Procedures & surgery prices at West Calcasieu Cameron Hospital

Sulphur, LA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,275 $1,700 1.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,012.50 $1,350 1.2×
Ablate inf turbinate submuc (30802) $1,085.25 $1,447 0.8×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,085.25 $1,447 0.8×
Adding Walker Previously Applied Cast (29440) $144.75 $193 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,779.50 $3,706 1.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,094 $2,792 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,446.50 $3,262 0.8×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines
$2,669.25–$3,932.25 $3,559–$5,243 varies
Amputation toe metatarsophalangeal joint (28820) $3,016.77 $4,022.36 1.0×
Anoscopy Control Bleeding (46614) $630.75 $841 0.6×
Anoscopy diagnostic (46600) $82.50 $110 0.7×
Anoscopy W/Rmvl Foreign Body (46608) $1,066.50 $1,422 1.3×
Application cast elbow finger short arm (29075) $296.25 $395 1.2×
Application finger splint static (29130) $144.75 $193 1.2×
Application long arm splint shoulder hand (29105) $144.75 $193 1.0×
Application Long Leg Cast Walker/Ambulatory Type (29355) $296.25 $395 1.2×
Application Long Leg Splint (29505) $144.75 $193 1.0×
Application of cylinder cast (thigh to ankle) (29365)
range across 4 matching MRF lines
$296.25–$350.25 $395–$467 varies
Application of long leg cast (29345) $296.25 $395 1.2×
Application of rigid total contact leg cast (29445) $534.75 $713 2.1×
Application short arm splint forearm-hand static (29125) $150.75 $201 1.3×
Application short leg splint calf foot (29515) $144.75 $193 1.0×
Apply hand/wrist cast (29085) $144.75 $193 1.0×
Apply long arm cast (29065)
range across 4 matching MRF lines
$296.25–$350.25 $395–$467 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 12 matching MRF lines
$137.04–$360 $182.72–$480 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines
$296.25–$350.25 $395–$467 varies
Apply short leg cast (29425) $296.25 $395 1.2×
Arterial puncture (36600)
range across 2 matching MRF lines
$36–$208.01 $48–$277.35 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $303.75 $405 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines
$303.75–$553.50 $405–$738 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $435 $580 1.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$298.50–$303.75 $398–$405 varies
Aspirate pleura w/ imaging (32555) $1,012.50 $1,350 1.8×
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines
$561–$746.25 $748–$995 varies
Aspirate/Inj Ganglion Cyst (20612) $356.25 $475 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$134.25–$141.75 $179–$189 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines
$832.50–$1,182.75 $1,110–$1,577 varies
Biopsy bone open deep (20245) $2,197.52 $2,930.02 0.8×
Biopsy bone open superficial (20240) $2,247.11 $2,996.15 0.9×
Biopsy bone trocar/needle deep (20225)
range across 3 matching MRF lines
$796.94–$2,700 $1,062.58–$3,600 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines
$555–$975 $740–$1,300 varies
Biopsy external ear (69100) $469.40 $625.86 2.2×
Biopsy muscle percutaneous needle (20206) $1,500 $2,000 1.0×
Biopsy nail unit (11755) $633.75 $845 1.0×
Biopsy of liver, needle; percutaneous (47000) $2,094.94 $2,793.25 1.4×
Biopsy Salivary Gland Needle (42400) $1,305 $1,740 2.0×
Biopsy soft tissue neck/thorax (21550) $2,094.93 $2,793.24 1.4×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines
$435–$555 $580–$740 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines
$155.25–$204 $207–$272 varies
Bladder Scan (51798) $97.50 $130 1.8×
Blepharotomy drainage abscess eyelid (67700) $348.75 $465 1.2×
Blood Transfusion Service (36430) $570 $760 1.4×
Bone Marrow Biopsy (38221) $450 $600 0.3×
Bone Marrow; Aspiration Only (38220) $313.50 $418 0.2×
Bronchoscopy W/Biopsy(S) (31625) $562.50 $750 0.3×
Bx breast 1st lesion us imag (19083) $2,100 $2,800 1.4×
Bx breast needle core w/o imaging guidance spx (19100) $480 $640 0.3×
Change Cystostomy Tube Simple (51705) $299.25 $399 1.3×
Change of Windpipe Airway (31502) $299.25 $399 1.4×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
$129–$188.25 $172–$251 varies
Chest tube placement (32551) $561 $748 0.4×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,745.63 $6,327.51 1.5×
Cl Tx Tib Shft Fx W Manip (27752) $230.25 $307 0.2×
Clear outer ear canal (69200) $82.50 $110 0.7×
Closed Treat Vert Body Fract (22310) $230.25 $307 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $230.25 $307 1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $300 $400 0.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $230.25 $307 1.0×
Closed Treatment Sesamoid Fracture (28530) $230.25 $307 1.0×
Closed Treatment Sternum Fracture (21820) $230.25 $307 1.0×
