Procedures & surgery prices at Boone County Health Center

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,300 $1,300 1.4×
Acne Surgery (10040) $183 $183 0.9×
Anrct xm surg req anes general spi/edrl dx (45990) $2,100 $2,100 0.7×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $171 $171 1.0×
Application cast elbow finger short arm (29075) $172 $172 0.6×
Application finger splint static (29130) $121.50 $121.50 0.9×
Application long arm splint shoulder hand (29105) $480 $480 2.8×
Application long leg splint thigh ankle/toes (29505) $186 $186 1.1×
Application of long leg cast (29345) $365 $365 1.3×
Application Of Rigid Total Contact Leg Cast (29445) $280 $280 1.0×
Application short arm splint forearm-hand static (29125) $121.50 $121.50 0.9×
Application short leg splint calf foot (29515) $180 $180 1.1×
Arterial puncture (36600) $111 $111 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $75 $75 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $211 $211 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $72.50 $72.50 0.2×
Arthrtomy w/bx interphalangeal joint (28054) $584 $584 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $266 $266 1.3×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $271 $271 0.3×
Biopsy external ear (69100) $183.50 $183.50 0.7×
Biopsy of uterus lining (58100) $149 $149 0.7×
Biopsy soft tissue neck/thorax (21550) $3,756 $3,756 2.2×
Bladder Instillation Anticarcinogenic Agent (51720) $137 $137 0.2×
Bladder Irrigation Simple (51700) $120 $120 0.5×
Bladder Scan (51798) $90 $90 1.5×
Blood transfusion service (36430) $1,140 $1,140 2.5×
Bx breast 1st lesion strtctc (19081) $3,485 $3,485 2.0×
Bx breast 1st lesion us imag (19083) $2,415 $2,415 1.4×
Bx vulva/perineum 1 lesion (56605) $139 $139 0.1×
Bx/exc lymph node needle superficial (38505) $853 $853 0.5×
Cautery Cervix Cryocautery Initial or Repeat (57511) $367 $367 1.2×
Chemodenerv Musc Migraine (64615) $278 $278 0.9×
Chemodenervation of eccrine glands; both axillae (64650) $211 $211 0.7×
Chg Collect Blood From Catheter Venous Nos (36592) $85 $85 0.6×
Closed Rx Med Malleolus Fx,Manip (27762) $1,654 $1,654 1.0×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $2,085 $2,085 1.2×
Closed treatment pst malleolus fracture w/manj (27768) $675 $675 0.4×
Closed Treatment Ulnar Styloid Fracture (25650) $1,152 $1,152 4.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,225 $1,225 0.7×
Closed tx calcaneal fracture w/o manipulation (28400) $474 $474 1.9×
Closed tx metatarsal fracture w/o manipulation (28470) $460 $460 1.8×
Closed tx patellar dislocation w/o anesthesia (27560) $500 $500 2.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,467 $1,467 0.9×
Closed Tx Talus Fracture W/Manipulation (28435) $1,196 $1,196 0.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $110 $110 0.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,175 $1,175 0.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,345 $2,345 1.4×
Cltx dstl fibular fx lat malls w/manj (27788) $898.50 $898.50 3.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $632 $632 2.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $635 $635 2.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $387 $387 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $796.50 $796.50 3.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,082 $1,082 0.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,815 $2,815 1.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $300 $300 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $257 $257 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $498 $498 1.9×
Cltx metacarpal fx w/manipulation each bone (26605) $1,120 $1,120 4.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $662.50 $662.50 2.6×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $638 $638 2.5×
Cltx metatarsophlngl jt dislc w/o anes (28630) $297 $297 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $535.50 $535.50 2.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $413 $413 1.6×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,585 $1,585 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $250 $250 1.0×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,775 $1,775 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,163 $1,163 0.7×
Colonoscopy flex w/rem forcep (45384) $2,679 $2,679 2.2×
Colonoscopy stoma w/biopsy (44389) $2,079 $2,079 1.7×
Colonoscopy stoma w/snare (44394) $3,102 $3,102 2.5×
Colonoscopy thru stoma (44388) $2,503 $2,503 2.6×
Colonoscopy w/ablation (45388) $2,188 $2,188 1.8×
Colonoscopy w/band ligation (45398) $2,374 $2,374 1.9×
Colonoscopy w/fb removal (45379) $2,479 $2,479 2.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $336 $336 1.1×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $222 $222 0.7×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $239 $239 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $147 $147 0.2×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $2,027 $2,027 1.6×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $2,233 $2,233 1.8×
Colsc flx with directed submucosal njx any sbst (45381) $1,786 $1,786 1.4×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $346 $346 1.6×
Control Nasal Hemorrhage Anterior Complex (30903) $310 $310 2.2×
Control Nasal Hemorrhage Anterior Simple (30901) $248.50 $248.50 1.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,000 $2,000 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $290 $290 2.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $300 $300 1.2×
