Procedures & surgery prices at Willapa Harbor Hospital

South Bend, WA · every code in this section with a posted price and a Medicare benchmark.

302 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 4 matching MRF lines
$592.20–$1,368.50 $846–$1,955 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$880.60–$1,154.30 $1,258–$1,649 varies
Abrasion single lesion (15786) $623 $890 2.8×
Acne surgery (10040) $318.50 $455 1.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $4,578 $6,540 1.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,247.60 $6,068 1.2×
Amputate Metacarpal Bone (26910) $5,488 $7,840 1.5×
Anoscopy diagnostic (46600) $311.50 $445 2.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 3 matching MRF lines
$1,031.80–$3,114.30 $1,474–$4,449 varies
Application cast elbow finger short arm (29075) $581 $830 1.9×
Application Cast Finger (29086) $373.80 $534 2.1×
Application finger splint static (29130) $182 $260 1.2×
Application long arm splint shoulder hand (29105) $291.90 $417 1.6×
Application Long Leg Splint (29505) $296.10 $423 1.6×
Application short arm splint forearm-hand static (29125) $368.90 $527 2.5×
Application short leg splint calf foot (29515) $294.70 $421 1.6×
Apply hand/wrist cast (29085) $377.30 $539 2.1×
Apply long arm cast (29065) $597.80 $854 1.9×
Arterial puncture (36600)
range across 4 matching MRF lines
$122.50–$581.70 $175–$831 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$239.40–$516.60 $342–$738 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $560 $800 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$235.20–$554.40 $336–$792 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$291.20–$332.50 $416–$475 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines
$273–$546 $390–$780 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $2,945.60 $4,208 0.8×
Aspirate pleura w/ imaging (32555) $1,210.30 $1,729 1.7×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$1,143.80–$1,150.10 $1,634–$1,643 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
$188.30–$228.20 $269–$326 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines
$2,424.10–$3,037.30 $3,463–$4,339 varies
Avulsion nail plate partial/complete simple 1 (11730) $347.20 $496 1.6×
Blood Transfusion Service (36430) $458.50 $655 0.9×
Bx/exc lymph node open superficial (38500) $2,320.50 $3,315 0.5×
Catheter aspiration nasotracheal spx (31720) $312.90 $447 1.3×
Cervical lymphadenectomy (complete) (38720) $5,434.10 $7,763 0.7×
Change Cystostomy Tube Simple (51705) $355.60 $508 1.3×
Change of Windpipe Airway (31502) $863.80 $1,234 3.3×
Chemical Cautery Tissue (17250) $359.10 $513 1.6×
Chemodenerv Musc Migraine (64615) $310.10 $443 0.9×
Chest tube placement (32551)
range across 2 matching MRF lines
$1,036.70–$1,198.40 $1,481–$1,712 varies
Circumcision w/clamp/oth dev w/block (54150) $4,083.10 $5,833 1.8×
Clear outer ear canal (69200) $312.90 $447 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $1,474.90 $2,107 5.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines
$2,059.40–$2,928.10 $2,942–$4,183 varies
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,045 $4,350 1.7×
Closed tx knee dislocation w/o anesthesia (27550) $1,439.90 $2,057 5.2×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,175.90 $4,537 1.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,848 $2,640 1.1×
Closed tx patellar dislocation w/anesthesia (27562) $2,107.70 $3,011 7.7×
Closed tx patellar dislocation w/o anesthesia (27560) $798.70 $1,141 2.9×
Closed tx radial head/neck fx w/manipulation (24655) $2,418.50 $3,455 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $2,240 $3,200 1.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,461.60 $2,088 5.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,973.60 $4,248 1.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $588 $840 2.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,405.60 $2,008 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,814.40 $2,592 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,015 $1,450 3.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,940 $4,200 1.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,695 $3,850 1.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $971.60 $1,388 3.5×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $3,409 $4,870 1.9×
Cltx dstl fibular fx lat malls w/manj (27788) $982.10 $1,403 3.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $933.10 $1,333 3.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,772 $3,960 1.5×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $3,207.40 $4,582 1.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,717 $5,310 2.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $716.10 $1,023 2.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,187.20 $1,696 4.3×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,072 $2,960 1.2×
Cltx hip dislocation traumatic req anesthesia (27252) $2,992.50 $4,275 1.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $3,286.50 $4,695 1.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,027.60 $1,468 3.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $564.90 $807 2.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,519 $2,170 4.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,225 $1,750 4.5×
