Procedures & surgery prices at Wellstar Mountain Lakes Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $990.61 $2,476.53 1.2×
Amputation foot transmetarsal (28805) $3,679.20 $9,198 1.3×
Amputation metatarsal with toe single (28810) $3,750.40 $9,376 1.3×
Amputation toe interphalangeal joint (28825) $3,700.80 $9,252 1.3×
Amputation toe metatarsophalangeal joint (28820) $3,700.80 $9,252 1.3×
Application cast elbow finger short arm (29075) $109.60 $274 0.4×
Application finger splint static (29130) $142.40 $356 1.2×
Application long arm splint shoulder hand (29105) $183.60 $459 1.3×
Application Long Leg Splint (29505) $178.40 $446 1.3×
Application of long leg cast (29345) $307.20 $768 1.3×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $139.20–$142.40 $348–$356 varies
Application short leg splint calf foot (29515) $178.40 $446 1.3×
Application uniplane external fixation system (20690) $8,334.40 $20,836 1.3×
Apply long arm cast (29065) $121.20 $303 0.5×
Apply Multlay Comprs Lwr Leg (29581) $180 $450 1.3×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $87.20–$302.40 $218–$756 varies
Arterial puncture (36600) $142.40 $356 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $330 $825 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $326.27 $815.67 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $326.27–$330 $815.67–$825 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $326.27 $815.67 1.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $330 $825 1.2×
Arthrodesis ankle open (27870) $16,440.40 $41,101 1.5×
Arthrodesis great toe interphalangeal joint (28755) $8,070 $20,175 1.3×
Arthrodesis great toe metatarsophalangeal joint (28750) $8,176 $20,440 1.3×
Arthrodesis Pantalar (28705) $21,307.60 $53,269 1.4×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $27,065.60 $67,664 1.8×
Arthrodesis sacroiliac joint percutaneous (27279) $27,065.60 $67,664 1.8×
Arthrodesis subtalar (28725) $16,440.40 $41,101 1.5×
Avulsion nail plate partial/complete simple 1 (11730) $216.70 $541.74 1.2×
Biopsy bone open superficial (20240) $3,254.80 $8,137 1.3×
Biopsy bone trocar/needle deep (20225) $1,853.60 $4,634 1.3×
Biopsy External Auditory Canal (69105) $1,665.77 $4,164.42 1.2×
Biopsy external ear (69100) $256.80 $642 1.2×
Biopsy Oropharynx (42800) $1,749.20 $4,373 1.3×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $120.80–$575.60 $302–$1,439 varies
Biopsy, vestibule of mouth (40808) $629.20 $1,573 1.3×
Bladder Irrigation (51700) $257.84 $644.61 1.2×
Bladder Scan (51798) $68.98 $172.44 1.3×
Blood Transfusion Service (36430) $501.20 $1,253 1.3×
Bx breast needle core w/o imaging guidance spx (19100) $1,799.46 $4,498.65 1.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,571.99 $8,929.98 1.2×
Cataract surgery complex (66982) $2,669.20 $6,673 1.3×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $237.60–$684.80 $594–$1,712 varies
Change Cystostomy Tube Simple (51705) $257.84 $644.61 1.2×
Chemical Cautery Tissue (17250) $216.70 $541.74 1.2×
Chest tube placement (32551) $1,874.80 $4,687 1.4×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $139.33–$142.40 $348.33–$356 varies
Closed tx ankle dislocation w/o anesthesia (27840) $260.80 $652 1.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $232–$3,891.60 $580–$9,729 varies
Closed tx patellar dislocation w/anesthesia (27562) $316 $790 1.5×
Closed tx radial head/neck fx w/manipulation (24655) $1,807.60 $4,519 1.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $260.40 $651 1.2×
Closed tx talus fracture w/o manipulation (28430) $260.80 $652 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,721.20 $4,303 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $263.60 $659 1.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $260.40 $651 1.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $248.41 $621.03 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,758.40 $4,396 1.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,837.60 $4,594 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $260.40 $651 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $260.80 $652 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $84 $210 0.4×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,721.60 $4,304 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $248.40 $621 1.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $133.60–$260.40 $334–$651 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $248.41 $621.03 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,837.60 $4,594 1.3×
Collect Blood From Catheter Venous Nos (36592) $142.40 $356 1.2×