Closed Treatment Ulnar Styloid Fracture (25650) $230.25 $307 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $272.25 $363 1.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $281.25 $375 0.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $230.25 $307 1.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $230.25 $307 1.0×
Closed tx carpal scaphoid fracture w/manj (25624) $230.25 $307 0.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $230.25 $307 1.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $230.25 $307 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $300 $400 1.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $230.25 $307 0.2×
Closed tx metatarsal fracture w/o manipulation (28470) $230.25 $307 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $230.25 $307 0.2×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $278.25 $371 0.2×
Closed tx patellar dislocation w/o anesthesia (27560) $272.25 $363 1.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $230.25 $307 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $272.25 $363 0.2×
Closed tx radial head/neck fx w/o manipulation (24650) $230.25 $307 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $230.25 $307 0.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $230.25 $307 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $230.25 $307 0.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $230.25 $307 1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $230.25 $307 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $230.25 $307 1.0×
Closed tx talotarsal joint dislc w/o anes (28570) $230.25 $307 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $230.25 $307 0.2×
Closed tx talus fracture w/o manipulation (28430) $230.25 $307 1.0×
Closed tx tarsometatarsal dislocation w/o anes (28600) $230.25 $307 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $278.25 $371 1.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $230.25 $307 0.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $230.25 $307 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $272.25 $363 1.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $278.25 $371 1.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,085.25 $1,447 2.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $230.25 $307 1.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $230.25 $307 1.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $230.25 $307 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $230.25 $307 1.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,085.25 $1,447 2.2×
Clsd Tx Pelvic Ring Fx (27198) $375 $500 1.7×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $329.12 $438.83 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,305 $1,740 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $272.25 $363 1.2×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $230.25 $307 0.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $230.25 $307 0.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $230.25 $307 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $230.25 $307 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $230.25 $307 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $230.25 $307 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $230.25 $307 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $230.25 $307 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $230.25 $307 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $272.25 $363 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $230.25 $307 0.2×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,094 $2,792 1.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $230.25 $307 0.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $230.25 $307 1.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $230.25 $307 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $230.25 $307 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $230.25 $307 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $230.25 $307 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $230.25 $307 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,283.75 $3,045 1.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $230.25 $307 1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $230.25 $307 1.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $230.25 $307 0.2×
Cltx hip dislocation traumatic req anesthesia (27252) $1,657.50 $2,210 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $262.50 $350 1.2×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $230.25 $307 1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $416.25 $555 0.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $230.25 $307 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $230.25 $307 0.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines
$230.25–$262.50 $307–$350 varies
Cltx iphal jt dislc w/manj w/o anes (26770) $230.25 $307 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $1,200 $1,600 0.8×
Cltx Medial Ankle Fx (27760) $230.25 $307 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $230.25 $307 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $230.25 $307 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $230.25 $307 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $230.25 $307 1.0×
Cltx post hip arthrp dislc req anes (27266) $1,920 $2,560 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $262.50 $350 1.2×
Cltx prox fibula/shft fx w/manj (27781) $230.25 $307 0.2×
Cltx prox fibula/shft fx w/o manj (27780) $230.25 $307 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $862.50 $1,150 0.6×
Cltx prox tibfib jt dislc w/o anes (27830) $230.25 $307 1.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $230.25 $307 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$230.25–$272.25 $307–$363 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $230.25 $307 0.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $230.25 $307 0.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $272.25 $363 0.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $230.25 $307 1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $230.25 $307 0.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $230.25 $307 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $230.25 $307 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $230.25 $307 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $230.25 $307 1.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $230.25 $307 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $262.50 $350 0.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $230.25 $307 1.0×
Collect Blood From Catheter Venous Nos (36592) $166.41 $221.88 1.4×
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines
$8.25–$15 $11–$20 varies
Colpocentesis (57020) $557.25 $743 0.1×
Colpotomy; with exploration (57000) $3,468.38 $4,624.50 1.2×
Complex drainage wound (10180) $2,181.75 $2,909 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $164.25 $219 1.4×
Control Nasal Hemorrhage Anterior Simple (30901) $262.50 $350 2.2×
Control oropharyngeal hemorrhage simple (42960) $164.25 $219 0.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,575 $2,100 1.1×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $164.25 $219 0.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $262.50 $350 2.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $164.25 $219 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $141.75 $189 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,282.50 $1,710 1.9×
Debride nail 1-5 (11720) $86.26 $115.01 1.6×
Debride nail 6 or more (11721) $83.71 $111.61 1.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,475 $3,300 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $815.25 $1,087 2.2×
Declot vascular device (36593) $345 $460 1.2×
Delivery of placenta (59414) $1,959.75 $2,613 0.7×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $2,611.41 $3,481.88 1.4×
Destruct B9 Lesion 1-14 (17110) $176.45 $235.27 1.0×
Diagnostic sigmoidoscopy (45330) $630.75 $841 0.7×
Dilate Urethra Stricture (53620) $2,214 $2,952 3.5×
Drain Cerebro Spinal Fluid (62272) $434.45 $579.27 0.7×
Drainage Abscess/Hematoma Nasal Septum (30020) $278.25 $371 0.6×
Drainage external auditory canal abscess (69020) $202.50 $270 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $262.50 $350 0.4×
Drainage Finger Abscess Complicated (26011) $1,563 $2,084 1.0×
Drainage Mouth Roof Lesion (42000) $278.25 $371 1.3×
Drainage of finger abscess simple (26010) $202.50 $270 1.1×
Drainage of gum lesion (41800) $278.25 $371 2.3×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$1,563–$1,584 $2,084–$2,112 varies
Drainage of scrotal wall abscess (55100) $1,312.50 $1,750 0.9×
Drainage of skene's gland abscess or cyst (53060) $2,378.25 $3,171 1.3×
Draw Blood Off Venous Device (36591) $166.41 $221.88 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,085.25 $1,447 2.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $278.25 $371 0.4×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $278.25 $371 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines
$139.50–$351.75 $186–$469 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $266.25 $355 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $262.50 $350 1.4×
Dx Laryngoscopy Excl Nb (31525) $2,070 $2,760 1.3×
Egd place gastrostomy tube (43246) $884.25 $1,179 0.5×
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$600–$723 $800–$964 varies
Episiotomy or vaginal repair (59300) $1,959.75 $2,613 0.7×
