Procedures & surgery prices at West Feliciana Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Acne Surgery (10040) $272.10 $453.50 1.5×
Amputation metatarsal with toe single (28810) $3,098.81 $5,164.69 1.0×
Amputation Toe Metatarsophalangeal Joint (28820) $5,020.64 $8,367.74 1.7×
Anoscopy diagnostic (46600) $132.60 $221 1.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $352.60 $587.67 2.4×
Application cast elbow finger short arm (29075) $337.17 $561.95 1.3×
Application Cast Hand & Lower Forearm Gauntlet (29085) $122.40 $204 0.8×
Application cast shoulder hand long arm (29065) $185.40 $309 0.7×
Application Cast Shoulder Spica (29055) $167.58 $279.30 0.7×
Application Finger Splint Dynamic (29131) $189.30 $315.50 3.5×
Application finger splint static (29130) $184.34 $307.24 1.5×
Application long arm splint shoulder hand (29105) $308.83 $514.71 2.1×
Application long leg splint thigh ankle/toes (29505) $275.56 $459.27 1.9×
Application of long leg cast (29345) $338.08 $563.46 1.3×
Application Short Arm Splint Dynamic (29126) $81.12 $135.20 0.7×
Application short arm splint forearm-hand static (29125) $253.57 $422.61 2.1×
Application short leg splint calf foot (29515) $282.73 $471.21 1.9×
Application, cast; figure-of-eight (29049) $233.10 $388.50 0.9×
Apply short leg cast (29405) $658.88 $1,098.14 2.6×
Apply short leg cast (29425) $396.94 $661.56 1.6×
Arterial puncture (36600) $106.48 $177.46 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $498.46 $830.77 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $543.29 $905.48 2.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $535.43 $892.39 1.9×
Arthrodesis sacroiliac joint percutaneous (27279) $12,035.35 $20,058.91 0.8×
Aspirat/Injection Ganglion Cyst(S) (20612) $558.22 $930.36 2.0×
Aspiration bladder needle (51100) $49.77 $82.95 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $1,023.18 $1,705.30 5.6×
Bladder Irrigation Simple (51700) $489.32 $815.53 2.2×
Bladder Scan (51798) $198.25 $330.42 3.7×
Blood patch (62273) $4,602.15 $7,670.25 7.2×
Blood transfusion service (36430) $906.83 $1,511.38 2.3×
Bone marrow aspiration only (38220) $1,687.93 $2,813.21 1.1×
Change Cystostomy Tube Simple (51705) $619.46 $1,032.44 2.7×
Chemical Cautery Tissue (17250) $307.84 $513.07 1.7×
Chemodenerv Musc Migraine (64615) $467.40 $779 1.7×
Chemodenerv trunk musc 6/> (64647) $751.80 $1,253 1.2×
Chest tube placement (32551) $1,418.65 $2,364.42 1.0×
Close Rx Fingr Articular Fx,Manip (26742) $1,011.42 $1,685.70 0.7×
Closed Rx Gr Tuberosity Hum Fx (23620) $370.20 $617 1.7×
Closed Rx Humeral Supracondylar Fx (24530) $277.64 $462.73 1.2×
Closed Rx Med Malleolus Fx (27760) $484.60 $807.66 2.2×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $667.97 $1,113.29 0.5×
Closed Rx Radial Shaft Fx (25500) $327.83 $546.38 1.5×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $912 $1,520 0.6×
Closed Rx Tibia Shaft Fx (27750) $477.26 $795.44 2.1×
Closed Treat Vert Body Fract (22310) $558.87 $931.45 2.5×
Closed treat wrist dislocation (25660) $637.01 $1,061.69 2.9×
Closed Treatment Coccygeal Fracture (27200) $277.83 $463.05 1.2×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $381 $635 1.7×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $353.90 $589.83 1.6×
Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) $626.22 $1,043.70 0.2×
Closed treatment of talus fracture; without manipulation (28430) $3,257.40 $5,429 14.6×
Closed Treatment Ulnar Styloid Fracture (25650) $802.19 $1,336.98 3.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $608.70 $1,014.50 2.7×
Closed tx calcaneal fracture w/o manipulation (28400) $314.18 $523.63 1.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $521.76 $869.60 2.3×
Closed tx fx orbit except blowout w/manipulation (21401) $543.69 $906.15 0.4×