Cystourethroscopy (52000) $290 $290 0.4×
Debride nail 1-5 (11720) $78 $78 1.3×
Debride nail 6 or more (11721) $78 $78 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $207 $207 0.5×
Declot vascular device (36593) $110 $110 0.3×
Destruc Benign/Premal,15+ Lesions (17004) $319.50 $319.50 0.8×
Destruction benign lesions 15 or more (17111) $257 $257 1.2×
Destruction Benign Lesions Up To 14 (17110) $181 $181 0.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $283 $283 1.4×
Destruction premalignant lesion 1st (17000) $106 $106 0.5×
Diagnostic sigmoidoscopy (45330) $1,058 $1,058 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $363 $363 0.5×
Drainage of hematoma/fluid (10140) $430 $430 0.3×
Drainage of salivary cyst (42409) $720 $720 0.2×
Draw blood off venous device (36591) $80 $80 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $455 $455 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $415 $415 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $275 $275 1.3×
Dry Needling 3+ Muscles (20561) $55 $55 1.8×
Egd balloon dilation esophagus <30 mm diam (43249) $1,986 $1,986 1.0×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $1,697 $1,697 0.9×
Egd flexible foreign body removal (43247) $2,221 $2,221 2.4×
Egd place gastrostomy tube (43246) $1,945 $1,945 1.0×
Egd rem tumr/polyp forcep (43250) $1,771 $1,771 0.9×
Egd remove lesion snare (43251) $2,115 $2,115 1.1×
Egd Transoral Control Bleeding Any Method - Egd (43255) $2,150 $2,150 1.1×
Endovenous rf 1st vein (36475) $6,830 $6,830 2.1×
Evacuation of subungual hematoma (11740) $116.50 $116.50 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $205 $205 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $493 $493 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $259.50 $259.50 0.4×
Exc foot/toe tum sc < 1.5 cm (28043) $380 $380 0.2×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $336 $336 0.5×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $322 $322 0.8×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $273 $273 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $479.50 $479.50 0.7×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $464 $464 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $704 $704 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $660 $660 0.4×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $669 $669 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $939 $939 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $337 $337 0.3×
Exc tr-ext b9+marg 0.5 cm or less (11400) $264 $264 0.4×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,178 $1,178 0.7×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $414 $414 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $482 $482 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $510 $510 1.2×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $578 $578 0.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $659 $659 0.9×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $569 $569 0.8×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $800 $800 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $416 $416 0.2×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $484 $484 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $537 $537 0.7×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $630 $630 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $712 $712 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $597 $597 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $361 $361 0.5×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $300 $300 0.4×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $283.50 $283.50 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $267 $267 0.2×
Excision of nail fold toe (11765) $358 $358 0.8×
Excision of vaginal septum (57130) $464 $464 0.1×
Fetal non-stress test (59025) $365 $365 1.7×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $953 $953 1.3×
Fine needle aspiration without imaging guidance (10021) $100 $100 0.2×
Fixation of knee joint (27570) $1,586 $1,586 0.9×
Fluoro exam of g/colon tube (49465) $298 $298 1.2×
Guide Cathet Fluid Drainage (10030) $2,675 $2,675 3.6×
I&d abscess simple (10060) $255 $255 1.2×
I&d pilonidal cyst simple (10080) $471 $471 0.6×
Image Cath Fluid Colxn Visc (49405) $4,700 $4,700 2.7×
Image Cath Fluid Peri/Retro (49406) $4,700 $4,700 2.7×
Incision & drainage abscess complicated/multiple (10061) $441 $441 1.0×
Incision & removal foreign body subq tiss simple (10120) $340 $340 0.8×
Incision and drainage of vulva or perineal abscess (56405) $271 $271 0.9×
Incision of eardrum (69420) $350 $350 1.4×
Incision thrombosed hemorrhoid external (46083) $403 $403 1.6×
Incisional biopsy skin single lesion (11106) $283 $283 0.4×
Inj paravert f jnt c/t 1 lev (64490) $1,738 $1,738 1.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,906 $1,906 2.1×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $96 $96 0.3×
Injection anes other peripheral nerve/branch (64450) $150 $150 0.2×
Injection single/mlt trigger point 3/> muscles (20553) $151.50 $151.50 0.5×
Injection, anesthetic agent; greater occipital nerve (64405) $139 $139 0.4×
Insert Drug Implant Device (11981) $215 $215 1.6×
Insert Temp Bladder Cath (51702) $129.50 $129.50 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $110 $110 0.8×
