Procedures & surgery prices at York General Health Care Services

York, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $397.25 $397.25 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $265.75 $265.75 0.3×
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) (51845)
likely a partial charge, not the full procedure		 $840 $840 0.2×
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) $999.25 $999.25 0.3×
Amputation of finger/thumb (26952) $838.75 $838.75 0.2×
Anoscopy diagnostic (46600) $192.75 $192.75 1.4×
Ant Vesicourethropexy/Urethropexy Smpl (51840)
unusually low: confirm this is the full procedure		 $1,934.25 $1,934.25 0.4×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
unusually low: confirm this is the full procedure		 $1,666 $1,666 0.3×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $136.75 $136.75 0.8×
Application cast elbow finger short arm (29075) $174.50 $174.50 0.6×
Application Cast Shoulder Spica (29055) $317 $317 1.1×
Application Finger Splint Dynamic (29131) $96.75 $96.75 1.6×
Application finger splint static (29130) $106.50 $106.50 0.8×
Application long arm splint shoulder hand (29105) $142.50 $142.50 0.8×
Application long leg splint thigh ankle/toes (29505) $123 $123 0.7×
Application of long leg cast (29345) $172.75 $172.75 0.6×
Application Short Arm Splint Dynamic (29126) $127.25 $127.25 0.9×
Application short arm splint forearm-hand static (29125) $125.75 $125.75 0.9×
Application short leg splint calf foot (29515) $159.75 $159.75 0.9×
Apply multlay comprs arm/hand (29584) $136.75 $136.75 0.8×
Apply short leg cast (29405) $124.75 $124.75 0.4×
Arterial puncture (36600) $110.50 $110.50 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $101.25 $101.25 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $140.75 $140.75 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $79 $79 0.2×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $978.50 $978.50 0.3×
Aspiration Bladder Insert Suprapubic Catheter (51102) $221.88 $221.88 0.1×
Avulsion nail plate partial/complete simple 1 (11730) $135.12 $135.12 0.6×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $305.12 $305.12 0.3×
Biopsy muscle percutaneous needle (20206) $942.75 $942.75 0.5×
Biopsy of uterus lining (58100) $278.50 $278.50 1.3×
Biopsy Salivary Gland,Needle (42400) $237.25 $237.25 0.3×
Biopsy soft tissue neck/thorax (21550) $426.75 $426.75 0.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $426.75 $426.75 0.2×
Biopsy Vaginal Mucosa Simple (57100) $268.38 $268.38 0.3×
Bladder Instillation Anticarcinogenic Agent (51720) $458.75 $458.75 0.6×
Bladder Irrigation Simple (51700) $271.50 $271.50 1.0×
Bladder Scan (51798) $52.50 $52.50 0.9×
Blood patch (62273) $152.25 $152.25 0.2×
Blood transfusion service (36430) $1,204.38 $1,204.38 2.6×
Bronchosc dx w/w/o fluor&wash (31622) $238.50 $238.50 0.1×
Bronchoscopy W/Biopsy(S) (31625) $286.25 $286.25 0.2×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $323.75 $323.75 0.1×
Bronchoscopy,Diagnostic W Lavage (31624) $246.25 $246.25 0.1×
Bx abdl/retroperitoneal mass prq needle (49180) $1,065.25 $1,065.25 0.6×
Bx breast 1st lesion strtctc (19081) $3,457.75 $3,457.75 2.0×
Bx breast 1st lesion us imag (19083) $3,422 $3,422 2.0×
Bx vulva/perineum 1 lesion (56605) $270.75 $270.75 0.3×
Bx/exc lymph node needle superficial (38505) $1,333 $1,333 0.8×
Cerclage cervix pregnancy vaginal (59320) $706.75 $706.75 0.2×
Change Cystostomy Tube Simple (51705) $155.75 $155.75 0.6×
Chemical Cautery Tissue (17250) $154.62 $154.62 0.7×
Chest tube placement (32551) $337 $337 0.2×
Chg Collect Blood From Catheter Venous Nos (36592) $201.38 $201.38 1.5×
Chromotubation of oviduct, including materials (58350)
likely a partial charge, not the full procedure		 $255.50 $255.50 0.0×
Close Rx Fingr Articular Fx,Manip (26742) $429.25 $429.25 0.3×
Closed Rx Acetabular Fx,Manipulatn (27222) $2,496.75 $2,496.75 9.7×
Closed Rx Humer Epicondylr Fx,Manip (24565) $854.50 $854.50 0.5×
Closed Rx Med Malleolus Fx,Manip (27762) $772 $772 0.5×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $740.50 $740.50 0.4×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,183 $1,183 0.7×
Closed Rx Radial Shaft Fx (25500) $330.75 $330.75 1.3×
Closed Rx Tibial Plateau Fx (27530) $812.50 $812.50 3.2×
