Procedures & surgery prices at Avera St. Anthony's Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,146.54 $1,182 1.2×
Amputation toe interphalangeal joint (28825) $167.81 $173 0.0×
Application long arm splint shoulder hand (29105) $311.37 $321 1.8×
Application long leg splint thigh ankle/toes (29505) $295.85 $305 1.8×
Application short arm splint forearm-hand static (29125) $311.37 $321 2.3×
Application short leg splint calf foot (29515) $311.37 $321 1.8×
Apply short leg cast (29405) $277.42 $286 1.0×
Arterial puncture (36600) $131.92 $136 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $384.12 $396 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $525.26 $541.50 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $315.25 $325 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $304.58 $314 1.0×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure
$1,427.84 $1,472 0.1×
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure
$1,239.66 $1,278 0.1×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $1,201.83 $1,239 0.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure
$2,291.14 $2,362 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,510.29 $1,557 0.4×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $1,628.63 $1,679 0.5×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure
$2,581.17 $2,661 0.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure
$2,581.17 $2,661 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $243.47 $251 1.2×
Biopsy muscle percutaneous needle (20206) $577.15 $595 0.3×
Bladder Instillation Anticarcinogenic Agent (51720) $691.61 $713 1.0×
Bladder Irrigation Simple (51700) $317.19 $327 1.2×
Bladder Scan (51798) $67.90 $70 1.1×
Blood patch (62273) $461.72 $476 0.6×
Blood transfusion service (36430) $437.47 $451 1.0×
Bx anorectal wall anal approach (45100) $735.26 $758 0.3×
Bx breast 1st lesion us imag (19083) $2,069.01 $2,133 1.2×
Bx/exc lymph node needle superficial (38505) $2,987.60 $3,080 1.7×
Change Cystostomy Tube Simple (51705) $1,007.83 $1,039 3.9×
Chest tube placement (32551) $1,560.73 $1,609 1.0×
Chg Collect Blood From Catheter Venous Nos (36592) $289.06 $298 2.1×
Circumcision (54150) $409.34 $422 0.2×
Closed Rx Humeral Supracondylar Fx (24530) $365.69 $377 1.4×
Closed Rx Med Malleolus Fx (27760) $365.69 $377 1.4×
Closed Rx Tibia Shaft Fx (27750) $365.69 $377 1.4×
Closed Rx Tibial Plateau Fx (27530) $384.12 $396 1.5×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $365.69 $377 1.4×
Closed treatment of talus fracture; without manipulation (28430) $365.69 $377 1.4×
Closed Treatment Ulnar Styloid Fracture (25650) $365.69 $377 1.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,593.71 $1,643 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $365.69 $377 1.4×
Closed tx calcaneal fracture w/o manipulation (28400) $549.02 $566 2.1×
Closed tx radial head/neck fx w/manipulation (24655) $1,593.71 $1,643 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $384.12 $396 1.5×
Clsd tx clavicular fracture w/o manipulation (23500) $711.01 $733 2.8×
Clsd tx fx orbit except blowout w/o manipulation (21400) $879.79 $907 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $264.81 $273 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $431.65 $445 1.7×
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 dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,593.71 $1,643 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $365.69 $377 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $384.12 $396 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $264.81 $273 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $517.98 $534 2.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $492.76 $508 1.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $365.69 $377 1.4×
Cltx prox fibula/shft fx w/o manj (27780) $384.12 $396 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $252.20 $260 1.0×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $486.94 $502 0.3×
Colonoscopy flex w/rem forcep (45384) $1,127.14 $1,162 0.9×
Colonoscopy thru stoma (44388) $858.45 $885 0.9×
Colsc flx with directed submucosal njx any sbst (45381) $1,131.02 $1,166 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $488.88 $504 3.5×
Control Nasal Hemorrhage Anterior Simple (30901) $131.92 $136 1.0×
Create eardrum opening (69436) $1,554.91 $1,603 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $121.25 $125 0.1×
Cysto w/removal of tumors small (52234) $261.90 $270 0.1×
Cysto W/Simple Removal Stone & Stent (52310) $2,071.92 $2,136 1.0×
Cystoscopy,insert ureteral stent (52332) $168.78 $174 0.0×
Cystourethroscopy (52000) $691.61 $713 1.0×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $180.42 $186 0.1×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $325.92 $336 0.1×
Debride nail 1-5 (11720) $59.17 $61 1.0×
Debride nail 6 or more (11721) $63.05 $65 1.0×
Debridement Mastoidectomy Cavity Simple (69220) $356.48 $367.50 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $227.95 $235 0.5×
Declot vascular device (36593) $454.93 $469 1.3×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $473.36 $488 0.5×
Diagnostic sigmoidoscopy (45330) $436.50 $450 0.5×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $525.74 $542 0.6×
Draw blood off venous device (36591) $274.51 $283 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $219.22 $226 1.1×
Dry Needling 3+ Muscles (20561) $39.77 $41 1.3×
Egd balloon dilation esophagus <30 mm diam (43249) $2,637.43 $2,719 1.3×
Evacuation of subungual hematoma (11740) $209.52 $216 1.5×
Exc arm/elbow les sc 3 cm/> (24071) $391.88 $404 0.1×
Exc forearm les sc 3 cm/> (25071) $1,071.85 $1,105 0.6×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $122.22 $126 0.0×
Exc shoulder les sc 3 cm/> (23071) $404.49 $417 0.2×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $432.62 $446 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $500.52 $516 0.7×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $1,637.36 $1,688 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $807.04 $832 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,164.97 $1,201 0.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $1,075.73 $1,109 0.4×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,025.29 $1,057 0.6×
Excision of spermatocele, with or without epididymectomy (54840) $825.47 $851 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,838.15 $1,895 1.1×