Closed tx knee dislocation w/o anesthesia (27550) $839.51 $1,399.19 3.8×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $617.40 $1,029 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $623.78 $1,039.64 2.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,290.43 $2,150.72 0.9×
Closed tx nasal fracture w/o stabilization (21315) $1,593.04 $2,655.07 1.1×
Closed tx patellar dislocation w/anesthesia (27562) $1,284.81 $2,141.35 5.8×
Closed tx patellar dislocation w/o anesthesia (27560) $762.42 $1,270.70 3.4×
Closed tx patellar fracture w/o manipulation (27520) $465.08 $775.14 2.1×
Closed tx radial head/neck fx w/o manipulation (24650) $386.55 $644.25 1.7×
Closed tx scapular fracture w/o manipulation (23570) $531.90 $886.50 2.4×
Closed tx septal&nose fx (21337) $4,390.31 $7,317.19 1.5×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $386.19 $643.65 1.7×
Closed tx talotarsal joint dislc w/o anes (28570) $281.30 $468.82 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $281.41 $469.01 1.3×
Closed tx ulnar fracture prox end w/o manipulate (24670) $406.20 $677 1.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $298.08 $496.80 1.3×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $536.40 $894 2.5×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $2,670.29 $4,450.48 5.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $353.08 $588.47 1.6×
Clsd tx clavicular fracture w/manipulation (23505) $2,130.60 $3,551 1.5×
Clsd tx clavicular fracture w/o manipulation (23500) $496.90 $828.17 2.2×
Clsd tx fx orbit except blowout w/o manipulation (21400) $454.86 $758.10 0.9×
Clsd tx pelvic ring fx w/o manipulation (27197) $793.80 $1,323 3.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,050.15 $5,083.59 2.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $554.52 $924.20 2.5×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,242.68 $2,071.12 0.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $370.80 $618 0.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $427.20 $712 1.9×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $665.34 $1,108.90 3.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $402.60 $671 1.8×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,040 $1,733.34 0.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $503.70 $839.50 2.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $239.60 $399.33 1.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $392.40 $654 1.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $739.72 $1,232.86 3.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,647.94 $2,746.57 1.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $580.85 $968.09 2.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $470.38 $783.96 2.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $420.20 $700.33 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $339.73 $566.22 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $3,125.83 $5,209.72 14.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $367.33 $612.21 1.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $550.20 $917 2.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $504.77 $841.28 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $394.58 $657.64 1.8×
Cltx metacarpal fx w/manipulation each bone (26605) $4,893.60 $8,156 21.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $401.85 $669.75 1.8×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,442 $4,070 1.7×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $393 $655 1.8×
Cltx metatarsophlngl jt dislc w/o anes (28630) $297.37 $495.62 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $492.71 $821.18 2.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $356.85 $594.75 1.6×
Cltx post hip arthrp dislc w/o anes (27265) $1,214.11 $2,023.52 5.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $377.40 $629 1.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $461.30 $768.83 2.1×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $662.30 $1,103.83 3.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,578.60 $2,631 1.5×