Cltx Med Ankle Fx W/Mnpj (27762) $3,198.30 $4,569 1.8×
Cltx metacarpal fx w/manipulation each bone (26605) $1,147.30 $1,639 4.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $882.70 $1,261 3.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,646 $3,780 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,225.70 $1,751 4.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $662.20 $946 2.4×
Cltx post hip arthrp dislc req anes (27266) $3,003 $4,290 1.7×
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines
$472.50–$795.20 $675–$1,136 varies
Cltx prox fibula/shft fx w/manj (27781) $2,940 $4,200 1.6×
Cltx prox tibfib jt dislc req anes (27831) $2,632 $3,760 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,607.90 $2,297 5.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,978.50 $4,255 1.7×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$21.70–$42 $31–$60 varies
Colsc flx w/removal lesion by hot bx forceps (45384) $2,219 $3,170 1.7×
Complex drainage wound (10180) $2,240 $3,200 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $690.90 $987 4.7×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$311.50–$431.90 $445–$617 varies
Cornea Scraping Diagnostic Smear &/Culture (65430) $746.20 $1,066 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$917.70–$1,726.20 $1,311–$2,466 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,038.10 $1,483 3.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,323 $1,890 1.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,834 $2,620 2.3×
Debride nail 1-5 (11720) $161 $230 2.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines
$616–$2,320.50 $880–$3,315 varies
Destroy lumb/sac facet jnt (64635) $3,607.80 $5,154 1.7×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$203.70–$233.80 $291–$334 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines
$143.50–$194.60 $205–$278 varies
Diagnostic sigmoidoscopy (45330) $1,757.70 $2,511 1.7×
Drainage abscess parotid simple (42300) $2,385.60 $3,408 1.4×
Drainage external ear abscess/hematoma cmplx (69005) $1,988 $2,840 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,018.50 $1,455 1.3×
Drainage Finger Abscess Complicated (26011) $1,947.40 $2,782 1.1×
Drainage Mouth Roof Lesion (42000) $655.20 $936 2.5×
Drainage of finger abscess simple (26010) $845.60 $1,208 3.8×
Drainage of gum lesion (41800) $826.70 $1,181 5.6×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$2,116.66–$2,263.10 $3,023.80–$3,233 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $518 $740 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $589.40 $842 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $354.20 $506 1.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $349.30 $499 1.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $899.50 $1,285 0.9×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines
$973.70–$1,549.80 $1,391–$2,214 varies
Dx gastr intub w/asp spec (43754) $425.60 $608 1.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,219 $3,170 1.0×
Egd control bleeding any (43255) $1,031.80 $1,474 0.5×
Egd remove lesion snare (43251) $4,438 $6,340 2.1×
Evacuation of subungual hematoma (11740) $161 $230 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $238 $340 0.3×
Exc Back Les Sc < 3 Cm (21930) $1,764 $2,520 1.0×
Exc Back Tum Deep 5 Cm/> (21933) $3,867.50 $5,525 1.2×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines
$581–$1,057 $830–$1,510 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines
$791–$2,825.20 $1,130–$4,036 varies
Exc Face Les Sbq 2 Cm/> (21012) $1,393 $1,990 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $343 $490 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $511 $730 0.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $765.10 $1,093 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $714 $1,020 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,296.40 $1,852 0.7×
Exc Shoulder Tum Deep 5 Cm/> (23073) $4,641 $6,630 1.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $491.40 $702 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $893.90 $1,277 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines
$535.50–$3,867.50 $765–$5,525 varies
Exc Skin Benig >4cm Face,Facial (11446) $2,452.10 $3,503 0.8×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,276 $4,680 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines
$857.50–$2,320.50 $1,225–$3,315 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,660 $3,800 2.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,632.40 $2,332 3.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$479.50–$494.20 $685–$706 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines
$505.40–$1,225.70 $722–$1,751 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,867.50 $5,525 1.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,130 $5,900 2.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $763 $1,090 1.0×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,094 $4,420 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines
$543.90–$819 $777–$1,170 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $847 $1,210 1.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines
$665–$1,537.20 $950–$2,196 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines
$872.20–$3,867.50 $1,246–$5,525 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,836.80 $2,624 1.0×
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines
$2,295.30–$3,094 $3,279–$4,420 varies
Excision of single external papilla or tag, anus (46220) $3,094 $4,420 2.3×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines
$4,207–$6,961.50 $6,010–$9,945 varies
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,867.50 $5,525 1.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $5,446.70 $7,781 3.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,094 $4,420 1.0×
Explo/Drain Breast Abscess (19020) $3,185 $4,550 1.7×
Exploration penetrating wound spx extremity (20103) $3,192 $4,560 1.7×
Fetal non-stress test (59025) $350.70 $501 1.6×
Fine needle aspiration without imaging guidance (10021) $389.20 $556 0.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines
$2,579.50–$2,632 $3,685–$3,760 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,031.80 $1,474 1.0×
I&d abscess peritonsillar (42700) $532 $760 2.0×
I&d abscess simple (10060)
range across 2 matching MRF lines
$337.40–$355.60 $482–$508 varies
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $2,817.50 $4,025 0.9×
I&d pilonidal cyst simple (10080) $847 $1,210 1.1×
Incise external hemorrhoid (46083) $1,012.90 $1,447 3.6×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines
$875–$3,867.50 $1,250–$5,525 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $3,514 $5,020 1.1×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$1,333.50–$2,500.40 $1,905–$3,572 varies
Incision & removal foreign body subq tiss simple (10120) $896 $1,280 2.0×
Incision and drainage of bartholin's gland abscess (56420) $331.10 $473 1.5×
Incision and drainage of vulva or perineal abscess (56405) $889 $1,270 2.6×
Incision of lingual frenum (frenotomy) (41010) $1,680 $2,400 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,822.80 $2,604 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $315 $450 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $213.50 $305 0.6×
Injection aa&/strd axillary nerve w/img gdn (64417) $884.80 $1,264 0.9×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines
$1,094.80–$2,189.60 $1,564–$3,128 varies
Injection single tendon origin/insertion (20551) $142.10 $203 0.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$331.10–$360.50 $473–$515 varies
Injection single/mlt trigger point 3/> muscles (20553) $469 $670 1.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$602–$945.70 $860–$1,351 varies
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines
$393.40–$548.80 $562–$784 varies
Insert non-tunnel cv cath (36556)
range across 5 matching MRF lines
$527.10–$2,121.70 $753–$3,031 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$329–$459.20 $470–$656 varies
Insert tunneled cv cath (36561) $4,641 $6,630 1.3×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$198.80–$658 $284–$940 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,436 $3,480 1.4×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $4,081 $5,830 1.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,540 $2,200 3.4×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$687.40–$742.70 $982–$1,061 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines
$6,188–$8,508.50 $8,840–$12,155 varies
Laparoscopy, surgical, appendectomy (44970) $6,188 $8,840 0.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines
$3,094–$6,188 $4,420–$8,840 varies
Laryngoscopy diagnostic (31505) $385 $550 1.7×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $1,124.90 $1,607 5.1×
Laryngoscopy W/Foreign Body Removal (31530) $1,227.10 $1,753 0.6×
Mastectomy partial (19301) $5,414.50 $7,735 1.2×
N Block Inj Ilio-Ing/Hypogi (64425) $918.40 $1,312 1.2×
N Block Lumbar/Thoracic (64520) $294 $420 0.3×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$298.20–$373.10 $426–$533 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines
$513.10–$844.90 $733–$1,207 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,735.60 $3,908 2.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,450 $3,500 3.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,567.30 $2,239 2.0×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$446.60–$639.10 $638–$913 varies
Open Tx Distal Phalangeal Fracture Each (26765) $3,199 $4,570 0.9×
Placement of needle for intraosseous infusion (36680) $393.40 $562 0.8×
Punch biopsy skin single lesion (11104)
range across 8 matching MRF lines
$209.30–$443.10 $299–$633 varies
Removal Embedded Foreign Body Eyelid (67938) $726.60 $1,038 2.1×
Removal Foreign Body Deep Thigh/Knee (27372) $4,193 $5,990 1.3×
Removal Foreign Body Foot Complicated (28193) $2,332.40 $3,332 1.3×
Removal foreign body foot deep (28192) $2,820.30 $4,029 1.5×
Removal Foreign Body Foot Subcutaneous (28190) $1,099 $1,570 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$118.30–$207.90 $169–$297 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $161.70 $231 2.5×
Removal of nail bed (11750)
range across 2 matching MRF lines
$322–$357 $460–$510 varies
Removal shoulder foreign body deep subfascial/im (23333) $4,641 $6,630 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines
$103.60–$217 $148–$310 varies
Remove Forearm Foreign Body (25248) $2,747.50 $3,925 1.5×
Remove foreign body from eye (65205)
