Procedures & surgery prices at Allendale County Hospital

Fairfax, SC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Anoscopy diagnostic (46600) $57.80 $68 0.5×
Anoscopy W/Rmvl Foreign Body (46608) $382.50 $450 0.4×
Application cast elbow finger short arm (29075) $59.50 $70 0.2×
Application Finger Splint Dynamic (29131) $123.25 $145 2.2×
Application finger splint static (29130)
range across 3 matching MRF lines
$46.75–$123.25 $55–$145 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines
$63.75–$148.75 $75–$175 varies
Application Long Leg Splint (29505) $60.35 $71 0.4×
Application of rigid total contact leg cast (29445) $500.24 $588.52 1.9×
Application Short Arm Splint Dynamic (29126) $148.75 $175 1.2×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$55.25–$123.25 $65–$145 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines
$57.80–$293.50 $68–$345.30 varies
Apply hand/wrist cast (29085) $68 $80 0.4×
Apply long arm cast (29065) $76.50 $90 0.3×
Apply Multlay Comprs Lwr Leg (29581) $293.50 $345.30 1.9×
Apply Short Leg Cast (29405) $72.25 $85 0.3×
Apply short leg cast (29425) $97.75 $115 0.4×
Arterial puncture (36600)
range across 2 matching MRF lines
$38.25–$89.25 $45–$105 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$93.50–$551.70 $110–$649.06 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$119–$127.50 $140–$150 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$93.50–$551.70 $110–$649.06 varies
Aspirate Pleura W/O Imaging (32554)
range across 5 matching MRF lines
$297.50–$892.50 $350–$1,050 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$80.75–$372.92 $95–$438.73 varies
Biopsy bone trocar/needle deep (20225) $3,019.99 $3,552.93 2.0×
Biopsy Bone Trocar/Needle Superficial (20220) $3,019.99 $3,552.93 2.0×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$63.75–$191.25 $75–$225 varies
Bladder Scan (51798) $93.50 $110 1.7×
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$276.25–$828.75 $325–$975 varies
Catheter aspiration nasotracheal spx (31720) $76.50 $90 0.4×
Chemical Cautery Tissue (17250) $372.92 $438.73 2.0×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$62.90–$123.25 $74–$145 varies
Closed tx ankle dislocation w/o anesthesia (27840) $437.75 $515 1.9×
Closed tx patellar dislocation w/o anesthesia (27560) $340 $400 1.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $340 $400 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $340 $400 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $331.50 $390 1.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $183.60 $216 0.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $136.85 $161 0.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $331.50 $390 1.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $265.20 $312 1.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $142.80 $168 0.6×
Collect Blood From Catheter Venous Nos (36592) $446.25 $525 3.6×
Collection of venous blood by venipuncture (36415) $10.20 $12 1.1×
Complex drainage wound (10180) $5,292.87 $6,226.91 2.0×
Control Nasal Hemorrhage Anterior Complex (30903) $116.45 $137 0.9×
Control Nasal Hemorrhage Anterior Simple (30901) $85 $100 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $161.50 $190 1.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,169.87 $1,376.32 1.7×
Debride nail 1-5 (11720)
range across 2 matching MRF lines
$31.45–$113.93 $37–$134.04 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines
$45.90–$113.93 $54–$134.04 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,019.99 $3,552.93 2.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$425–$742.75 $500–$873.82 varies
Destruction Benign Lesions 15/> (17111) $127.50 $150 0.7×
Drainage of finger abscess simple (26010) $204 $240 1.1×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines
$467.50–$3,019.99 $550–$3,552.93 varies
Draw Blood Off Venous Device (36591) $25.50 $30 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines
$153–$742.75 $180–$873.82 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines
$127.50–$372.92 $150–$438.73 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines
$76.50–$372.92 $90–$438.73 varies
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $3,396.87 $3,996.32 1.8×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $3,396.87 $3,996.32 1.8×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$61.20–$238 $72–$280 varies
I&d abscess simple (10060)
range across 3 matching MRF lines
$115.60–$372.92 $136–$438.73 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $255 $300 0.1×
I&d perianal abscess superficial (46050) $191.25 $225 0.2×
I&d pilonidal cyst complicated (10081) $552.50 $650 0.8×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$115.60–$1,310.56 $136–$1,541.83 varies
Incise external hemorrhoid (46083)
range across 3 matching MRF lines
$148.75–$170 $175–$200 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines
$174.25–$742.75 $205–$873.82 varies
Incision & removal foreign body subq tiss compl (10121) $807.50 $950 0.5×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines
$95.20–$742.75 $112–$873.82 varies
Incision and drainage of bartholin's gland abscess (56420) $124.10 $146 0.7×
Incision and drainage of vulva or perineal abscess (56405) $127.50 $150 0.4×
Incision&drainage bursa foot (28001) $3,019.99 $3,552.93 2.0×