Closed Treatment Ulnar Styloid Fracture (25650) $460.50 $460.50 1.8×
Closed tx ankle dislocation w/o anesthesia (27840) $551.75 $551.75 2.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $796.75 $796.75 0.5×
Closed tx nasal fracture w/o stabilization (21315) $314.50 $314.50 0.2×
Closed tx patellar dislocation w/anesthesia (27562) $718.50 $718.50 2.8×
Closed tx patellar dislocation w/o anesthesia (27560) $476.25 $476.25 1.9×
Closed tx radial head/neck fx w/manipulation (24655) $957.50 $957.50 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $482 $482 1.9×
Closed tx radial shaft fracture w/manipulation (25505) $852.25 $852.25 0.5×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $711.75 $711.75 2.8×
Closed Tx Talotarsal Joint Dislocation W/Anes (28575) $503.50 $503.50 0.1×
Closed Tx Talus Fracture W/Manipulation (28435) $456.75 $456.75 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $58 $58 0.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $569 $569 0.3×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $367.75 $367.75 1.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $524.25 $524.25 2.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $717.75 $717.75 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $677.50 $677.50 2.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $614.75 $614.75 0.4×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $804.75 $804.75 3.1×
Cltx dstl fibular fx lat malls w/manj (27788) $708.75 $708.75 2.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $444 $444 1.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $268.50 $268.50 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $453 $453 1.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,027.75 $1,027.75 0.6×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $896 $896 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $371 $371 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $202.25 $202.25 0.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $397.25 $397.25 1.6×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $198.50 $198.50 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $109.25 $109.25 0.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $543.50 $543.50 2.1×
Cltx metacarpal fx w/manipulation each bone (26605) $499 $499 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $452.50 $452.50 1.8×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $817.75 $817.75 0.5×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $407.25 $407.25 1.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $254 $254 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $429.75 $429.75 1.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $244.25 $244.25 1.0×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,006.50 $1,006.50 0.6×
Cltx post hip arthrp dislc w/o anes (27265) $749.75 $749.75 2.9×
Cltx prox fibula/shft fx w/manj (27781) $584.25 $584.25 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $293.50 $293.50 1.1×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $759.75 $759.75 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $920.50 $920.50 0.6×
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure		 $1,805.50 $1,805.50 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $378 $378 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $201.25 $201.25 1.0×
Colposcopy cervix vag loop eltrd bx cervix (57460) $538.50 $538.50 0.2×
Colposcopy entire vagina w/cervix if present (57420) $215.50 $215.50 0.7×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $324 $324 1.0×
Colposcopy vulva (56820) $209.62 $209.62 1.0×
Colposcopy vulva w/biopsy (56821) $330.25 $330.25 1.0×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $330 $330 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $339.38 $339.38 0.4×
Complex Drainage, Wound (10180) $197.75 $197.75 0.1×
Conization of cervix (57520) $778.75 $778.75 0.2×
Conization of cervix (57522) $494.25 $494.25 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $166.25 $166.25 1.2×
Control Nasal Hemorrhage Anterior Simple (30901) $120.25 $120.25 0.9×
Control Oropharyngeal Hemorrhage Simple (42960) $260 $260 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $333 $333 2.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $217.25 $217.25 0.9×