Collection of venous blood by venipuncture (36415) $13.60 $34 1.5×
Colonoscopy w/ablation (45388) $1,338.80 $3,347 1.3×
Colonoscopy w/submucosal inj (45381) $1,338.80 $3,347 1.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,338.80 $3,347 1.3×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,338.80 $3,347 1.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $139.33–$300.88 $348.33–$752.19 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $73.08–$142.40 $182.70–$356 varies
Correction hammertoe (28285) $3,679.20 $9,198 1.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,679.20 $9,198 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $8,176 $20,440 0.7×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,679.20 $9,198 1.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $8,176 $20,440 1.3×
Create Eardrum Opening (69433) $564.80 $1,412 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $139.33 $348.33 1.2×
Cysto Bladder W/Ureteral Catheterization (52005) $2,292.80 $5,732 1.3×
Cysto w/complex removal stone & stent (52315) $2,225.86 $5,564.64 1.2×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $2,222 $5,555 1.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $697.14 $1,742.85 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,853.60 $4,634 1.3×
Debridement Mastoidectomy Cavity Simple (69220) $216.40 $541 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $75.34–$470 $188.34–$1,175 varies
Decompression of tibia nerve (28035) $2,264.80 $5,662 1.3×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $431.41–$2,222 $1,078.53–$5,555 varies
Destroy lumb/sac facet jnt (64635) $2,222 $5,555 1.3×
Destruction neurolytic agt genicular nerve w/img (64624) $2,222 $5,555 1.3×
Diagnostic sigmoidoscopy (45330) $1,027.20 $2,568 1.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $844.40 $2,111 1.4×
Drainage of finger abscess simple (26010) $226.80 $567 1.3×
Drainage of gum lesion (41800) $146.40 $366 1.3×
Drainage of hematoma/fluid (10140) $1,897.60 $4,744 1.3×
Drainage of nose lesion (30000) $176.40 $441 0.8×
Draw Blood Off Venous Device (36591) $142.40 $356 1.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,022.62 $2,556.54 1.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,152.80 $5,382 1.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,152.80 $5,382 1.3×
Egd control bleeding any (43255) $2,194.40 $5,486 1.3×
Egd Endoscopic Stent Place (43266) $6,477.60 $16,194 1.2×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $990.80–$1,040.40 $2,477–$2,601 varies
Egd intrmural us needle aspirate/biopsy esophags (43238) $2,089.91 $5,224.77 1.2×
Egd place gastrostomy tube (43246) $2,152.80 $5,382 1.3×
Egd remove lesion snare (43251) $2,089.91 $5,224.77 1.2×
Esophagoscopy rigid trnso dx (43191) $2,194.40 $5,486 1.3×
Esophagoscp Rig Trnso Biopsy (43193) $2,276.40 $5,691 1.4×
Evacuation of subungual hematoma (11740) $146.40 $366 1.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,799.46 $4,498.65 1.2×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $6,695.60 $16,739 1.3×
Exc Face Les Sbq 2 Cm/> (21012) $1,853.60 $4,634 1.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $778.76 $1,946.91 1.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,799.46 $4,498.65 1.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,773.60 $4,434 1.3×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $269.20 $673 0.1×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $6,728 $16,820 1.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $818 $2,045 1.3×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,248.80 $8,122 1.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,254.80 $8,137 1.3×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,193.20 $7,983 1.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,853.60 $4,634 1.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,893.60 $9,734 1.4×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $818 $2,045 1.3×
Excision Nasal Polyp Extensive (30115) $3,414 $8,535 1.2×
Excision nasal polyp(s) simple (30110) $263.20 $658 0.2×
Excision of hydrocele; unilateral (55040) $4,378 $10,945 1.4×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $6,695.60 $16,739 1.3×
Excision of submandibular (submaxillary) gland (42440) $6,728 $16,820 1.3×
Excision soft tissue lesion, external auditory canal (69145) $3,254.80 $8,137 1.3×
Excision spermatocele w/wo epididymectomy (54840) $2,292.80 $5,732 1.3×
