesthesia (15852) $127 $127 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $396 $396 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $207–$313 $207–$313 varies
Dstrj Lesion Penis Simple Chemical (54050) $373 $373 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $389 $389 1.7×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $820 $820 1.8×
Egd Balloon Dil Esoph30 Mm/> (43233) $333 $333 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,728 $2,728 1.3×
Egd Flexible Foreign Body Removal (43247) $1,011 $1,011 1.0×
Egd place gastrostomy tube (43246) $568 $568 0.3×
Egd remove lesion snare (43251) $1,307 $1,307 0.6×
Egd Tube/Cath Insertion (43241) $387 $387 0.2×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $341–$348 $341–$348 varies
Escharotomy; initial incision (16035) $478 $478 1.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $962 $962 0.5×
Evacuation of subungual hematoma (11740) $149 $149 1.0×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,169 $1,169 0.6×
Exc arm/elbow les sc < 3 cm (24075) $1,360 $1,360 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $371 $371 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $595 $595 0.3×
Exc Back Les Sc < 3 Cm (21930) $690 $690 0.4×
Exc Back Tum Deep 5 Cm/> (21933) $1,791 $1,791 0.6×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,663 $1,663 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $740 $740 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $886 $886 1.1×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $991 $991 0.5×
Exc Face Les Sbq 2 Cm/> (21012) $988 $988 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $415 $415 0.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $527 $527 0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $633 $633 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $1,016 $1,016 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $367 $367 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $491–$501 $491–$501 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $548 $548 0.3×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,049 $1,049 0.6×
Exc neuroma hand/foot xcp digital nerve (64782) $1,100 $1,100 0.5×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,025 $2,025 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $531 $531 0.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $660 $660 0.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $910 $910 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $788 $788 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $937 $937 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,220 $1,220 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,242 $1,242 0.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $486 $486 1.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $495 $495 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $650 $650 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,301 $1,301 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,166 $1,166 0.6×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,380 $1,380 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $881 $881 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $602 $602 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $711 $711 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $712 $712 1.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $602 $602 0.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $996 $996 0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $689 $689 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $708 $708 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $974 $974 0.5×
Excision Multiple External Papillae/Tags Anus (46230) $884 $884 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $963 $963 0.5×
Excision of hydrocele; unilateral (55040) $979 $979 0.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,619 $1,619 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,366 $1,366 0.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,059 $1,059 0.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,173 $1,173 0.6×
Excision, interdigital (morton) neuroma, single, each (28080) $1,468 $1,468 0.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,116 $1,116 0.3×
Explo/Drain Breast Abscess (19020) $1,089 $1,089 0.6×
Exploration penetrating wound spx extremity (20103) $2,313 $2,313 1.3×
Explore/Treat Hand Joint (26070) $1,778 $1,778 1.0×
External cephalic version (59412) $497 $497 0.1×
Fasciectomy Plantar Fascia Partial Spx (28060) $569 $569 0.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,349 $2,349 0.6×
Fetal non-stress test (59025) $940 $940 4.2×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $309–$386 $309–$386 varies
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,751 $3,751 0.9×
Guide Cathet Fluid Drainage (10030) $936 $936 1.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,467 $1,467 0.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,289 $1,289 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,396 $1,396 0.5×
I&d abscess peritonsillar (42700) $547 $547 2.1×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $341–$390 $341–$390 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,665 $2,665 0.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,358 $1,358 0.4×
I&d perianal abscess superficial (46050) $655 $655 0.6×
I&d pilonidal cyst complicated (10081) $726 $726 0.9×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $408–$613 $408–$613 varies
Incise external hemorrhoid (46083) $529 $529 1.9×
Incise finger tendon sheath (26055) $1,638 $1,638 0.9×
Incision & drainage abscess complicated/multiple (10061) $704 $704 1.6×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,456 $1,456 0.5×