Cystourethroscopy (52000) $515.75 $515.75 0.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $310.88 $310.88 0.1×
Debride nail 1-5 (11720) $161.50 $161.50 2.6×
Debride nail 6 or more (11721) $211.50 $211.50 3.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $155.38 $155.38 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $324 $324 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $321.62 $321.62 0.2×
Declot vascular device (36593) $382.62 $382.62 1.1×
Destruction Benign Lesions Up To 14 (17110) $188.25 $188.25 0.9×
Destruction Lesions Vulva Extensive (56515) $535 $535 0.2×
Destruction Vaginal Lesions Extensive (57065) $541.75 $541.75 0.2×
Destruction vaginal lesions simple (57061) $307.25 $307.25 0.1×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,950.50 $1,950.50 2.7×
Dilation & curettage dx&/ther nonobstetric (58120) $644.75 $644.75 0.2×
Division of fallopian tube (58600) $538.75 $538.75 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $209.25 $209.25 0.3×
Drainage Finger Abscess Simple (26010) $440 $440 2.1×
Drainage of gum lesion (41800) $306 $306 2.2×
Drainage of hematoma/fluid (10140) $276.38 $276.38 0.2×
Drainage of scrotal wall abscess (55100) $318.75 $318.75 0.2×
Draw blood off venous device (36591) $201.38 $201.38 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $320.75 $320.75 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $180.75 $180.75 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $147.25 $147.25 0.7×
Endocervical Curettage (57505) $193.25 $193.25 0.2×
Evacuation of subungual hematoma (11740) $83.25 $83.25 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $295 $295 0.1×
Excision h/p/p/u simple/intermediate repair (11470) $523.50 $523.50 0.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $192.25 $192.25 0.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $319.50 $319.50 0.2×
Excision of single external papilla or tag, anus (46220) $165.75 $165.75 0.1×
Exploration penetrating wound spx extremity (20103) $961 $961 0.6×
External Cephalic Version (59412) $451.25 $451.25 0.1×
Fetal non-stress test (59025) $74.50 $74.50 0.4×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $289.75 $289.75 0.4×
Fine needle aspiration without imaging guidance (10021) $195 $195 0.5×
Fluoro exam of g/colon tube (49465) $622.75 $622.75 2.5×
Gastric Intubation/Aspiration, Therapeutic (43753) $28 $28 0.1×
Hymenotomy Simple Incision (56442) $225.75 $225.75 0.1×
Hysteroscopy ablation (58563)
unusually low: confirm this is the full procedure		 $1,869.75 $1,869.75 0.4×
Hysteroscopy biopsy (58558) $773.75 $773.75 0.2×
Hysteroscopy dx sep proc (58555) $773.75 $773.75 0.2×
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure		 $861.50 $861.50 0.2×
Hysteroscopy Removal Impacted Foreign Body (58562) $1,011.25 $1,011.25 0.3×
Hysteroscopy resect septum (58560)
likely a partial charge, not the full procedure		 $976 $976 0.2×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
unusually low: confirm this is the full procedure		 $1,814.25 $1,814.25 0.3×
I&d abscess simple (10060) $173.50 $173.50 0.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,809.50 $1,809.50 0.6×
I&d forearm/wrist bursa (25031) $1,146 $1,146 0.7×
I&d perianal abscess superficial (46050) $299.25 $299.25 0.3×
I&d pilonidal cyst simple (10080) $192.50 $192.50 0.3×
Image Cath Fluid Peri/Retro (49406) $5,578.50 $5,578.50 3.3×
Incision & drainage abscess complicated/multiple (10061) $266.12 $266.12 0.6×
Incision & removal foreign body subq tiss compl (10121) $200 $200 0.1×
Incision & removal foreign body subq tiss simple (10120) $179 $179 0.4×
Incision and drainage of bartholin's gland abscess (56420) $171.25 $171.25 0.8×
Incision and drainage of vulva or perineal abscess (56405) $150.75 $150.75 0.5×
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
likely a partial charge, not the full procedure		 $1,970.25 $1,970.25 0.3×
Incision thrombosed hemorrhoid external (46083) $227.25 $227.25 0.9×
Incisional biopsy skin single lesion (11106) $281.75 $281.75 0.4×
Initial tx 1st degree burn local tx (16000) $135.75 $135.75 0.7×
Inj tendon sheath/ligament (20550) $120.25 $120.25 0.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $767 $767 0.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $363.25 $363.25 0.5×