Excision Thyroglossal Duct Cyst/Sinus (60280) $6,597.20 $16,493 1.2×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $6,597.20 $16,493 1.2×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,193.20 $7,983 1.3×
Excision, interdigital (morton) neuroma, single, each (28080) $1,920.40 $4,801 1.4×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,750.40 $9,376 1.3×
Fine needle aspiration without imaging guidance (10021) $447.68 $1,119.21 1.3×
Fna bx w/us gdn 1st les (10005) $74.80 $187 0.1×
Fusion of foot bones (28740) $8,334.40 $20,836 1.3×
Gastrocnemius recession (27687) $3,571.99 $8,929.98 1.2×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $2,194.40 $5,486 1.3×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $6,407.60 $16,019.01 1.2×
Hysteroscopy Biopsy (58558) $3,562.40 $8,906 1.3×
Hysteroscopy Dx Sep Proc (58555) $3,562.40 $8,906 1.3×
I&d abscess peritonsillar (42700) $161.20 $403 0.8×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $122.40–$154.32 $306–$385.80 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $146.80–$785.60 $367–$1,964 varies
Implant neuroelectrodes (63650) $8,162.80 $20,407 1.5×
Incise external hemorrhoid (46083) $282.40 $706 1.3×
Incise finger tendon sheath (26055) $1,807.60 $4,519 1.3×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $270.40–$447.68 $676–$1,119.21 varies
Incision & removal foreign body subq tiss compl (10121) $1,944.40 $4,861 1.3×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $120.80–$479.60 $302–$1,199 varies
Incision of eardrum (69421) $3,516.80 $8,792 1.2×
Incision of eardrum (69420) $256.80 $642 1.2×
Incision of rectal abscess (46040) $1,364.40 $3,411 1.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $349.60 $874 0.2×
Incisional biopsy skin single lesion (11106) $73.20 $183 0.1×
Initial Tx 1st Degree Burn Local Tx (16000) $216.70 $541.74 1.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,022.62 $2,556.54 1.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,053.60 $2,634 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $330 $825 1.2×
Injection aa&/strd genicular nrv branches w/img (64454) $796.40 $1,991 1.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $252.44 $631.11 0.4×
Injection anesthetic agent suprascapular nerve (64418) $790.80 $1,977 1.3×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $72.80–$326.27 $182–$815.67 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $47.02–$326.40 $117.54–$816 varies
Injection single/mlt trigger point 3/> muscles (20553) $53.89 $134.73 0.2×
Injection, anesthetic agent; femoral nerve, single (64447) $773.21 $1,933.02 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $123.60–$801.60 $309–$2,004 varies
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $174.52–$176.40 $436.29–$441 varies
Insert cath pleura w/o image (32556) $2,152.80 $5,382 1.3×
Insert non-tunnel cv cath (36556) $3,753.60 $9,384 1.4×
Insert Temp Bladder Cath (51702) $142.40 $356 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $142.40 $356 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines		 $1,775.20–$1,874.80 $4,438–$4,687 varies
Intraoral i&d tongue/floor submndblr space (41008) $3,414.04 $8,535.09 1.2×
Intubation endotracheal emergency procedure (31500) $267.20 $668 1.3×
Irrigation of corpora cavernosa for priapism (54220) $282.40 $706 1.3×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $210.80–$232.80 $527–$582 varies
Laryngoscopy w/biopsy microscope/telescope (31536) $4,281.60 $10,704 1.3×
Larynscop w/tumr exc + scope (31541) $4,281.60 $10,704 1.3×
Late closure of wound (13160) $2,195.20 $5,488 0.7×
Litholapaxy smpl/sm <2.5 cm (52317) $3,961.60 $9,904 1.3×
Lysis Intranasal Synechia (30560) $548.18 $1,370.46 1.2×
N Block Inj Celiac Pelus (64530) $1,022.62 $2,556.54 1.3×
N Block Inj Plantar Digit (64455) $326.27 $815.67 1.2×
N Block Lumbar/Thoracic (64520) $1,022.62 $2,556.54 1.3×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $221.20–$226.40 $553–$566 varies
Nasal/Orogastric W/Tube Plmt (43752) $342.80 $857 0.9×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $452.57 $1,131.42 1.3×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $4,200.40 $10,501 1.3×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $7,795.60 $19,489 1.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 3 matching MRF lines		 $181.20–$1,918.40 $453–$4,796 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $1,918.40 $4,796 1.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,069.20 $5,173 1.3×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $7,795.60 $19,489 1.3×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $7,825.60 $19,564 1.3×
