Procedures & surgery prices at Avera De Smet Memorial Hospital - Cah

De Smet, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $216.31 $223 1.1×
Application cast elbow finger short arm (29075) $359.87 $371 1.3×
Application finger splint static (29130) $209.52 $216 1.5×
Application long arm splint shoulder hand (29105) $359.87 $371 2.2×
Application Long Leg Splint (29505) $359.87 $371 2.2×
Application short arm splint forearm-hand static (29125) $359.87 $371 2.6×
Application short leg splint calf foot (29515) $307.49 $317 1.9×
Apply Multlay Comprs Lwr Leg (29581) $649.90 $670 3.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $359.87 $371 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $246.38 $254 1.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $334.65–$503.43 $345–$519 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $182.36–$197.88 $188–$204 varies
Blood Transfusion Service (36430) $437.47 $451 1.0×
Change Cystostomy Tube Simple (51705) $401.58 $414 1.6×
Clear outer ear canal (69200) $91.18 $94 0.7×
Closed Treatment Ulnar Styloid Fracture (25650) $365.69 $377 1.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $549.02 $566 2.2×
Closed tx patellar dislocation w/o anesthesia (27560) $252.20 $260 1.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $384.12 $396 1.5×
Closed tx radial head/neck fx w/o manipulation (24650) $365.69 $377 1.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $384.12 $396 1.5×
Closed tx ulnar shaft fracture w/o manipulation (25530) $365.69 $377 1.5×
Clsd tx clavicular fracture w/o manipulation (23500) $384.12 $396 1.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $264.81 $273 1.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $384.12 $396 1.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $384.12 $396 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $384.12 $396 1.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $365.69 $377 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $264.81 $273 1.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $365.69 $377 1.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $449.11 $463 1.8×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $365.69 $377 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $252.20 $260 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $384.12 $396 1.5×
Collect Blood From Catheter Venous Nos (36592) $154.23 $159 1.1×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $43.65–$162.96 $45–$168 varies
Control Nasal Hemorrhage Anterior Complex (30903) $481.12 $496 3.5×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $131.92–$481.12 $136–$496 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,453.13 $2,529 3.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,565.58 $1,614 3.8×
Destruct B9 Lesion 1-14 (17110) $241.53 $249 1.2×
Destruction premalignant lesion 1st (17000) $241.53 $249 1.2×
Drainage of finger abscess simple (26010) $213.40 $220 1.0×
Draw Blood Off Venous Device (36591) $148.41 $153 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $313.31 $323 1.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $789.58 $814 1.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,734.36 $1,788 1.0×
Incision & removal foreign body subq tiss simple (10120) $587.82 $606 1.4×
Incisional biopsy skin single lesion (11106) $1,366.73 $1,409 1.8×
Initial Tx 1st Degree Burn Local Tx (16000) $255.11 $263 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,090.28 $1,124 1.5×
Insert Bladder Cath Complex (51703) $254.14 $262 1.9×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $281.30–$380.24 $290–$392 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $131.92–$167.81 $136–$173 varies
Intubation endotracheal emergency procedure (31500) $941.87 $971 3.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,257.12 $1,296 3.0×
Punch biopsy skin single lesion (11104) $403.52 $416 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $94.09–$140.65 $97–$145 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $84.39 $87 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $241.53 $249 1.2×
Remove Intrauterine Device (58301) $311.37 $321 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $531.56 $548 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $531.56 $548 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $558.72 $576 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $427.77 $441 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $531.56 $548 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $531.56 $548 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $531.56 $548 1.3×
Repair of nail bed (11760) $733.32 $756 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $346.29 $357 1.7×
Rpr Lip Full Thickness Vermilion Only (40650) $535.44 $552 1.0×
Shave skin lesion 0.5 cm/< (11300) $418.07 $431 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $363.75 $375 1.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $363.75 $375 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $203.70–$363.75 $210–$375 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $363.75 $375 1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $363.75 $375 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $346.29 $357 0.8×
Strapping Unna Boot (29580) $292.94 $302 1.8×
Tangential biopsy skin single lesion (11102) $403.52 $416 1.0×
Trim skin lesion (11055) $199.82 $206 1.0×

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.