Injection aa&/strd trigeminal nerve each branch (64400) $439.50 $439.50 1.4×
Injection anes other peripheral nerve/branch (64450) $66 $66 0.1×
Injection single/mlt trigger point 1/2 muscles (20552) $534 $534 1.7×
Injection, anesthetic agent; greater occipital nerve (64405) $732.75 $732.75 2.3×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $402.75 $402.75 1.3×
Injection, intralesional; up to and including 7 lesions (11900) $85.50 $85.50 0.4×
Insert Drug Implant Device (11981) $269.62 $269.62 2.0×
Insert Gastrostomy Tube Percutaneous (49440) $1,339.75 $1,339.75 0.7×
Insert non-tunnel cv cath (36556) $379.25 $379.25 0.1×
Insert pessary/other device (57160) $110.50 $110.50 0.5×
Insert picc cath (36569) $1,275 $1,275 0.8×
Insert Temp Bladder Cath (51702) $103.75 $103.75 0.8×
Insert tunneled cv cath (36561) $512.50 $512.50 0.2×
Insert,Non-Indwelling Bladder Catheter (51701) $78.38 $78.38 0.6×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure		 $848.75 $848.75 0.0×
Intubation endotracheal emergency procedure (31500) $339 $339 1.4×
Irrigate corpora cavernosa for priapism (54220) $394.75 $394.75 1.5×
Laparo sling operation (51992)
likely a partial charge, not the full procedure		 $1,206.75 $1,206.75 0.2×
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
likely a partial charge, not the full procedure		 $3,006 $3,006 0.3×
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
unusually low: confirm this is the full procedure		 $3,328.25 $3,328.25 0.3×
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure		 $1,125.75 $1,125.75 0.2×
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure		 $1,876 $1,876 0.3×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure		 $3,199.25 $3,199.25 0.3×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure		 $4,278.75 $4,278.75 0.4×
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure		 $1,125.75 $1,125.75 0.2×
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure		 $1,125.75 $1,125.75 0.2×
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure		 $1,773 $1,773 0.3×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure		 $1,019 $1,019 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $2,994 $2,994 0.3×
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
unusually low: confirm this is the full procedure		 $3,724.25 $3,724.25 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,805.50 $1,805.50 0.3×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $3,134.75 $3,134.75 0.3×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure		 $1,125.75 $1,125.75 0.2×
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
unusually low: confirm this is the full procedure		 $3,677.25 $3,677.25 0.3×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure		 $1,854.25 $1,854.25 0.3×
Laps vaginal hysterectomy uterus 250 gm/< (58550)
unusually low: confirm this is the full procedure		 $2,877 $2,877 0.5×
Late closure of wound (13160) $1,642 $1,642 0.4×
Ligation of hemorrhoid(s) (46221) $523 $523 0.5×
Lithotripsy (50590) $8,127.25 $8,127.25 2.2×
Liver Biopsy (47000) $1,235.25 $1,235.25 0.7×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure		 $2,812.50 $2,812.50 0.3×
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure		 $3,192.75 $3,192.75 0.3×
Lsh w/t/o uterus above 250 g (58544)
unusually low: confirm this is the full procedure		 $3,515.25 $3,515.25 0.3×
Manipulation Ankle Under General Anesthesia (27860) $406.50 $406.50 0.1×
Marsup Bartholin Gland Cyst (56440) $325 $325 0.1×
Myelography Lumbar Injection (62305) $1,433.25 $1,433.25 1.8×
Myelography Lumbar Injection (62304) $877.50 $877.50 1.1×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $791.25 $791.25 1.0×
Myelography via lumbar injection rs&i thoracic (62303) $827 $827 1.0×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $814.25 $814.25 1.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $578.75 $578.75 1.4×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $150 $150 0.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $174 $174 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $642.75 $642.75 0.2×
Open tx interphalangeal joint dislocation (26785) $673 $673 0.2×
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure		 $1,835.25 $1,835.25 0.4×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
