Procedures & surgery prices at Wilson Medical Center
Neodesha, KS · every code in this section with a posted price and a Medicare benchmark.
249 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $356.25 | $475 | 0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $251.25 | $335 | 0.3× |
| Acne surgery (10040) | $108.75 | $145 | 0.6× |
| Application cast elbow finger short arm (29075) | $301.50 | $402 | 1.2× |
| Application Cast Finger (29086) | $262.50 | $350 | 1.8× |
| Application finger splint static (29130) | $93.75 | $125 | 0.8× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$121.13–$179.25 | $161.50–$239 | varies |
| Application Long Leg Splint (29505) | $293.25 | $391 | 2.0× |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$127.50–$191.25 | $170–$255 | varies |
| Application Short Arm Splint Dynamic (29126) | $243.75 | $325 | 2.0× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$224.25–$331.50 | $299–$442 | varies |
| Application short leg splint calf foot (29515) | $150.75 | $201 | 1.0× |
| Apply hand/wrist cast (29085) | $332.25 | $443 | 2.2× |
| Apply long arm cast (29065) | $192 | $256 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$81–$802.50 | $108–$1,070 | varies |
| Apply Short Leg Cast (29405) | $183.75 | $245 | 0.7× |
| Apply short leg cast (29425) | $195.75 | $261 | 0.8× |
| Arterial puncture (36600) | $100.50 | $134 | 0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$36.75–$145.50 | $49–$194 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$123.75–$490.50 | $165–$654 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$35.25–$161.25 | $47–$215 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $12,306 | $16,408 | 1.8× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$386.25–$1,242.75 | $515–$1,657 | varies |
| Aspirate Pleura W/O Imaging (32554) | $311.25 | $415 | 0.5× |
| Aspirate/Inj Ganglion Cyst (20612) | $45 | $60 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$75–$153.75 | $100–$205 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) | $579.75 | $773 | 0.4× |
| Biopsy nail unit (11755) | $97.50 | $130 | 0.1× |
| Bladder Scan (51798) | $100.50 | $134 | 1.9× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$318.75–$765 | $425–$1,020 | varies |
| Bx breast 1st lesion us imag (19083) | $2,624.25 | $3,499 | 1.7× |
| Catheter aspiration nasotracheal spx (31720) | $1,028.25 | $1,371 | 5.1× |
| Chemical Cautery Tissue (17250) | $90.75 | $121 | 0.5× |
| Chest tube placement (32551) | $157.50 | $210 | 0.1× |
| Clear outer ear canal (69200) | $72.75 | $97 | 0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $517.50 | $690 | 2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $756.21 | $1,008.28 | 0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $393.75 | $525 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $966 | $1,288 | 4.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $554.25 | $739 | 2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $487.50 | $650 | 0.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $857.25 | $1,143 | 3.8× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$3–$18 | $4–$24 | varies |
| Complex drainage wound (10180) | $178.50 | $238 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $393.75 | $525 | 3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $219.75 | $293 | 1.8× |
| Correction hammertoe (28285) | $5,181 | $6,908 | 1.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $4,791.75 | $6,389 | 1.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $4,863 | $6,484 | 0.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $4,324.50 | $5,766 | 1.4× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $39 | $52 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $198.75 | $265 | 1.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $40.50 | $54 | 0.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $357 | $476 | 0.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$206.25–$1,008.75 | $275–$1,345 | varies |
| Debride nail 1-5 (11720) | $24 | $32 | 0.4× |
| Debride nail 6 or more (11721) | $33 | $44 | 0.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$273.75–$2,602.50 | $365–$3,470 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$236.25–$652.50 | $315–$870 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$153.75–$1,228.50 | $205–$1,638 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $129 | $172 | 0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $149.25 | $199 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $204.75 | $273 | 0.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $262.50 | $350 | 0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $104.25 | $139 | 0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $127.50 | $170 | 0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $138.75 | $185 | 0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $102 | $136 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $108.75 | $145 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $118.50 | $158 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $135 | $180 | 0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $69.75 | $93 | 0.4× |
| Destruction Premalignant Lesion 15/> (17004) | $150 | $200 | 0.4× |
| Destruction premalignant lesion 1st (17000) | $75 | $100 | 0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$131.25–$136.50 | $175–$182 | varies |
| Drainage Finger Abscess Complicated (26011) | $283.50 | $378 | 0.2× |
| Drainage of finger abscess simple (26010) | $222.75 | $297 | 1.2× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$420.75–$1,710 | $561–$2,280 | varies |
| Drainage of nose lesion (30000) | $386.25 | $515 | 1.8× |
| Drainage of scrotal wall abscess (55100) | $475.50 | $634 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $220.50 | $294 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$174–$535.50 | $232–$714 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$96.75–$535.50 | $129–$714 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $2,025 | $2,700 | 0.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,938.75 | $2,585 | 1.1× |