range across 3 matching MRF lines
$233.10–$240.10 $333–$343 varies
Remove Intrauterine Device (58301) $459.20 $656 1.4×
Remove Nasal Foreign Body (30300) $396.20 $566 2.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,540 $2,200 1.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,520 $3,600 3.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $924 $1,320 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,067.50 $1,525 2.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,090.60 $1,558 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,106 $1,580 2.4×
Repair complex trunk 1.1-2.5 cm (13100) $1,260 $1,800 1.5×
Repair complex trunk 2.6-7.5 cm (13101) $1,038.10 $1,483 1.3×
Repair extensor tendon finger w/o graft each (26418) $4,189.50 $5,985 2.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $968.10 $1,383 2.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$671.30–$981.40 $959–$1,402 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,078 $1,540 2.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,476.30 $2,109 3.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $920.50 $1,315 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $714 $1,020 1.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $882 $1,260 1.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $982.10 $1,403 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,078 $1,540 2.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$602–$616 $860–$880 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $663.60 $948 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,543.50 $2,205 1.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $875 $1,250 1.9×
Repair of nail bed (11760) $812 $1,160 1.0×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $5,129.60 $7,328 0.6×
Replace duodenostomy/jejunostomy tube perq (49451) $1,547 $2,210 1.5×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,148 $1,640 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $840 $1,200 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $329 $470 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $254.80 $364 1.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,791.30 $2,559 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,296.70 $3,281 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines
$910.70–$1,316.70 $1,301–$1,881 varies
Rplc Gtube No Revj Trc (43762) $967.40 $1,382 3.5×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,867.50 $5,525 0.6×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,706.70 $9,581 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $568.40 $812 2.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,820 $2,600 2.2×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,867.20 $4,096 4.8×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,846.50 $5,495 1.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $773.50 $1,105 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $574 $820 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $797.30 $1,139 1.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines
$352.80–$498.40 $504–$712 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $434 $620 1.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $497 $710 2.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines
$315–$707 $450–$1,010 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $504 $720 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $437.50 $625 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $770 $1,100 3.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $567 $810 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $623 $890 1.4×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$690.20–$768.60 $986–$1,098 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,795 $6,850 1.2×
Strapping toes (29550)
range across 2 matching MRF lines
$115.50–$160.30 $165–$229 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$191.10–$233.80 $273–$334 varies
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines
$2,219–$3,867.50 $3,170–$5,525 varies
Tangential biopsy skin single lesion (11102) $287 $410 0.6×
Temporary Closure Eyelids Suture (67875) $1,330 $1,900 1.2×
Thrombolytic Therapy Stroke (37195) $1,260.70 $1,801 3.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,215.20 $1,736 4.6×
Treat Humerus Fracture (24505) $2,798.60 $3,998 1.6×
Treat Knuckle Dislocation (26700) $882 $1,260 3.2×
Treat Thumb Dislocation (26641) $2,385.60 $3,408 8.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,252.60 $3,218 1.3×
Treatment closed elbow dislocation w/o anes (24600) $1,534.40 $2,192 5.6×
Trim skin lesion (11055) $238 $340 1.1×
Trim skin lesions 2 to 4 (11056) $182 $260 0.8×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $3,094 $4,420 1.0×
Tx Gastro Intub W/Asp (43753) $393.40 $562 1.6×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,196.30 $1,709 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,508.50 $2,155 1.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $4,498.90 $6,427 4.5×
Vaginal delivery only (59409) $3,241 $4,630 0.9×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines
$2,031.40–$2,489.90 $2,902–$3,557 varies
Wedge excision skin nail fold (11765) $338.80 $484 0.7×

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.