Nasal/sinus ndsc total with sphenoidotomy (31257) $7,795.60 $19,489 1.3×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines		 $8,306.80 $690–$20,767 1.3×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $7,647.20 $19,118 1.2×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $7,424.40 $18,561 1.2×
Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) $8,179.20 $20,448 1.3×
Needle Biopsy Lymph Nodes (38505) $1,889.60 $4,724 1.3×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $1,022.62–$1,053.60 $2,556.54–$2,634 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $342.80 $857 1.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,022.62–$1,053.60 $2,556.54–$2,634 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $796.40 $1,991 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $509.60–$773.21 $1,274–$1,933.02 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $7,647.20 $19,118 1.2×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $7,825.60 $19,564 1.3×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $326.27–$342.40 $815.67–$856 varies
Open treatment metatarsal fracture each (28485) $8,070 $20,175 1.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $3,414 $8,535 1.2×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $3,681.20 $9,203 1.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,937.56 $19,843.89 1.2×
Ostc prtl exostc/condylc metar head (28288) $3,679.20 $9,198 1.3×
Ostectomy calcaneus (28118) $3,700.80 $9,252 1.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,679.20 $9,198 1.3×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,679.20 $9,198 1.3×
Ostectomy, complete excision; first metatarsal head (28111) $4,011.60 $10,029 1.4×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $510.74 $1,276.86 0.1×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,679.20 $9,198 1.3×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $7,937.56 $19,843.89 1.2×
Palatopharyngoplasty (42145) $6,728 $16,820 1.3×
Part remv talus or calcaneus (28120) $3,679.20 $9,198 1.3×
Partical Excision Bone Phalanx Toe (28124) $3,679.20 $9,198 1.3×
Perq Lumbosacral Injection (22511) $3,679.20 $9,198 1.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,176 $20,440 1.3×
Perq Vertebral Augmentation (22513) $8,176 $20,440 1.3×
Placement of needle for intraosseous infusion (36680) $453.08 $1,132.71 1.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,679.20 $9,198 1.3×
Punch biopsy skin single lesion (11104) $61.20 $153 0.2×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $141.20–$480 $353–$1,200 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,222 $5,555 1.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $7,937.56 $19,843.89 1.2×
Release foot/toe nerve (64726) $2,157.02 $5,392.56 1.3×
Release of big toe (28240) $3,679.20 $9,198 1.3×
Removal foreign body foot deep (28192) $1,853.60 $4,634 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $817.60 $2,044 1.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $19.60–$71.20 $49–$178 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $68.98–$70 $172.44–$175 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $3,099.90–$3,193.20 $7,749.75–$7,983 varies
Removal of adenoids (42835) $3,516.80 $8,792 1.2×
Removal of adenoids (42830) $3,516.80 $8,792 1.2×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $447.60–$447.68 $1,119–$1,119.21 varies
Removal of sesamoid bone (28315) $3,893.60 $9,734 1.4×
Removal of tonsils (42825) $6,600 $16,500 1.3×
Removal of tonsils (42826) $3,681.20 $9,203 1.3×
Removal or bivalving full arm or full leg cast (29705) $302.40 $756 1.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $31.20 $78 0.2×
Removal, under anesthesia, of external fixation system (20694) $1,721.42 $4,303.56 1.2×
Remove drug implant device (11982) $148.40 $371 0.4×
Remove foreign body from eye (65205) $34.80 $87 0.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $142.40–$286.40 $356–$716 varies
Remove vc lesion w/scope (31545) $4,424.40 $11,061 1.4×
Repair Achilles Tendon (27650) $8,334.40 $20,836 1.3×
Repair Collat Ankle Ligmnt,Secondary (27698) $7,937.56 $19,843.89 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $328.80 $822 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $718 $1,795 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $456 $1,140 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $582.74 $1,456.86 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $594.40–$697.14 $1,486–$1,742.85 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,700.80 $9,252 1.3×
Repair Foot Dislocation (28615) $8,176 $20,440 1.3×
