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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ProcedurePosted cashPosted gross× 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 (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)
range across 3 matching MRF lines
$384.12–$576.18 $396–$594 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines
$395.76–$1,230.93 $408–$1,269 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $315.25 $325 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$304.58–$456.87 $314–$471 varies
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure
$1,427.84 $1,472 0.1×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $1,639.30 $1,690 0.5×
Arthroscopy knee synovectomy limited spx (29875) $1,201.83 $1,239 0.4×
Arthroscopy shoulder distal claviculectomy (29824) $1,628.63 $1,679 0.5×
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; 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×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure
$3,387.24 $3,492 0.3×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure
$1,239.66 $1,278 0.1×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
likely a partial charge, not the full procedure
$1,861.43 $1,919 0.2×
Aspirate pleura w/ imaging (32555)
range across 6 matching MRF lines
$688.70–$1,230.93 $710–$1,269 varies
Avulsion nail plate partial/complete simple 1 (11730) $243.47 $251 1.2×
Biopsy muscle percutaneous needle (20206) $577.15 $595 0.3×
Biopsy of rectum (45100) $735.26 $758 0.3×
Bladder instillation anticarcinogenic agent (51720) $691.61 $713 1.0×
Bladder Irrigation (51700) $317.19 $327 1.2×
Bladder Scan (51798)
range across 2 matching MRF lines
$64.99–$70.81 $67–$73 varies
Blood Transfusion Service (36430) $437.47 $451 1.0×
Bx breast 1st lesion us imag (19083) $2,069.01 $2,133 1.2×
Carpal Tunnel Surgery (64721) $1,037.90 $1,070 0.5×
Change Cystostomy Tube Simple (51705) $1,007.83 $1,039 3.9×
Chest tube placement (32551) $1,560.73 $1,609 1.0×
Circumcision w/clamp/oth dev w/block (54150) $409.34 $422 0.2×
Clear outer ear canal (69200) $370.54 $382 2.7×
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×
Closed tx talus fracture w/o manipulation (28430) $365.69 $377 1.4×
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 Humeral Condylar Fx Medial/Lat W/O Manj (24576) $365.69 $377 1.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $264.81 $273 1.0×
Cltx Medial Ankle Fx (27760) $365.69 $377 1.4×
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×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $365.69 $377 1.4×
Cltx tibial fx proximal w/o manipulation (27530) $384.12 $396 1.5×
Cltx tibial shaft fx w/o manipulation (27750) $365.69 $377 1.4×
Collect Blood From Catheter Venous Nos (36592) $289.06 $298 2.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$19.40–$58.20 $20–$60 varies
Colonoscopy thru stoma (44388) $858.45 $885 0.9×
Colonoscopy w/submucosal inj (45381) $1,131.02 $1,166 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,127.14 $1,162 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $488.88 $504 3.5×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines
$131.92–$488.88 $136–$504 varies
Cysto Bladder W/Ureteral Catheterization (52005) $121.25 $125 0.1×
Cysto w/insert ureteral stent (52332) $168.78 $174 0.0×
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×
Cystourethroscopy (52000) $691.61 $713 1.0×
Cystourethroscopy inj chemodenervation bladder (52287) $180.42 $186 0.1×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (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)
range across 2 matching MRF lines
$285.18–$427.77 $294–$441 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$148.41–$307.49 $153–$317 varies
Declot vascular device (36593) $454.93 $469 1.3×
Diagnostic sigmoidoscopy (45330) $436.50 $450 0.5×
Dilate Esophagus 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×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines
$473.36–$709.07 $488–$731 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,637.43 $2,719 1.3×
Epidural Blood Patch (62273) $461.72 $476 0.6×
Evacuation of subungual hematoma (11740) $209.52 $216 1.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,025.29 $1,057 0.6×
Exc Forearm Les Sc 3 Cm/> (25071) $1,071.85 $1,105 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $500.52 $516 0.7×
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 Tr-Ext B9+Marg 1.1-2 Cm (11402) $432.62 $446 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,637.36 $1,688 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,075.73 $1,109 0.4×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 3 matching MRF lines
$391.88–$586.85 $404–$605 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $122.22 $126 0.0×
Excision spermatocele w/wo epididymectomy (54840) $825.47 $851 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,838.15 $1,895 1.1×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 3 matching MRF lines
$404.49–$608.19 $417–$627 varies
External cephalic version (59412) $3,379.48 $3,484 1.0×
Fetal non-stress test (59025) $525.74 $542 2.5×
Fna bx w/us gdn 1st les (10005) $2,037 $2,100 2.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,229.96 $1,268 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,155.27 $1,191 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $701.31 $723 0.7×
Incise finger tendon sheath (26055) $1,593.71 $1,643 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$414.19–$520.89 $427–$537 varies
Incision & removal foreign body subq tiss compl (10121) $715.86 $738 0.4×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$435.53–$970 $449–$1,000 varies
Incision of rectal abscess (46040) $1,247.42 $1,286 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$508.28–$1,013.65 $524–$1,045 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $876.88 $904 1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $219.22 $226 0.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $304.58 $314 1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $876.88 $904 1.0×
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; brachial plexus, single (64415) $876.88 $904 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $700.34 $722 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$766.30–$842.93 $790–$869 varies
Insert cath pleura w/ image (32557) $142.59 $147 0.1×
Insert non-tunnel cv cath (36556) $3,129.22 $3,226 1.0×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$174.60–$355.02 $180–$366 varies
Insert tunneled cv cath (36561) $2,841.13 $2,929 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$131.92–$355.02 $136–$366 varies
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×
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×
Manipulation knee joint under general anesthesia (27570) $370.54 $382 0.2×
N block inj intercost sng (64420) $929.26 $958 1.3×
Nasal Endoscopy Dx (31231) $280.33 $289 1.4×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines
$1,276.52–$1,914.78 $1,316–$1,974 varies
Needle Biopsy Lymph Nodes (38505) $2,987.60 $3,080 1.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $39.77 $41 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $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)
range across 3 matching MRF lines
$452.99–$895.31 $467–$923 varies
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×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$262.87–$522.83 $271–$539 varies
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×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure
$1,994.32 $2,056 0.3×
Punch biopsy skin single lesion (11104) $387.03 $399 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $443.29 $457 1.1×
Removal Foreign Body Foot Subcutaneous (28190) $702.28 $724 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$234.74–$352.11 $242–$363 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines
$68.87–$102.82 $71–$106 varies
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 Nasal Foreign Body (30300) $355.02 $366 2.6×
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)
range across 2 matching MRF lines
$252.20–$321.07 $260–$331 varies
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×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $766.30 $790 0.5×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$1,150.42–$1,264.88 $1,186–$1,304 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $355.02 $366 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure
$467.54 $482 0.1×
Scrotoplasty Simple (55175) $357.93 $369 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×
Thrombolytic Therapy Stroke (37195) $736.23 $759 2.1×
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×
Trim skin lesion (11055) $198.85 $205 1.0×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure
$1,153.33 $1,189 0.2×
Tympanostomy general anesthesia (69436) $1,554.91 $1,603 1.0×
Unlisted procedure femur or knee (27599) $847.78 $874 3.3×

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.