External Cephalic Version (59412) $3,379.48 $3,484 1.0×
Fetal non-stress test (59025) $525.74 $542 2.5×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $2,037 $2,100 2.8×
Fixation of knee joint (27570) $370.54 $382 0.2×
Hemorrhoidectomy (46255) $1,229.96 $1,268 0.4×
Incise finger tendon sheath (26055) $1,593.71 $1,643 1.0×
Incision & drainage abscess complicated/multiple (10061) $467.54 $482 1.1×
Incision & removal foreign body subq tiss compl (10121) $715.86 $738 0.4×
Incision & removal foreign body subq tiss simple (10120) $702.76 $724.50 1.7×
Incision of rectal abscess (46040) $1,247.42 $1,286 1.0×
Inj paravert f jnt c/t 1 lev (64490) $760.96 $784.50 0.8×
Inj tendon sheath/ligament (20550) $304.58 $314 1.0×
Inj,Anes Agent,Brachial Plexus,Single (64415) $876.88 $904 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $876.88 $904 1.0×
Inj,Anes Agent,Femoral Nerve,Single (64447) $700.34 $722 1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $219.22 $226 0.2×
Inject Nerv Blck,Intercostal,One (64420) $929.26 $958 1.3×
Injection aa&/strd brach plex cont nfs cath img (64416) $876.88 $904 1.0×
Injection anes other peripheral nerve/branch (64450) $804.62 $829.50 1.1×
Injection single/mlt trigger point 1/2 muscles (20552) $304.58 $314 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $171.69 $177 0.5×
Injection, anesthetic agent; greater occipital nerve (64405) $392.85 $405 1.2×
Insert non-tunnel cv cath (36556) $3,129.22 $3,226 1.0×
Insert Temp Bladder Cath (51702) $264.81 $273 1.9×
Insert tunneled cv cath (36561) $2,841.13 $2,929 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $243.47 $251 1.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,104.90 $2,170 1.3×
Intubation endotracheal emergency procedure (31500) $234.74 $242 1.0×
Knee arthroscopy/surgery (29887)
likely a partial charge, not the full procedure
$1,861.43 $1,919 0.2×
Knee arthroscopy/surgery (29876) $1,639.30 $1,690 0.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure
$1,714.96 $1,768 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure
$2,667.50 $2,750 0.2×
Laryngoscopy Flexible Diagnostic (31575) $197.88 $204 1.0×
Ligation of hemorrhoid(s) (46221) $701.31 $723 0.7×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $280.33 $289 1.4×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,595.65 $1,645 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $39.77 $41 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $931.20 $960 2.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $452.99 $467 0.5×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $558.72 $576 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $558.72 $576 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $303.61 $313 0.3×
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure
$1,994.32 $2,056 0.3×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure
$1,874.04 $1,932 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,395.83 $1,439 0.4×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $142.59 $147 0.1×
Perq replacement gtube not req revj gstrst trc (43762) $1,207.65 $1,245 4.7×
Punch biopsy skin single lesion (11104) $387.03 $399 0.9×
Puncture Aspiration (10160) $443.29 $457 1.1×
Removal fb intranasal (30300) $355.02 $366 2.6×
Removal foreign body foot subcutaneous (28190) $702.28 $724 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $293.42 $302.50 4.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $68.87 $71 1.1×
Removal Implant Deep (20680) $1,499.62 $1,546 0.5×
Removal of adenoids (42830) $517.01 $533 0.2×
Removal of nail bed (11750) $403.52 $416 1.0×
Remove in/ex hem groups 2+ (46260) $1,155.27 $1,191 0.4×
Remv Ext Canal Foreign Body (69200) $370.54 $382 2.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $403.52 $416 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $499.55 $515 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $252.20 $260 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $834.20 $860 2.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $239.59 $247 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $239.59 $247 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $252.20 $260 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $239.59 $247 0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $286.64 $295.50 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $252.20 $260 0.6×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure
$1,638.33 $1,689 0.2×
Rerepair ing hernia reduce (49520) $706.16 $728 0.2×
Revise median n/carpal tunnel surg (64721) $1,037.90 $1,070 0.5×
Revision of scrotum (55175) $357.93 $369 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $766.30 $790 0.5×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure
$467.54 $482 0.1×
Rpr aa hernia 1st < 3 cm reducible (49591) $355.02 $366 0.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $246.38 $254 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $246.38 $254 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $233.77 $241 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $246.38 $254 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $233.77 $241 1.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $246.38 $254 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $246.38 $254 0.6×
Spinal puncture lumbar diagnostic (62270) $416.13 $429 0.6×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure
$1,810.99 $1,867 0.2×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $785.70 $810 1.2×
Thrombolytic Therapy, Stroke (37195) $736.23 $759 2.1×
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure
$3,387.24 $3,492 0.3×
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure
$3,292.18 $3,394 0.2×
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure
$1,829.42 $1,886 0.2×
Treat humerus fracture (23600) $365.69 $377 1.4×
Treatment closed elbow dislocation req anes (24605) $1,593.71 $1,643 1.0×
Treatment closed elbow dislocation w/o anes (24600) $252.20 $260 1.0×
Treatment of foot infection (28003) $250.26 $258 0.1×
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
likely a partial charge, not the full procedure
$1,153.33 $1,189 0.2×
Trim skin lesion (11055) $198.85 $205 1.0×
Unlisted procedure femur or knee (27599) $847.78 $874 3.3×
Venipuncture (36415) $38.80 $40 4.2×