| Evacuation of subungual hematoma (11740) | $36 | $48 | 0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$87–$90 | $116–$120 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $147 | $196 | 0.1× |
| Exc back tum deep < 5 cm (21932) | $1,107.83 | $1,477.11 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $172.50 | $230 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $197.25 | $263 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $288 | $384 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $97.50 | $130 | 0.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $122.25 | $163 | 0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $136.50 | $182 | 0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $162.75 | $217 | 0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $205.50 | $274 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $90 | $120 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $113.25 | $151 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$127.50–$2,601.75 | $170–$3,469 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $138.75 | $185 | 0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $170.25 | $227 | 0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $243.75 | $325 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$228.75–$2,994 | $305–$3,992 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $286.50 | $382 | 0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $219.75 | $293 | 0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $299.25 | $399 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$329.25–$2,880 | $439–$3,840 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$105–$108.75 | $140–$145 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $120 | $160 | 0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$153–$157.50 | $204–$210 | varies |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $4,128.75 | $5,505 | 2.8× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $618.75 | $825 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$200.25–$206.25 | $267–$275 | varies |
| Excision H/P/P/U Complex Repair (11471) | $372 | $496 | 0.1× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $300 | $400 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $138.75 | $185 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$160.50–$165 | $214–$220 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
$174.75–$652.50 | $233–$870 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $229.50 | $306 | 0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $145.50 | $194 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $233.25 | $311 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $378.75 | $505 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $140.25 | $187 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $166.50 | $222 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $186 | $248 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $247.50 | $330 | 0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $504.75 | $673 | 0.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $415.50 | $554 | 0.2× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $2,926.50 | $3,902 | 2.0× |
| Exploration penetrating wound spx extremity (20103) | $711.02 | $948.03 | 0.5× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $3,977.25 | $5,303 | 1.3× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$198.32–$981 | $264.43–$1,308 | varies |
| I&d pilonidal cyst complicated (10081) | $213.75 | $285 | 0.3× |
| I&d pilonidal cyst simple (10080) | $131.25 | $175 | 0.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$187.50–$722.25 | $250–$963 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $200.25 | $267 | 0.1× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$223.50–$339.75 | $298–$453 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $266.25 | $355 | 1.4× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) | $581.25 | $775 | 0.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $672 | $896 | 0.4× |
| Incisional biopsy skin single lesion (11106) | $202.50 | $270 | 0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$44.25–$56.25 | $59–$75 | varies |
| Injection enzyme palmar fascial cord (20527) | $62.25 | $83 | 0.2× |
| Injection single tendon origin/insertion (20551) | $45 | $60 | 0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$93.75–$123.75 | $125–$165 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$112.50–$116.25 | $150–$155 | varies |
| Injection therapeutic carpal tunnel (20526) | $57 | $76 | 0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) | $51 | $68 | 0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$39–$40.50 | $52–$54 | varies |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$99.75–$102.75 | $133–$137 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,089.41 | $1,452.55 | 0.6× |
| Insert non-tunnel cv cath (36556) | $735 | $980 | 0.3× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$176.25–$216 | $235–$288 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$386.25–$5,166.75 | $515–$6,889 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $216 | $288 | 1.8× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$439.50–$487.50 | $586–$650 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $403.50 | $538 | 1.8× |
| N block inj intercost sng (64420) | $459.75 | $613 | 0.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $138.75 | $185 | 0.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,608.53 | $2,144.70 | 3.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $537 | $716 | 1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,695 | $2,260 | 2.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,695 | $2,260 | 2.6× |
| Ostc prtl exostc/condylc metar head (28288) | $4,062 | $5,416 | 1.3× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $3,108.75 | $4,145 | 1.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $6,193.50 | $8,258 | 2.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $4,102.50 | $5,470 | 1.4× |