Colonoscopy stoma w/biopsy (44389) $1,724.92 $2,874.86 1.6×
Colonoscopy stoma w/snare (44394) $2,593.01 $4,321.69 2.4×
Colonoscopy through stoma; with removal of foreign body(s) (44390) $2,117.50 $3,529.17 2.5×
Colonoscopy thru stoma (44388) $1,982.32 $3,303.87 2.4×
Colposcopy cervix upper/adjacent vagina (57452) $2,650.35 $4,417.25 14.5×
Colsc flx with directed submucosal njx any sbst (45381) $2,131.62 $3,552.70 2.0×
Control Nasal Hemorrhage Anterior Complex (30903) $420.32 $700.53 3.5×
Control Nasal Hemorrhage Anterior Simple (30901) $373.51 $622.51 3.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $874.85 $1,458.09 7.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $289.20 $482 1.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $749.40 $1,249 2.0×
Debride nail 1-5 (11720) $147.74 $246.24 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $946.03 $1,576.72 2.6×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,982.98 $3,304.97 3.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,385.79 $3,976.32 1.6×
Declot vascular device (36593) $667.06 $1,111.76 2.2×
Delivery placenta separate procedure (59414) $4,132.17 $3,544.28 1.4×
Destroy cerv/thor facet jnt (64633) $2,553.87 $4,256.45 1.4×
Destroy lumb/sac facet jnt (64635) $3,687.71 $6,146.18 2.1×
Destruction Benign Lesions Up To 14 (17110) $217.20 $362 1.2×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $859.48 $1,432.46 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $3,868.98 $6,448.30 2.2×
Destruction of lesion(s), penis, simple; chemicall (54050) $1,656 $2,760 4.5×
Destruction vaginal lesions simple (57061) $7,191.60 $11,986 2.5×
Diagnostic sigmoidoscopy (45330) $932.70 $1,554.50 1.1×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,561.20 $2,602 2.4×
Drain outer ear canal lesion (69020) $1,489.35 $2,482.25 2.3×
Drainage abscess/hematoma nasal int approach (30000) $2,323.20 $3,872 10.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $942.45 $1,570.75 1.5×
Drainage Finger Abscess Complicated (26011) $3,143.74 $5,239.57 2.1×
Drainage Finger Abscess Simple (26010) $1,042.06 $1,736.76 5.7×
Drainage of hematoma/fluid (10140) $3,910.67 $6,517.79 2.6×
Draw blood off venous device (36591) $227.31 $378.85 1.9×
Drg absc cst hmtma vestibule mouth comp (40801) $2,340 $3,900 4.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $2,700.31 $4,500.52 7.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $722.01 $1,203.35 4.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $291.26 $485.43 1.6×
Egd balloon dilation esophagus <30 mm diam (43249) $2,704.07 $4,506.79 1.6×
Egd guide wire insertion (43248) $827.70 $1,379.50 1.0×
Egd remove lesion snare (43251) $1,260 $2,100 0.7×
Egd Transoral Control Bleeding Any Method - Egd (43255) $2,626.29 $4,377.15 1.5×
Endoscopy Upper Small Intestine - Enteroscopy (44360) $2,190.97 $3,651.61 1.3×
Escharotomy initial incision (16035) $216.15 $360.25 0.6×
Esophagoscopy flex biopsy (43202) $2,382.60 $3,971 1.4×
Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) $936.18 $1,560.30 0.5×
Esophagoscopy flexible removal foreign body (43215) $1,729.97 $2,883.28 1.0×
Esophagoscopy flexible transoral diagnostic (43200) $1,583.91 $2,639.85 1.9×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $2,099.63 $3,499.39 1.2×
Evacuation of subungual hematoma (11740) $155.06 $258.44 1.3×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,212.70 $2,021.16 3.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,259.58 $3,765.97 2.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $9,762.68 $16,271.14 6.5×
Excision of nail fold toe (11765) $997.20 $1,662 2.7×
Expl penetrating wound spx abdomen/flank/back (20102) $3,221.02 $5,368.36 1.7×
Exploration Penetrating Wound Spx Neck (20100) $4,914.98 $8,191.63 10.1×
Explore & Treat Metacarpo-Phal Jt (26075) $6,274.80 $10,458 2.1×
