Procedures & surgery prices at Appleton Area Health

Appleton, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $336.60 $396 2.0×
Application short arm splint forearm-hand static (29125) $204 $240 1.5×
Arterial puncture (36600) $169.15 $199 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $238 $280 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $378.25 $445 1.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $226.10 $266 0.7×
Aspirate/Inj Ganglion Cyst (20612) $381.65 $449 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $512.55 $603 2.5×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $238 $280 0.3×
Biopsy Oropharynx (42800) $1,967.75 $2,315 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $260.10 $306 0.3×
Bladder Irrigation Simple (51700) $340 $400 1.3×
Blood patch (62273) $461.55 $543 0.6×
Blood transfusion service (36430) $695.30 $818 1.5×
Cautery of cervix; cryocautery, initial or repeat (57511) $453.90 $534 1.4×
Change of cystostomy tube simple (51705) $360.40 $424 1.4×
Chemical cautery tissue (17250) $189.55 $223 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $366.35 $431 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,419.50 $1,670 0.9×
Collect Blood From Catheter Venous Nos (36592) $119 $140 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $370.18 $435.50 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $272 $320 1.3×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $347.65 $409 1.1×
Colposcopy cervix vag eltrd conization cervix (57461) $2,431.85 $2,861 0.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,405.92 $2,830.50 0.7×
Colposcopy entire vagina w/cervix if present (57420) $306.85 $361 1.0×
Colposcopy vulva (56820) $288.15 $339 1.4×
Colposcopy vulva w/biopsy (56821) $388.45 $457 1.2×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $324.70 $382 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $385.90 $454 0.4×
Conization of cervix (57522) $746.30 $878 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $211.65 $249 1.5×
Cystourethroscopy (52000) $1,581 $1,860 2.2×
Cystourethroscopy with biopsy (52204) $1,685.55 $1,983 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $88.40 $104 0.2×
Debride nail 1-5 (11720) $79.05 $93 1.3×
Debride nail 6 or more (11721) $153.85 $181 2.5×
Debride tissue/muscle (11043) $685.95 $807 0.9×
Debridement Mastoidectomy Cavity Simple (69220) $194.22 $228.50 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $828.75 $975 2.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,160.70 $2,542 1.3×
Declot vascular device (36593) $435.20 $512 1.3×
Destruction Benign Lesions 15/> (17111) $289.85 $341 1.4×
Destruction Benign Lesions Up To 14 (17110) $214.20 $252 1.0×
Destruction Lesions Vulva Simple (56501) $521.05 $613 0.2×
Destruction premalignant lesion 1st (17000) $180.20 $212 0.9×
Draw blood off venous device (36591) $119 $140 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $512.55 $603 1.2×
Dx gastr intub w/asp spec (43754) $226.10 $266 1.0×
Endocervical Curettage (57505) $269.45 $317 0.3×
Endometrial Biopsy (58100) $392.70 $462 1.9×
Exc Frenum Labial/Buccal (40819) $1,970.30 $2,318 1.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $905.25 $1,065 1.2×
Excision of vaginal septum (57130) $529.55 $623 0.2×
Fetal non-stress test (59025) $584.80 $688 2.8×
Fine needle aspiration without imaging guidance (10021) $504.90 $594 1.2×
Fit/Insert Intravag Support Device (57160) $252.45 $297 1.2×
I&d abscess simple (10060) $279.65 $329 1.4×
Incision & removal foreign body subq tiss simple (10120) $238.85 $281 0.6×
Incisional biopsy skin single lesion (11106) $184.45 $217 0.2×
Inj tendon sheath/ligament (20550) $196.35 $231 0.6×
Inj,Anes Agent,Brachial Plexus,Single (64415) $312.80 $368 0.3×
Inject Nerv Blck,Intercost,Multpl (64421) $210.80 $248 0.2×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $210.80 $248 0.3×
Injection Anes Agent Sphenopalatine Ganglion (64505) $334.05 $393 1.1×
Injection anesthetic agent femoral nerve single (64447) $601.80 $708 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $366.35 $431 1.2×
Insert Bladder Cath Complex (51703) $334.05 $393 2.5×
Insert Drug Implant Device (11981) $242.25 $285 1.8×
Insert non-tunnel cv cath (36556) $993.65 $1,169 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,271.20 $2,672 1.4×
Insert Temp Bladder Cath (51702) $268.60 $316 2.0×
Insert,Non-Indwelling Bladder Catheter (51701) $184.45 $217 1.3×
Insertion picc w/rs&i < 5 yr (36572) $2,271.20 $2,672 3.5×
Insj picc rs&i 5 yr+ (36573) $1,601.82 $1,884.50 1.0×
Intubation endotracheal emergency procedure (31500) $495.12 $582.50 2.0×
Laryngoscopy flexible diagnostic (31575) $510.85 $601 2.5×
Laryngoscopy w/biopsy (31535) $4,730.25 $5,565 1.2×
Laryngoscopy w/bx op scope (31536) $4,730.25 $5,565 1.2×
Laryngoscopy,Indirect With Biopsy (31510) $4,730.25 $5,565 1.2×
N Block Inj Ilio-Ing/Hypogi (64425) $934.15 $1,099 1.3×
Nasal endoscopy dx (31231) $546.55 $643 2.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $502.35 $591 1.2×
Njx aa&/strd sciatic nerve (64445) $357.85 $421 0.5×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,499.40 $1,764 2.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $682.12 $802.50 0.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,499.40 $1,764 2.1×
Partical Excision Bone Phalanx Toe (28124) $4,168.40 $4,904 1.2×
Perq replacement gtube not req revj gstrst trc (43762) $158.95 $187 0.6×
Picc line placement (36569) $1,276.28 $1,501.50 0.8×
Post Tibial Neurostimulation,Perc Needle Electrode (64566) $359.55 $423 1.1×
Punch biopsy skin single lesion (11104) $432.22 $508.50 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $123.25 $145 2.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $123.25 $145 2.0×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $181.05 $213 0.4×
Removal of iud (58301) $380.38 $447.50 1.2×
Removal of nail bed (11750) $529.55 $623 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $190.40 $224 0.9×
Remove drug implant device (11982) $256.70 $302 0.6×
Remove vagina gland lesion (56740) $837.25 $985 0.3×
Remove/Insert Drug Implant (11983) $419.90 $494 0.9×
Simple Cystometrogram (51725) $834.70 $982 3.2×
Skin sub graft face/nk/hf/g (15275) $2,436.10 $2,866 3.2×
Skin sub graft trnk/arm/leg (15271) $2,342.60 $2,756 3.1×
Skin sub grft t/arm/lg child (15273) $4,619.75 $5,435 2.2×
Spinal puncture lumbar diagnostic (62270) $385.05 $453 0.5×
Strapping unna boot (29580) $204.85 $241 1.2×
Tangential biopsy skin single lesion (11102) $116.45 $137 0.3×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,008.95 $1,187 1.6×
Tracheotomy tube change (31502) $313.65 $369 1.3×
Tube thoracostomy includes water seal (32551) $1,008.95 $1,187 0.6×
Tympanostomy (69433) $546.55 $643 1.0×
Us urine capacity measure (51798) $180.20 $212 3.0×
Venipuncture (36415) $42.50 $50 4.6×