| Partical Excision Bone Phalanx Toe (28124) | $3,108.75 | $4,145 | 1.0× |
| Placement of needle for intraosseous infusion (36680) | $105.32 | $140.42 | 0.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $5,672.25 | $7,563 | 1.9× |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$97.50–$742.50 | $130–$990 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $116.25 | $155 | 0.3× |
| Reconstruction Nail Bed W/Graft (11762) | $206.25 | $275 | 0.1× |
| Removal Embedded Foreign Body Eyelid (67938) | $262.50 | $350 | 0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) | $356.43 | $475.24 | 0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$56.25–$57.75 | $75–$77 | varies |
| Removal implantable contraceptive capsules (11976) | $105 | $140 | 0.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$127.50–$131.25 | $170–$175 | varies |
| Removal of sesamoid bone (28315) | $5,142.75 | $6,857 | 1.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $93.75 | $125 | 0.5× |
| Removal sweat gland lesion (11450) | $125.25 | $167 | 0.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $90 | $120 | 0.3× |
| Remove drug implant device (11982) | $117 | $156 | 0.3× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$133.13–$135 | $177.50–$180 | varies |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$159–$163.50 | $212–$218 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $427.50 | $570 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $870.75 | $1,161 | 2.3× |
| Repair Hallux Rigidus (28289) | $4,788.75 | $6,385 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $187.50 | $250 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,004.25 | $1,339 | 2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,178.25 | $1,571 | 3.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $345 | $460 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $292.50 | $390 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $172.50 | $230 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $494.25 | $659 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $260.25 | $347 | 0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $376.50 | $502 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $366.75 | $489 | 1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $171.75 | $229 | 0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$652.50–$691.50 | $870–$922 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,020 | $1,360 | 1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$726–$2,231.25 | $968–$2,975 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $348.75 | $465 | 0.2× |
| Repair of nail bed (11760) | $142.50 | $190 | 0.2× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $3,108.75 | $4,145 | 1.0× |
| Revision of big toe (28310) unusually low: confirm this is the full procedure |
$3,108.75 | $4,145 | 0.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $75.75 | $101 | 0.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $123.75 | $165 | 0.3× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$131.25–$667.50 | $175–$890 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $869.25 | $1,159 | 4.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $345 | $460 | 0.5× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$68.25–$71.25 | $91–$95 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $82.50 | $110 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $135 | $180 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$70.50–$72.75 | $94–$97 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $87.75 | $117 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $105 | $140 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$107.25–$110.25 | $143–$147 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $81 | $108 | 0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $116.25 | $155 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$112.50–$116.25 | $150–$155 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $112.50 | $150 | 0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$99–$102 | $132–$136 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $800.25 | $1,067 | 2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$225.30–$324 | $300.40–$432 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $355.50 | $474 | 1.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $734.25 | $979 | 2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $414.75 | $553 | 2.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $633.75 | $845 | 3.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$266.89–$300.75 | $355.85–$401 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $533.25 | $711 | 2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $425.25 | $567 | 2.3× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$204.75–$656.25 | $273–$875 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$193.50–$656.25 | $258–$875 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $325.50 | $434 | 1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $772.50 | $1,030 | 2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,021.50 | $1,362 | 2.7× |
| Spinal puncture lumbar diagnostic (62270) | $322.50 | $430 | 0.5× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$57.75–$802.50 | $77–$1,070 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$97.50–$135 | $130–$180 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$48.75–$63.75 | $65–$85 | varies |
| Trim skin lesions 2 to 4 (11056) | $67.50 | $90 | 0.4× |
| Trim skin lesions over 4 (11057) | $75 | $100 | 0.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $10.50 | $14 | 0.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $875.25 | $1,167 | 0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $210 | $280 | 0.3× |
| Tx superficial wound dehiscence w/packing (12021) | $122.25 | $163 | 0.3× |
| Wedge excision skin nail fold (11765) | $121.50 | $162 | 0.3× |
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.