unusually low: confirm this is the full procedure		 $2,256.75 $2,256.75 0.4×
Partial hymenectomy or revision of hymenal ring (56700) $451.25 $451.25 0.1×
Pelvic exam under anesthesia (57410) $354.75 $354.75 0.1×
Perq dev breast 1st us imag (19285) $2,051.50 $2,051.50 2.8×
Perq device breast 1st imag (19281) $1,389.25 $1,389.25 0.8×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $828 $828 0.4×
Perq replacement gtube not req revj gstrst trc (43762) $71.75 $71.75 0.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $216.50 $216.50 0.3×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
unusually low: confirm this is the full procedure		 $3,212.25 $3,212.25 0.5×
Punch biopsy skin single lesion (11104) $232.12 $232.12 0.5×
Puncture Aspiration (10160) $291.38 $291.38 0.7×
Puncture Aspiration Cyst Breast (19000) $279.50 $279.50 0.4×
Removal fb intranasal (30300) $150.75 $150.75 1.1×
Removal foreign body foot deep (28192) $413.25 $413.25 0.2×
Removal foreign body foot subcutaneous (28190) $456 $456 0.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $452.50 $452.50 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $22 $22 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $77.50 $77.50 1.3×
Removal Implant Superficial Separate Procedure (20670) $508 $508 0.3×
Removal of arm foreign body (24200) $439 $439 0.3×
Removal of intrauterine device (iud) (58301) $230.38 $230.38 0.7×
Removal of nail bed (11750) $246.25 $246.25 0.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $132.62 $132.62 0.6×
Removal/bivalving full arm/full leg cast (29705) $125.75 $125.75 0.4×
Removal/bivalving gauntlet boot/body cast (29700) $94.75 $94.75 0.3×
Remove drug implant device (11982) $362.50 $362.50 0.8×
Remove Eyelid Foreign Body (67938) $254 $254 0.8×
Remv Ext Canal F.B.,Gen Anesth (69205) $177.50 $177.50 0.1×
Remv Ext Canal Foreign Body (69200) $142.12 $142.12 1.0×
Remv F.B.,Eye,Superf Conjunc (65205) $100 $100 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $462.25 $462.25 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $590.25 $590.25 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $627 $627 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $970 $970 2.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $527.25 $527.25 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $687.75 $687.75 1.6×
Repair finger/hand tendon (26350) $1,212 $1,212 0.4×
Repair forearm tendon/muscle (25270) $894.25 $894.25 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $351 $351 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $400.75 $400.75 0.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $498.50 $498.50 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $618 $618 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $330 $330 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $353.25 $353.25 0.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $445.50 $445.50 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $627 $627 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $336.50 $336.50 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $381.25 $381.25 0.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $704.50 $704.50 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $461.25 $461.25 1.1×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $1,289.75 $1,289.75 0.2×
Repair of nail bed (11760) $238.25 $238.25 0.3×
Repair of rectocele (45560) $1,146.50 $1,146.50 0.4×
Repair of vagina (57260)
unusually low: confirm this is the full procedure		 $2,067.25 $2,067.25 0.4×
Repair rectum & vagina (57250)
unusually low: confirm this is the full procedure		 $1,676.50 $1,676.50 0.3×
Repair Tongue Laceration (41250) $367.75 $367.75 0.8×
Reposition gastrostomy tube (43761) $158 $158 0.6×
Revise vag graft via vagina (57295) $1,100.75 $1,100.75 0.3×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $1,057.25 $1,057.25 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,165.50 $1,165.50 0.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $171.25 $171.25 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $101.25 $101.25 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $134.75 $134.75 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $369 $369 0.3×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $588.75 $588.75 0.4×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $452.75 $452.75 1.0×