Escharotomy; initial incision (16035) $474.75 $633 1.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,080 $1,440 1.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,080 $1,440 0.6×
Evacuation of subungual hematoma (11740) $100.50 $134 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $600 $800 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $596.25 $795 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $929.25 $1,239 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,042.50 $1,390 0.7×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $796.94 $1,062.58 1.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $719.25 $959 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $996 $1,328 1.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,725 $2,300 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $469.50 $626 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $476.26 $635.01 1.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $600 $800 1.6×
Excision Multiple External Papillae/Tags Anus (46230) $2,421.75 $3,229 1.0×
Excision of single external papilla or tag, anus (46220) $2,421.75 $3,229 2.2×
Exploration penetrating wound spx extremity (20103) $897.75 $1,197 0.6×
Exploration Penetrating Wound Spx Neck (20100) $817.50 $1,090 1.7×
Exploratory elbow surgery (24000) $4,575 $6,100 1.5×
Fetal non-stress test (59025) $182.25 $243 1.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,100 $2,800 3.3×
Fine needle aspiration without imaging guidance (10021) $132.75 $177 0.4×
Fna Bx W/Fluor Gdn 1St Les (10007) $937.50 $1,250 1.5×
Fna bx w/us gdn 1st les (10005) $933.75 $1,245 1.5×
Guide Cathet Fluid Drainage (10030) $1,500 $2,000 2.3×
Head Surgery Procedure (21499) $750 $1,000 3.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $469.50 $626 0.6×
I&d abscess peritonsillar (42700) $278.25 $371 1.3×
I&d abscess simple (10060)
range across 3 matching MRF lines
$262.50–$309 $350–$412 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,181.75 $2,909 0.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,181.75 $2,909 0.8×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,730 $3,640 0.9×
I&d perianal abscess superficial (46050) $469.50 $626 0.6×
I&d pilonidal cyst simple (10080) $1,490.25 $1,987 2.3×
I&d thyroglossal duct cyst infected (60000) $1,085.25 $1,447 0.8×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,181.75 $2,909 0.8×
Icd Pocket Revision (33223) $2,184.89 $2,913.19 1.2×
Image Cath Fluid Peri/Retro (49406) $3,208.50 $4,278 2.1×
Incise external hemorrhoid (46083) $469.50 $626 2.1×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$137.07–$262.50 $182.76–$350 varies
Incision & removal foreign body subq tiss compl (10121) $2,008.50 $2,678 1.3×
Incision & removal foreign body subq tiss simple (10120) $262.50 $350 0.7×
Incision and drainage of bartholin's gland abscess (56420) $318.75 $425 1.7×
Incision and drainage of vulva or perineal abscess (56405) $318.75 $425 1.2×
Incision bone cortex foot (28005) $4,178.03 $5,570.71 1.4×
Incision of rectal abscess (46040) $2,421.75 $3,229 2.2×
Incision&drainage bursa foot (28001) $1,563 $2,084 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,181.75 $2,909 1.5×
Incisional biopsy skin single lesion (11106) $487.65 $650.20 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $113.25 $151 0.6×
Inj W/Fluor Eval Cv Device (36598) $242.25 $323 1.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $806.25 $1,075 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $303.75 $405 1.1×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $723 $964 0.9×
Injection for identification of sentinel node (38792) $338.25 $451 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $379.50 $506 1.4×
Injection single/mlt trigger point 3/> muscles (20553) $258.75 $345 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $303.75 $405 0.5×
Ins endovas vena cava filtr (37191) $4,622.39 $6,163.19 0.9×
Insert 1 Electrode Pm-Defib (33216) $7,574.39 $10,099.19 1.0×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines
$111–$262.50 $148–$350 varies
Insert cath pleura w/ image (32557) $1,012.50 $1,350 0.7×
Insert cath pleura w/o image (32556) $1,012.50 $1,350 0.6×
Insert Heart Pm Atrial (33206) $15,672.75 $20,897 1.7×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines
$956.25–$15,757.64 $1,275–$21,010.19 varies
Insert non-tunnel cv cath (36556)
range across 5 matching MRF lines
$1,102.50–$1,128.75 $1,470–$1,505 varies
Insert Pacing Lead & Connect (33224) $22,761.14 $30,348.19 2.4×
Insert pessary/other device (57160) $168.75 $225 0.9×
Insert pulse gen dual leads (33213) $15,000 $20,000 1.6×
Insert Pulse Gen Sngl Lead (33212) $12,078 $16,104 1.6×
Insert Temp Bladder Cath (51702)
range across 6 matching MRF lines
$67.50–$82.50 $90–$110 varies