Repair Hallux Rigidus (28289) $3,571.99 $8,929.98 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $348.40 $871 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $436.40 $1,091 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $169.60 $424 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $229.60 $574 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $732 $1,830 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $436.40 $1,091 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $436.40 $1,091 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $436.40 $1,091 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $92.40 $231 0.3×
Repair nasal septal perforations (30630) $3,681.20 $9,203 1.3×
Repair of nail bed (11760) $661.20 $1,653 1.0×
Repair secondary achilles tendon w/wo graft (27654) $8,179.60 $20,448.99 1.3×
Repair, primary, disrupted ligament, ankle; collateral (27695) $8,179.60 $20,449 1.3×
Repair/graft achilles tendon (27652) $7,793.52 $19,483.80 1.2×
Reposition Gastrostomy Tube (43761) $336 $840 1.5×
Resection, partial or complete, phalangeal base, each toe (28126) $3,571.99 $8,929.98 1.2×
Revise Lower Leg Tendons (27686) $3,700.80 $9,252 1.3×
Revision of foot (28116) $3,700.80 $9,252 1.3×
Revision of lower leg tendon (27685) $3,700.80 $9,252 1.3×
Rhinoplasty primary w/major septal repair (30420) $6,407.60 $16,019 1.2×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $7,098.80 $17,747 1.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,853.60 $4,634 1.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $143.60 $359 1.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,248.80 $8,122 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $682.40 $1,706 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $115.60 $289 0.7×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $6,407.60 $16,019 1.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,516.80 $8,792 1.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 2 matching MRF lines		 $1,743.60–$3,584.80 $4,359–$8,962 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $89.82 $224.55 0.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $64–$226.80 $160–$567 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $67.20–$226.80 $168–$567 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $238.40 $596 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $112–$226.80 $280–$567 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $226.80 $567 1.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $137.20–$226.80 $343–$567 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $436.40 $1,091 1.2×
Spinal puncture lumbar diagnostic (62270) $812 $2,030 1.3×
Strapping knee (29530) $146 $365 1.3×
Strapping shoulder (29240) $156 $390 1.3×
Strapping Unna Boot (29580) $180 $450 1.3×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $3,681.20 $9,203 1.3×
Syndactylization toes (28280) $3,700.80 $9,252 1.3×
Tangential biopsy skin single lesion (11102) $49.60 $124 0.1×
Tenolysis flexor foot single tendon (28220) $1,837.60 $4,594 1.3×
Thrombolytic Therapy Stroke (37195) $399.14 $997.86 1.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,516.80 $8,792 1.2×
Tooth extraction (41899) $280 $700 1.3×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,207.60 $5,519 1.3×
Translum Dil Eye Canal (66174) $4,938.80 $12,347 1.4×
Treat humerus fracture (24500) $260.80 $652 1.2×
Treat Knuckle Dislocation (26700) $248.41 $621.03 1.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,837.60 $4,594 1.3×
Treatment closed elbow dislocation w/o anes (24600) $269.60 $674 1.2×
Treatment of ankle fracture (27823) $8,179.60 $20,449 1.3×
Treatment of nose fracture (21330) $6,407.60 $16,019.01 1.2×
Tx Gastro Intub W/Asp (43753) $334.40 $836 1.8×
Tx open tendon flexor toe 1 tendon spx (28232) $1,721.42 $4,303.56 1.2×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,837.60 $4,594 1.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $256 $640 1.2×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,749.20 $4,373 1.3×
Tympanoplasty (69631) $6,728 $16,820 1.3×
Tympanostomy general anesthesia (69436) $1,716 $4,290 1.3×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $326.27–$338.27 $815.67–$845.67 varies
Unlisted procedure spine (22899) $256 $640 1.2×
Ventilating tube removal requiring general anesthesia (69424) $3,414 $8,535 1.2×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $5,355.60 $13,389 1.1×
Xfer Single Deep Low Leg Tendon (27691) $8,334.40 $20,836 1.3×

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.