Gastric Intubation/Aspiration, Therapeutic (43753) $348.16 $580.26 1.8×
I&D Abscess Peritonsillar (42700) $1,666.80 $2,778 7.8×
I&d abscess simple (10060) $649.11 $1,081.85 3.6×
I&d perianal abscess superficial (46050) $2,410.02 $4,016.70 2.9×
I&d pilonidal cyst simple (10080) $794.54 $1,324.24 1.2×
I&D Upper Arm/Elbow Bursa (23931) $3,071.10 $5,118.50 2.1×
Incision & drainage abscess complicated/multiple (10061) $1,186.81 $1,978.02 3.2×
Incision & drainage pilonidal cyst complicated (10081) $2,839 $4,731.67 4.4×
Incision & removal foreign body subq tiss compl (10121) $4,603.22 $7,672.04 3.1×
Incision & removal foreign body subq tiss simple (10120) $1,064.14 $1,773.57 2.9×
Incision and drainage of bartholin's gland abscess (56420) $1,243.50 $2,072.50 6.8×
Incision thrombosed hemorrhoid external (46083) $4,421.60 $7,369.33 19.5×
Incision&drainage bursa foot (28001) $3,742.75 $6,237.92 2.5×
Initial tx 1st degree burn local tx (16000) $136.21 $227.02 0.7×
Inj paravert f jnt c/t 1 lev (64490) $2,108.11 $3,513.51 2.6×
Inj tendon sheath/ligament (20550) $466.72 $777.86 1.7×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,231.50 $2,052.50 1.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,758.67 $2,931.11 2.2×
Inject Nerv Blck,Celiac Plexus (64530) $1,215.12 $2,025.20 1.5×
Inject Nerv Blck,Paravert Sympath (64520) $5,094.37 $8,490.62 6.4×
Injection aa&/strd genicular nrv branches w/img (64454) $2,458.41 $4,097.35 3.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,478.28 $2,463.80 2.3×
Injection aa&/strd suprascapular nerve (64418) $234.30 $390.50 0.4×
Injection anes other peripheral nerve/branch (64450) $1,174.49 $1,957.49 1.8×
Injection single/mlt trigger point 1/2 muscles (20552) $520.62 $867.70 1.9×
Injection single/mlt trigger point 3/> muscles (20553) $418.31 $697.19 1.5×
Injection therapeutic carpal tunnel (20526) $702.13 $1,170.21 2.5×
Injection, anesthetic agent; greater occipital nerve (64405) $248.35 $413.91 0.9×
Insert Bladder Cath Complex (51703) $283.22 $472.03 2.4×
Insert Gastrostomy Tube Percutaneous (49440) $3,273.23 $5,455.39 1.9×
Insert non-tunnel cv cath (36556) $1,954.39 $3,257.32 0.7×
Insert picc cath (36569) $2,129.23 $3,548.71 1.5×
Insert Temp Bladder Cath (51702) $208.42 $347.36 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $189.49 $315.81 1.6×
Insj stablj dev w/o dcmprn lumbar single level (22869) $12,786.17 $21,310.29 1.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,208.81 $8,681.35 0.7×
Intro Gastrointestinal Tube (44500) $1,283.63 $2,139.38 1.6×
Intubation endotracheal emergency procedure (31500) $564.71 $941.19 2.6×
Irrigate corpora cavernosa for priapism (54220) $710.25 $1,183.75 3.1×
Laryngoscopy Direct Aspiration (31515) $556.20 $927 1.6×
Laryngoscopy Indirect Diagnostic Spx (31505) $602.40 $1,004 3.3×
Manipulation Ankle Under General Anesthesia (27860) $2,671.01 $4,451.69 0.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $283.06 $471.77 0.7×
Njx anes stellate ganglion crv sympathetic (64510) $1,015.20 $1,692 1.3×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $355.59 $592.65 1.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,143.67 $3,572.78 2.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $2,084.85 $3,474.76 3.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $2,240.35 $3,733.91 3.5×
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) $8,968.52 $14,947.53 0.8×
Open Tx Distal Phalangeal Fracture Each (26765) $4,447.01 $7,411.68 1.5×
Open tx metatarsophalangeal joint dislocation (28645) $13,996.62 $23,327.70 4.7×
Open tx phalangeal shaft fracture prox/middle ea (26735) $7,711.33 $12,852.22 2.6×
Pericardiocentesis W/Imaging (33016) $1,521 $2,535 1.1×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $9,023.44 $15,039.06 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,329.13 $15,548.55 1.4×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $6,182.14 $10,303.56 2.1×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $11,485.94 $19,143.24 3.9×