Insert tun ip cath perc (49418) $4,650 $6,200 1.4×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines
$67.50–$82.50 $90–$110 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,490 $3,320 1.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $10,114.64 $13,486.19 1.3×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $7,574.39 $10,099.19 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,490 $3,320 1.7×
Insj/Rplcmt Defib W/Lead(S) (33249) $49,500 $66,000 1.7×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines
$7,489.50–$7,574.39 $9,986–$10,099.19 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $7,489.50 $9,986 1.0×
Insrt heart pm atrial & vent (33208) $18,408.14 $24,544.19 1.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $207.75 $277 0.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $207.75 $277 0.6×
Intraoral i&d tongue/floor lingual (41000) $2,152.50 $2,870 4.4×
Intraoral i&d tongue/floor sublngl supfc (41005) $278.25 $371 1.3×
Intro Gastrointestinal Tube (44500) $300 $400 0.4×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines
$375–$450 $500–$600 varies
Irrigation maxillary sinus (31000) $278.25 $371 1.3×
Irrigation of corpora cavernosa for priapism (54220) $450 $600 2.0×
Laryngoscopy diagnostic (31505) $107.25 $143 0.6×
Laryngoscopy flexible diagnostic (31575) $351.75 $469 1.9×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $564.75 $753 1.6×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $193.50 $258 1.1×
Laryngoscopy W/Foreign Body Removal (31530) $2,842.50 $3,790 1.8×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $2,070 $2,760 5.8×
Maternity Care Procedure (59899) $195.51 $260.68 1.1×
Myelography Lumbar Injection (62304) $1,481.25 $1,975 2.1×
Myelography via lumbar injection rs&i cervical (62302) $1,481.25 $1,975 2.1×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,481.25 $1,975 2.1×
N Block Inj Paracervical (64435) $303.75 $405 0.5×
N Block Inj Pudendal (64430) $303.75 $405 0.4×
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines
$128.25–$177.75 $171–$237 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$562.50–$1,305 $750–$1,740 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $45 $60 1.7×
Needle insertion w/o injection 3 or more muscles (20561) $56.25 $75 2.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $140.63 $187.50 0.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,332.50 $3,110 0.7×
Open Tx Distal Phalangeal Fracture Each (26765) $5,073 $6,764 1.7×
Open/Perq Place Stent 1St (37236) $15,122.82 $20,163.76 1.4×
Open/Perq Place Stent Same (37238) $17,100 $22,800 1.6×
Partical Excision Bone Phalanx Toe (28124) $2,586 $3,448 0.9×
Percut Drain/Inject Renal Cyst (50390) $806.25 $1,075 1.3×
Pericardiocentesis W/Imaging (33016) $2,490 $3,320 1.7×
Perq dev breast 1st us imag (19285)
range across 4 matching MRF lines
$187.50–$1,005 $250–$1,340 varies
Perq device breast 1st imag (19281)
range across 5 matching MRF lines
$502.50–$1,005 $670–$1,340 varies
Place Cath Subclavian Art (36225) $4,229.66 $5,639.55 1.5×
Place Cath Thoracic Aorta (36221) $5,250 $7,000 1.8×
Placement of needle for intraosseous infusion (36680) $125.25 $167 0.3×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines
$4,125–$6,075 $5,500–$8,100 varies
Prim art mech thrombectomy (37184) $15,122.82 $20,163.76 0.9×
Proctosgmdsc Rigid Control Bleeding (45317) $1,066.50 $1,422 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,387.50 $9,850 2.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $5,073 $6,764 1.7×
Pseudoaneurysm Injection Trt (36002) $300 $400 0.5×
Punch biopsy skin single lesion (11104) $425.54 $567.38 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines
$147–$285 $196–$380 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines
$237.75–$900 $317–$1,200 varies
Reconstruction Nail Bed W/Graft (11762) $207.75 $277 0.1×
Reduction of rectal prolapse (45900) $900 $1,200 1.1×
Relocation Pocket Pacemaker (33222) $2,521.64 $3,362.19 1.3×
Removal Embedded Foreign Body Eyelid (67938) $165.75 $221 0.6×
Removal Foreign Body Foot Complicated (28193) $929.25 $1,239 0.6×
Removal foreign body foot deep (28192) $2,008.50 $2,678 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $555.75 $741 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $555.75 $741 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $105 $140 2.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines
$70.46–$82.50 $93.94–$110 varies
Removal Implant Deep (20680) $2,670.47 $3,560.63 1.0×
Removal of foreign body from pharynx (42809) $82.50 $110 0.2×
Removal of nail bed (11750)
range across 2 matching MRF lines
$476.26–$555.75 $635.01–$741 varies
Removal or bivalving full arm or full leg cast (29705) $144.75 $193 0.6×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure
$2,943.75 $3,925 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $141.75 $189 0.8×
Removal subcutaneous cardiac rhythm monitor (33286) $1,580.39 $2,107.19 2.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $287.95 $383.93 0.2×
Removal/bivalving gauntlet boot/body cast (29700) $144.75 $193 0.6×
Remove cerclage suture (59871) $2,766 $3,688 0.9×
Remove drug implant device (11982) $2,008.50 $2,678 5.0×
Remove Elctrd Transvenously (33244) $2,943.75 $3,925 0.9×
Remove Forearm Foreign Body (25248) $2,730 $3,640 1.9×
Remove foreign body from eye (65205) $195.75 $261 1.6×
Remove Intrauterine Device (58301) $318.75 $425 1.2×
Remove Nasal Foreign Body (30300) $262.50 $350 2.2×
Remove Pulse Generator (33241) $3,028.64 $4,038.19 0.9×
Remove Shoulder Foreign Body (23330) $929.25 $1,239 0.6×
Remove&replace pm gen singl (33227) $13,584.89 $18,113.19 1.8×
Remv&replc cvd gen dual lead (33263) $32,334.89 $43,113.19 1.6×
Remv&replc cvd gen mult lead (33264) $32,334.89 $43,113.19 1.1×
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines
$32,334.89–$34,665.55 $43,113.19–$46,220.73 varies
Remv&replc pm gen dual lead (33228) $15,084.89 $20,113.19 1.6×
Renal Biopsy Perq (50200) $806.25 $1,075 0.5×
Repair Blood Vessel Direct Hand Finger (35207) $5,240.21 $6,986.95 1.8×
Repair Blood Vessel Direct Upper Extremity (35206) $3,225 $4,300 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $207.75 $277 0.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $710.25 $947 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $351.75 $469 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $300 $400 0.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $207.75 $277 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $207.75 $277 0.6×
Repair complex trunk 1.1-2.5 cm (13100) $710.25 $947 1.1×
Repair complex trunk 2.6-7.5 cm (13101) $710.25 $947 1.1×
Repair extensor tendon finger w/o graft each (26418) $2,094 $2,792 1.4×
Repair Finger/Hand Tendon (26350) $3,365.25 $4,487 1.1×
Repair Hand Tendon (26410) $2,094 $2,792 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $262.50 $350 0.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $262.50 $350 0.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $262.50 $350 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $351.75 $469 1.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $710.25 $947 1.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $207.75 $277 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $281.25 $375 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$262.50–$375 $350–$500 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $207.75 $277 0.3×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $710.25 $947 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $351.75 $469 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$174.75–$262.50 $233–$350 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$174.75–$262.50 $233–$350 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $207.75 $277 0.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$174.75–$351.75 $233–$469 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $710.25 $947 0.4×
Repair intrinsic muscles hand each muscle (26591) $3,365.25 $4,487 1.1×
Repair Laceration Palate </2 Cm (42180) $278.25 $371 0.6×
Repair Laceration Palate >2 Cm/Complex (42182) $4,954.50 $6,606 0.9×
Repair lead pace-defib dual (33220) $7,489.50 $9,986 2.2×
Repair Lead Pace-Defib One (33218) $7,489.50 $9,986 2.2×
Repair of anal fistula with fibrin glue (46706) $3,602.25 $4,803 1.4×
Repair of nail bed (11760) $207.75 $277 0.3×
Repair Spica/Body/Jacket Cast (29720) $144.75 $193 1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,669.25 $3,559 0.9×
Repair tongue laceration (41252) $1,085.25 $1,447 5.1×
Repair tongue laceration (41250) $351.75 $469 0.9×
Reposition Gastrostomy Tube (43761) $926.25 $1,235 4.1×
Reposition Pacing-Defib Lead (33215) $2,609.39 $3,479.19 0.9×
Reposition Venous Catheter (36597) $1,275 $1,700 0.9×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,121.50 $4,162 2.2×
Rmvl embedded fb vestibule mouth comp (40805) $1,085.25 $1,447 2.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $82.50 $110 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $165.75 $221 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $165.75 $221 1.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $165.75 $221 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,620.50 $3,494 1.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $555.75 $741 0.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,028.64 $4,038.19 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,800 $2,400 1.3×