Incision & removal foreign body subq tiss compl (10121) $800 $800 0.4×
Incision & removal foreign body subq tiss simple (10120) $500 $500 1.1×
Incision and drainage of bartholin's gland abscess (56420) $384 $384 1.7×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $378–$409 $378–$409 varies
Incision of rectal abscess (46040) $1,670 $1,670 1.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,206 $1,206 0.7×
Incisional biopsy skin single lesion (11106) $258 $258 0.3×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $170 $170 0.2×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $212–$218 $212–$218 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,950 $1,950 2.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $238–$3,394 $238–$3,394 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $11 $11 0.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $178 $178 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $392 $392 1.1×
Injection single tendon origin/insertion (20551) $159 $159 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $236 $236 0.7×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $167–$174 $167–$174 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $230–$312 $230–$312 varies
Injection, anesthetic agent; brachial plexus, single (64415) $900 $900 0.9×
Injection, anesthetic agent; femoral nerve, single (64447) $727 $727 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $200–$302 $200–$302 varies
Injection, intralesional; up to and including 7 lesions (11900) $163 $163 0.7×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $589–$1,754 $589–$1,754 varies
Insert cath pleura w/o image (32556) $329 $329 0.2×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $366–$389 $366–$389 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $584–$825 $584–$825 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $126–$238 $126–$238 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $263–$297 $263–$297 varies
Insert tunneled cv cath (36561) $3,699 $3,699 1.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $172–$248 $172–$248 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,864 $2,864 1.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $853 $853 0.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $825 $825 0.3×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $400–$752 $400–$752 varies
Laparoscopy Enterolysis Separate Procedure (44180) $4,832 $4,832 0.7×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,145 $1,145 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,701 $1,701 0.3×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $2,827 $2,827 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,942 $1,942 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,779 $1,779 0.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $3,104 $3,104 0.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $2,387 $2,387 0.4×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,598 $1,598 0.2×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $1,078 $1,078 0.2×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $2,068 $2,068 0.3×
Ligation of hemorrhoids (46946) $1,027 $1,027 0.3×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $858–$939 $858–$939 varies
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $3,179 $3,179 0.4×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,983 $2,983 0.4×
N Block Inj Ilio-Ing/Hypogi (64425) $267 $267 0.3×
N block inj intercost sng (64420) $138 $138 0.2×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $187–$206 $187–$206 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $200 $200 0.6×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,185 $1,185 1.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,233 $1,233 1.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,150 $1,150 1.2×
Occipital Nerve Block (64405) $209 $209 0.6×
Open biopsy/excision inguinofemoral nodes (38531) $1,297 $1,297 0.3×
Open treatment interphalangeal joint dislocation (28675) $1,430 $1,430 0.4×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,959 $1,959 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $2,055 $2,055 0.3×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $3,156 $3,156 0.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,805 $1,805 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,725 $1,725 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,567 $1,567 0.4×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $2,355 $2,355 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $2,121 $2,121 0.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $2,019 $2,019 0.3×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $2,521 $2,521 0.3×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure		 $3,310 $3,310 0.4×
Ostectomy calcaneus (28118) $1,463 $1,463 0.4×
Osteoplasty Radius/Ulna Shortening (25390)
likely a partial charge, not the full procedure		 $2,242 $2,242 0.3×
Partical Excision Bone Phalanx Toe (28124) $1,171 $1,171 0.3×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $383–$1,082 $383–$1,082 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $418–$615 $418–$615 varies
Place Duod/Jej Tube Perc (49441) $588 $588 0.3×
Punch biopsy skin single lesion (11104) $258 $258 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $305–$426 $305–$426 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $277–$505 $277–$505 varies
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $2,017 $2,017 0.3×
Relieve Pressure on Nerve(S) (64722) $1,012 $1,012 0.5×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $609–$793 $609–$793 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $52 $52 0.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $170 $170 2.6×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $1,697–$1,770 $1,697–$1,770 varies