Placement of needle for intraosseous infusion (36680) $229.27 $382.11 0.6×
Preputial Stretching (54450) $3,848.70 $6,414.50 17.0×
Punch biopsy skin single lesion (11104) $891.35 $1,485.58 2.4×
Puncture Aspiration (10160) $529.49 $882.48 1.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,125.23 $5,208.72 1.8×
Removal fb intranasal (30300) $217.58 $362.64 1.8×
Removal foreign body foot subcutaneous (28190) $3,524.57 $5,874.28 5.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,574.75 $5,957.91 2.4×
Removal foreign body pharynx (42809) $347.16 $578.60 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $252.05 $420.09 4.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $217.41 $362.35 4.1×
Removal impacted vag fb spx w/anes oth/thn local (57415) $924 $1,540 0.3×
Removal of arm foreign body (24200) $497.64 $829.40 0.3×
Removal of intrauterine device (iud) (58301) $536.78 $894.63 1.9×
Removal of nail bed (11750) $1,494.32 $2,490.53 4.1×
Removal of polyps or growths of esophagus using a flexible endo (43216) $2,058.40 $3,430.67 1.2×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $1,346.78 $2,244.63 7.4×
Removal/bivalving full arm/full leg cast (29705) $268.20 $447 1.1×
Removal/bivalving gauntlet boot/body cast (29700) $144.67 $241.12 0.6×
Remove foreign body from eye (65210) $307.20 $512 0.8×
Remove shoulder foreign body (23330) $5,474.87 $9,124.79 3.7×
Remv Ext Canal Foreign Body (69200) $62.40 $104 0.5×
Remv F.B.,Eye,Superf Conjunc (65205) $527.05 $878.42 4.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $597.65 $996.08 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $692 $1,153.33 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $2,017.70 $3,362.83 5.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,812.35 $3,020.58 4.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,018.19 $1,696.98 2.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,765.85 $2,943.08 4.8×
Repair complex trunk 1.1-2.5 cm (13100) $3,276.80 $5,461.33 4.9×
Repair complex trunk 2.6-7.5 cm (13101) $3,027.89 $5,046.48 4.5×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,328.27 $2,213.78 3.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,012.51 $1,687.51 2.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $732.11 $1,220.19 2.0×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $600 $1,000 1.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,834.28 $3,057.13 5.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $655.97 $1,093.29 1.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,722.15 $2,870.25 2.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $749 $1,248.34 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,010.52 $1,684.20 2.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $854.18 $1,423.63 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,627.67 $2,712.78 4.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,294.57 $2,157.61 3.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,306.64 $2,177.74 3.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,672.94 $2,788.24 4.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $7,023.20 $11,705.34 3.8×
Repair Laceration Palate </2 Cm (42180) $720.83 $1,201.38 1.5×
Repair Laceration Palate >2 Cm/Complex (42182) $4,165.24 $6,942.08 0.8×
Repair Of Foot Tendon (28208) $4,588.37 $7,647.28 1.5×
Repair of nail bed (11760) $1,745.39 $2,908.99 2.6×
Repair Tongue Laceration (41250) $461.21 $768.69 1.1×
Replace g/c tube perc (49450) $1,027.12 $1,711.86 1.3×
Reposition gastrostomy tube (43761) $1,165.80 $1,943 5.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $357.90 $596.50 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $204.45 $340.75 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $276.75 $461.25 2.3×