Irrigate corpora cavernosa for priapism (54220) $450 $450 1.7×
Laryngoscopy Flexible Diagnostic (31575) $235 $235 1.1×
Ligation of hemorrhoid(s) (46221) $760 $760 0.8×
Liver Biopsy (47000) $1,731 $1,731 1.0×
Myelography Lumbar Injection (62305) $3,374 $3,374 4.1×
Myelography Lumbar Injection (62304) $1,463 $1,463 1.8×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $1,533 $1,533 1.9×
Myelography via lumbar injection rs&i thoracic (62303) $1,597 $1,597 2.0×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $235 $235 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $50 $50 1.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,007 $2,007 2.2×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,505 $1,505 2.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $935.50 $935.50 1.3×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $467 $467 1.1×
Open Tx Distal Phalangeal Fracture Each (26765) $1,050 $1,050 0.3×
Perq dev breast 1st us imag (19285) $1,720 $1,720 2.3×
Perq device breast 1st imag (19281) $1,139 $1,139 0.7×
Perq replacement gtube not req revj gstrst trc (43762) $600 $600 2.3×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $6,504 $6,504 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,135 $7,135 0.9×
Punch biopsy skin single lesion (11104) $232 $232 0.5×
Puncture Aspiration (10160) $274 $274 0.6×
Reduction of rectal prolapse (45900) $725 $725 0.8×
Removal fb intranasal (30300) $377.50 $377.50 2.7×
Removal foreign body foot subcutaneous (28190) $268 $268 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $40 $40 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $99 $99 1.6×
Removal Implant Deep (20680) $590 $590 0.2×
Removal Implantable Contraceptive Capsules (11976) $304 $304 0.4×
Removal of intrauterine device (iud) (58301) $207 $207 0.7×
Removal of nail bed (11750) $333 $333 0.8×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $143.50 $143.50 0.7×
Remove drug implant device (11982) $244 $244 0.5×
Remv Ext Canal Foreign Body (69200) $191.50 $191.50 1.4×
Remv F.B.,Eye,Superf Conjunc (65205) $107 $107 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,047 $1,047 2.5×
Repair complex trunk 1.1-2.5 cm (13100) $719 $719 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $845 $845 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $315 $315 0.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $571.50 $571.50 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $772 $772 1.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $531 $531 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $680 $680 1.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $900 $900 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $529 $529 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $631 $631 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $650 $650 1.5×
Replacement gastro-jejunostomy tube percutaneous (49452) $695 $695 0.7×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $303 $303 0.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,798 $1,798 1.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,282 $1,282 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $209 $209 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $391 $391 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $222 $222 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $260 $260 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $304 $304 1.5×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $210 $210 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $289 $289 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $335 $335 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $256 $256 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $326 $326 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $296 $296 1.4×
Sigmoidoscopy & decompress (45337) $2,244 $2,244 2.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $2,030 $2,030 2.1×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $1,669 $1,669 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $227 $227 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $244.50 $244.50 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $307.50 $307.50 1.5×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $400.50 $400.50 1.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $206.50 $206.50 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $300 $300 1.4×
Skin sub graft face/nk/hf/g (15275) $1,086 $1,086 1.4×
Skin sub graft trnk/arm/leg (15271) $1,035 $1,035 1.3×
Skin Sub Grft T/Arm/Lg Child (15273) $1,800 $1,800 0.8×
Skn sub grft f/n/hf/g child (15277) $1,800 $1,800 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $252.50 $252.50 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $458 $458 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $453 $453 1.1×
Strapping unna boot (29580) $100 $100 0.6×
Tangential biopsy skin single lesion (11102) $166.50 $166.50 0.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,150 $1,150 1.8×
Trach Tube Change (31502) $72 $72 0.3×
Treat finger dislocation (26775) $500 $500 1.7×
Treat Wrist Bone Fracture (25630) $568 $568 2.2×
Trim skin lesion (11055) $132 $132 0.6×
Trim skin lesions 2 to 4 (11056) $83 $83 0.4×
Trim skin lesions over 4 (11057) $185 $185 0.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $78 $78 1.3×
Tympanostomy (69433) $359 $359 0.6×
Vasectomy (55250) $600.50 $600.50 0.3×