Removal of anal fissure (46200) $1,318 $1,318 0.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $385–$652 $385–$652 varies
Removal of sperm cord lesion (55520) $1,165 $1,165 0.3×
Removal or bivalving full arm or full leg cast (29705) $240 $240 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $258 $258 1.2×
Removal sweat gland lesion (11450) $1,153 $1,153 0.4×
Remove drug implant device (11982) $455 $455 0.9×
Remove foreign body from eye (65205) $192 $192 1.3×
Remove Intrauterine Device (58301) $405 $405 1.2×
Remove Skin Nerve Lesion (64774) $1,142 $1,142 0.5×
Remove Tendon Sheath Lesion (26160) $1,429 $1,429 0.8×
Remove/Insert Drug Implant (11983) $631 $631 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,261 $1,261 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,141 $1,141 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,877 $1,877 4.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $980 $980 2.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $1,173–$1,482 $1,173–$1,482 varies
Repair complex trunk 2.6-7.5 cm (13101) $1,251 $1,251 1.5×
Repair extensor tendon finger w/o graft each (26418) $2,113 $2,113 1.2×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,291 $1,291 0.4×
Repair Hallux Rigidus (28289) $1,614 $1,614 0.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,757 $1,757 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,705 $1,705 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $754 $754 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $886 $886 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $931 $931 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,175 $1,175 2.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $730 $730 1.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $797 $797 1.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $561–$698 $561–$698 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $811 $811 1.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,213 $1,213 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $837 $837 1.9×
Repair of nail bed (11760) $560 $560 0.7×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $2,162 $2,162 0.3×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,809 $1,809 0.2×
Rerepair ing hernia reduce (49520) $1,841 $1,841 0.5×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $1,363 $1,363 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $141 $141 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $351 $351 2.4×
Rmvl fecal impaction/fb spx under anes (45915) $906 $906 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $637 $637 0.4×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $120 $120 0.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $1,814 $1,814 0.5×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $2,293 $2,293 0.3×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure		 $2,408 $2,408 0.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,263 $1,263 0.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,136 $1,136 0.9×
Shave skin lesion 0.5 cm/< (11300) $291 $291 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $333 $333 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $290 $290 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $329 $329 1.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $398 $398 1.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $316 $316 1.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $438 $438 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $396 $396 1.8×
Sigmoidoscopy & Polypectomy (45333) $971 $971 0.9×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,787 $1,787 1.3×
Sigmoidoscopy w/fb removal (45332) $839 $839 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $694 $694 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $421 $421 1.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $287–$532 $287–$532 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $628 $628 2.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $353 $353 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $321–$535 $321–$535 varies
Skin sub graft trnk/arm/leg (15271) $471 $471 0.6×
Skin sub grft t/arm/lg child (15273) $918 $918 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $317–$432 $317–$432 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $557–$579 $557–$579 varies
Strapping ankle (29540) $67 $67 0.4×
Strapping toes (29550) $108 $108 1.6×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $178–$224 $178–$224 varies
Tangential biopsy skin single lesion (11102) $258 $258 0.6×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $801 $801 0.4×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $3,700 $3,700 0.3×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $2,168 $2,168 0.3×
Trim skin lesion (11055) $174 $174 0.8×
Trim skin lesions 2 to 4 (11056) $186 $186 0.8×
Trim skin lesions over 4 (11057) $210 $210 0.9×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure		 $2,004 $2,004 0.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $888 $888 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $3,397 $3,397 0.4×
Tx Missed Abortion First Trimester Surgical (59820) $1,230 $1,230 0.3×
Tx open tendon flexor toe 1 tendon spx (28232) $1,037 $1,037 0.6×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $1,598 $1,598 0.2×
Unlisted Procedure Hands/Fingers (26989) $530 $530 1.9×
Unlisted procedure nervous system (64999) $402 $402 1.2×
Vaginal delivery only (59409) $2,800 $2,800 0.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,114 $1,114 0.5×
Wedge excision skin nail fold (11765) $554 $554 1.2×

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.