Rmvl fecal impaction/fb spx under anes (45915) $1,381.28 $2,302.13 1.3×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $7,752.68 $12,921.13 2.9×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $307.24 $512.06 0.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $578.11 $963.51 2.7×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $919.62 $1,532.70 4.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $694.20 $1,157 1.4×
Rpr Lip Full Thickness Vermilion Only (40650) $1,624.80 $2,708 3.3×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $5,100 $8,500 3.6×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $210.60 $351 0.6×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $1,098.60 $1,831 1.3×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $825.90 $1,376.50 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $239.40 $399 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $396.05 $660.09 2.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $423.29 $705.49 2.3×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $925.61 $1,542.68 2.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $474.70 $791.17 2.6×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $495.90 $826.50 2.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $358.27 $597.12 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $843.30 $1,405.50 4.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $383.68 $639.46 2.1×
Skin sub graft face/nk/hf/g (15275) $1,669.03 $2,781.71 2.5×
Skin sub graft trnk/arm/leg (15271) $1,717.19 $2,861.98 2.6×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $1,349.10 $2,248.50 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $388.04 $646.74 2.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $451.06 $751.77 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $848.33 $1,413.88 2.3×
Spinal puncture lumbar diagnostic (62270) $2,043.37 $3,405.62 3.2×
Strapping ankle (29540) $151.46 $252.44 1.0×
Strapping elbow/wrist (29260) $124.34 $207.23 2.3×
Strapping hand/finger (29280) $147.06 $245.10 2.8×
Strapping knee (29530) $99.29 $165.49 0.8×
Strapping shoulder (29240) $157.50 $262.50 1.3×
Strapping thorax (29200) $714 $1,190 4.9×
Strapping toes (29550) $50.40 $84 0.9×
Strapping unna boot (29580) $360.03 $600.05 2.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,754.48 $2,924.13 3.1×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,111.21 $1,852.01 2.0×
Tracheostomy emergency cricothyroid membrane (31605) $1,729.79 $2,882.98 8.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,325.67 $3,876.11 1.7×
Treat finger dislocation (26775) $896.11 $1,493.52 3.5×
Treat Fracture Radius & Ulna (25560) $292.20 $487 1.3×
Treat fx rad extra-articul (25607) $9,504.68 $15,841.13 1.4×
Treat humerus fracture (24500) $327.60 $546 1.5×
Treat humerus fracture (23600) $508.33 $847.22 2.3×
Treat skull fracture (62000) $1,349.46 $2,249.10 0.4×
Treat wrist bone fracture (25622) $309.60 $516 1.4×
Treat Wrist Bone Fracture (25630) $328.99 $548.32 1.5×
Treatment closed elbow dislocation req anes (24605) $1,198.80 $1,998 0.8×
Treatment closed elbow dislocation w/o anes (24600) $442.05 $736.75 2.0×
Trim skin lesion (11055) $216.94 $361.57 1.2×
Trim skin lesions 2 to 4 (11056) $256.66 $427.77 1.4×
Trim skin lesions over 4 (11057) $356.08 $593.47 2.0×
Tx superficial wound dehiscence w/packing (12021) $1,502.88 $2,504.80 4.1×
Unlisted procedure, hands or fingers (26989) $3,106.38 $5,177.30 13.9×
Vaginal delivery only (59409) $3,988.15 $6,646.92 1.4×
Venipuncture (36415) $12.27 $20.45 1.3×
Venipuncture Cutdown Younger Than 1 Year (36420) $154.66 $257.78 1.3×
Venipuncture, cutdown; age 1 or over (36425) $52.20 $87 0.1×
Wedging of cast (29740) $21 $35 0.1×
Windowing of cast (29730) $139.54 $232.58 0.9×
Wound Prep F/N/Hf/G (15004) $2,252.63 $3,754.39 6.1×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $2,511.03 $4,185.05 3.8×