Rplc gtube revj gstrst trc (43763) $567 $567 2.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $242.50 $242.50 1.2×
Simple Cystometrogram (51725) $630.50 $630.50 2.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $266.25 $266.25 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $360.75 $360.75 1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $413.25 $413.25 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $384 $384 1.8×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $479.75 $479.75 2.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $348 $348 1.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $684.50 $684.50 3.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $459.50 $459.50 2.2×
Skin sub graft face/nk/hf/g (15275) $234 $234 0.3×
Skin sub graft trnk/arm/leg (15271) $241 $241 0.3×
Skin Sub Grft T/Arm/Lg Child (15273) $235.75 $235.75 0.1×
Skn sub grft f/n/hf/g child (15277) $340 $340 0.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $1,851.75 $1,851.75 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $381.25 $381.25 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $456 $456 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $279.75 $279.75 0.7×
Spinal puncture lumbar diagnostic (62270) $180.75 $180.75 0.2×
Spinal Puncture Therapeutic (62272) $249.75 $249.75 0.3×
Strapping ankle (29540) $108.75 $108.75 0.6×
Strapping elbow/wrist (29260) $86.25 $86.25 1.4×
Strapping hand/finger (29280) $82.75 $82.75 1.4×
Strapping knee (29530) $94.75 $94.75 0.7×
Strapping shoulder (29240) $110.75 $110.75 0.8×
Strapping unna boot (29580) $160.25 $160.25 0.9×
Tangential biopsy skin single lesion (11102) $185 $185 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $435.25 $435.25 0.3×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $594 $594 0.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,288.25 $1,288.25 2.0×
Thoracentesis needle/cath pleura w/o imaging (32554) $191.25 $191.25 0.3×
Thyroid biopsy (60100) $375 $375 0.5×
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure		 $2,321.25 $2,321.25 0.4×
Treat finger dislocation (26775) $722 $722 2.5×
Treat humerus fracture (24500) $657.50 $657.50 2.6×
Treat knee fracture (27532) $1,047.50 $1,047.50 0.3×
Treat Vaginal Bleeding (57180) $229.25 $229.25 1.1×
Treat wrist bone fracture (25622) $376.75 $376.75 1.5×
Treatment closed elbow dislocation req anes (24605) $783 $783 0.5×
Treatment closed elbow dislocation w/o anes (24600) $874.25 $874.25 3.4×
Treatment of missed abortion, completed surgically; second trimester (59821) $883.25 $883.25 0.3×
Trim skin lesion (11055) $129.12 $129.12 0.6×
Trim skin lesions 2 to 4 (11056) $98.88 $98.88 0.5×
Trim skin lesions over 4 (11057) $137.75 $137.75 0.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $125.50 $125.50 2.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $735 $735 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $877 $877 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $276.62 $276.62 0.4×
Tx superficial wound dehiscence w/packing (12021) $234 $234 0.6×
Unlisted procedure maternity care & delivery (59899) $2,000 $2,000 9.5×
Unlisted Procedure Nervous System (64999) $579.50 $579.50 1.8×
Urine Flow Measurement (51736) $140.75 $140.75 1.0×
Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) $3,167 $3,167 0.6×
Vag hyst complex (58290)
unusually low: confirm this is the full procedure		 $2,845.75 $2,845.75 0.4×
Vag hyst w/enterocele repair (58270)
unusually low: confirm this is the full procedure		 $2,501.75 $2,501.75 0.5×
Vaginal hysterectomy (58260)
unusually low: confirm this is the full procedure		 $2,376.75 $2,376.75 0.5×
Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of… (58292)
unusually low: confirm this is the full procedure		 $3,252 $3,252 0.4×
Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele (58294) $3,203 $3,203 0.6×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $2,501.75 $2,501.75 0.5×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) $2,751.75 $2,751.75 0.5×
Venipuncture (36415) $37 $37 4.0×
Wound Prep F/N/Hf/G (15004) $144.50 $144.50 0.3×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $120 $120 0.2×