Rplc Gtube No Revj Trc (43762) $299.25 $399 1.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $351.75 $469 1.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $207.75 $277 0.3×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $278.25 $371 1.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,085.25 $1,447 2.2×
Rpr Lip Full Thickness Vermilion Only (40650) $1,085.25 $1,447 2.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,085.25 $1,447 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $300 $400 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $351.75 $469 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $351.75 $469 1.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $351.75 $469 1.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $207.75 $277 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $351.75 $469 1.9×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $207.75 $277 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines
$122.57–$262.50 $163.43–$350 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $207.75 $277 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $262.50 $350 1.4×
Skin sub graft face/nk/hf/g (15275) $437.04 $582.72 0.7×
Skin sub graft trnk/arm/leg (15271) $256.28 $341.70 0.4×
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines
$432.75–$665.57 $577–$887.42 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines
$122.57–$217.50 $163.43–$290 varies
Skn sub grft f/n/hf/g child (15277) $665.57 $887.42 0.4×
Slctv cath carotid/innom art angio xtrcranl art (36222) $5,250 $7,000 1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $309 $412 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $351.75 $469 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $351.75 $469 1.0×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$915–$954 $1,220–$1,272 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,436.75 $3,249 0.8×
Strapping ankle (29540) $144.75 $193 1.0×
Strapping elbow or wrist (29260) $144.75 $193 2.7×
Strapping hand/finger (29280) $144.75 $193 2.7×
Strapping Hip (29520) $144.75 $193 1.2×
Strapping knee (29530) $144.75 $193 1.2×
Strapping shoulder (29240) $144.75 $193 1.2×
Strapping toes (29550) $144.75 $193 2.7×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$103–$206 $137.33–$274.66 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure
$4,866 $6,488 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,586 $3,448 1.8×
Thromblytic art/ven therapy (37213) $2,489.51 $3,319.35 0.9×
Thrombolytic Art Therapy (37211) $7,014.94 $9,353.25 1.4×
Thrombolytic Therapy Stroke (37195) $404.25 $539 1.4×
Thyroid biopsy (60100) $579.75 $773 0.9×
Tooth extraction (41899) $450 $600 2.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,085.25 $1,447 5.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,085.25 $1,447 0.8×
Treat humerus fracture (24500) $230.25 $307 1.0×
Treat Humerus Fracture (24505) $416.25 $555 0.3×
Treat humerus fracture (23600) $230.25 $307 1.0×
Treat Knee Fracture(S) (27538) $230.25 $307 1.0×
Treat Knuckle Dislocation (26700) $230.25 $307 1.0×
Treat Metatarsal Fracture (28475) $230.25 $307 1.0×
Treat Tail Bone Fracture (27200) $230.25 $307 1.0×
Treat Thumb Dislocation (26641) $230.25 $307 1.0×
Treat Thumb Fracture (26645) $230.25 $307 0.2×
Treat toe dislocation (28630) $230.25 $307 1.0×
Treat Vaginal Bleeding (57180) $318.75 $425 1.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,065 $1,420 0.7×
Treatment closed elbow dislocation w/o anes (24600) $375 $500 1.7×
Trim skin lesion (11055) $97.34 $129.78 0.5×
Trim skin lesions 2 to 4 (11056) $112.50 $150 0.6×
Trim skin lesions over 4 (11057) $97.34 $129.78 0.5×
Trimming Nondystrophic Nails Any Number (11719) $86.26 $115.01 1.6×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines
$153.75–$262.50 $205–$350 varies
Tx open tendon flexor toe 1 tendon spx (28232) $2,334 $3,112 1.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $207.75 $277 0.3×
Tx superficial wound dehiscence w/packing (12021) $207.75 $277 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $230.25 $307 0.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $230.25 $307 1.0×
Unlisted procedure breast (19499) $1,050 $1,400 0.3×
Unlisted Procedure Male Genital System (55899) $1,312.50 $1,750 5.8×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,698.75 $2,265 7.9×
Upgrade of pacemaker system (33214) $18,408.14 $24,544.19 1.9×
Vaginal delivery only (59409) $2,766 $3,688 0.9×
Vein Access Cutdown < 1 Yr (36420) $11.25 $15 0.1×
Venous Cutdown >1 Y/O (36425) $11.25 $15 0.0×
Wedge excision skin nail fold (11765) $219 $292 0.6×
Wedging of cast (29740) $144.75 $193 0.6×
Windowing of cast (29730) $144.75 $193 1.0×
Wound Prep F/N/Hf/G (15004) $761.25 $1,015 2.1×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $278.25 $371 0.6×

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.