Incisional biopsy skin single lesion (11106) $1,169.87 $1,376.32 1.7×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines
$62.90–$372.92 $74–$438.73 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $93.50 $110 0.3×
Injection therapeutic carpal tunnel (20526) $85 $100 0.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $119 $140 0.2×
Insert Bladder Cath Complex (51703) $25.50 $30 0.2×
Insert non-tunnel cv cath (36556) $212.50 $250 0.1×
Insert Temp Bladder Cath (51702) $148.75 $175 1.2×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure
$692.75 $815 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$25.50–$148.75 $30–$175 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 3 matching MRF lines
$212.50–$692.75 $250–$815 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $692.75 $815 0.2×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines
$170–$352.75 $200–$415 varies
Placement of needle for intraosseous infusion (36680) $123.25 $145 0.3×
Punch biopsy skin single lesion (11104) $742.75 $873.82 2.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$76.50–$742.75 $90–$873.82 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$212.50–$1,310.56 $250–$1,541.83 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$42.50–$55.25 $50–$65 varies
Removal of nail bed (11750)
range across 2 matching MRF lines
$161.50–$742.75 $190–$873.82 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines
$83.30–$85 $98–$100 varies
Removal/bivalving gauntlet boot/body cast (29700) $500.24 $588.52 1.9×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$68.85–$123.25 $81–$145 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$73.10–$123.25 $86–$145 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $190.40 $224 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $208.25 $245 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $245.65 $289 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $279.65 $329 0.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $291.55 $343 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $178.50 $210 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $205.70 $242 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $249.05 $293 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $271.15 $319 0.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $164.05 $193 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $186.15 $219 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $229.50 $270 0.6×
Repair tongue laceration (41250) $165.75 $195 0.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines
$140.25–$157.25 $165–$185 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $106.25 $125 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $97.75 $115 0.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $97.75 $115 0.2×
Rmvl fecal impaction/fb spx under anes (45915) $158.95 $187 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $208.25 $245 0.1×
Rplc Gtube No Revj Trc (43762) $170 $200 0.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$238.85–$242.25 $281–$285 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$135.15–$165.75 $159–$195 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$153.85–$165.75 $181–$195 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$187–$242.25 $220–$285 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $247.35 $291 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines
$130.05–$372.92 $153–$438.73 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $247.35 $291 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$170.85–$225.25 $201–$265 varies
Skin sub graft face/nk/hf/g (15275) $3,396.87 $3,996.32 4.9×
Skin sub graft trnk/arm/leg (15271) $3,396.87 $3,996.32 4.9×
Skin sub grft t/arm/lg child (15273) $6,682.70 $7,862 3.5×
Skn sub grft f/n/hf/g child (15277) $3,396.87 $3,996.32 1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines
$141.95–$372.92 $167–$438.73 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$218.45–$225.25 $257–$265 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$212.50–$637.50 $250–$750 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $6,682.70 $7,862 2.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,396.87 $3,996.32 1.8×
Strapping ankle (29540) $55.25 $65 0.4×
Strapping elbow or wrist (29260) $47.60 $56 0.9×
Strapping shoulder (29240) $55.25 $65 0.4×
Strapping toes (29550) $55.25 $65 1.0×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$46.75–$293.50 $55–$345.30 varies
Tangential biopsy skin single lesion (11102) $372.92 $438.73 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $3,019.99 $3,552.93 2.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $323 $380 1.5×
Treat toe dislocation (28630) $173.40 $204 0.8×
Trim skin lesion (11055) $372.92 $438.73 2.0×
Trim skin lesions 2 to 4 (11056) $372.92 $438.73 2.0×
Trim skin lesions over 4 (11057) $372.92 $438.73 2.0×
Trimming Nondystrophic Nails Any Number (11719) $113.93 $134.04 2.1×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $212.50 $250 0.1×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$141.95–$1,169.87 $167–$1,376.32 varies
Vaginal delivery only (59409) $467.50 $550 0.2×
Vein Access Cutdown < 1 Yr (36420) $89.25 $105 0.7×
Venous Cutdown >1 Y/O (36425) $89.25 $105 0.2×
Wound Prep F/N/Hf/G (15004) $1,169.87 $1,376.32 3.1×
Wound Prep Trk/Arm/Leg (15002) $3,396.87 $3,996.32 4.9×

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.