Procedures & surgery prices at Brown County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Acne Surgery (10040) $221 $295 1.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $248 $330 1.5×
Application of long leg cast (29345) $377 $502 1.3×
Application Of Rigid Total Contact Leg Cast (29445) $361 $481 1.2×
Application short arm splint forearm-hand static (29125) $51 $68 0.4×
Application short leg splint calf foot (29515) $53 $71 0.3×
Apply short leg cast (29405) $226 $301 0.8×
Arterial puncture (36600) $86 $115 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $104 $139 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $122 $163 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $103 $137 0.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $123 $164 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $220 $293 1.1×
Biopsy external auditory canal (69105) $274 $365 0.2×
Biopsy external ear (69100) $182 $242 0.7×
Biopsy intranasal (30100) $267 $356 0.2×
Biopsy of floor of mouth (41108) $319 $425 0.2×
Biopsy of lip (40490) $233 $311 0.9×
Biopsy of mouth lesion (40808) $321 $428 0.6×
Biopsy of tongue (41100) $356 $474 0.6×
Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) $937 $1,249 0.5×
Bladder Scan (51798) $150 $200 2.4×
Blood transfusion service (36430) $833 $1,110 1.8×
Chemical Cautery Tissue (17250) $165 $220 0.8×
Chest tube placement (32551) $380 $506 0.2×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,216 $1,621 0.7×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $425 $566 1.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,338 $1,784 0.8×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $968 $1,290 3.8×
Control Nasal Hemorrhage Anterior Complex (30903) $458 $611 3.3×
Control Nasal Hemorrhage Anterior Simple (30901) $293 $391 2.1×
Corneal smear (65430) $220 $293 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $657 $876 4.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $113 $151 0.3×
Debride nail 1-5 (11720) $64 $85 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $438 $584 0.6×
Destruc Benign/Premal,15+ Lesions (17004) $318 $424 0.8×
Destruction benign lesions 15 or more (17111) $254 $338 1.2×
Destruction Benign Lesions Up To 14 (17110) $217 $289 1.0×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $284 $378 1.4×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $269 $359 1.3×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $317 $423 1.5×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) $277 $369 1.3×
Destruction of multiple growths of penis (54065) $426 $568 0.2×
Destruction premalignant lesion 1st (17000) $129 $172 0.6×
Destruction vaginal lesions simple (57061) $317 $422 0.1×
Drain Ext Ear Absc/Blood,Complic (69005) $416 $554 0.2×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $384 $512 0.5×
Drainage abscess/hematoma nasal int approach (30000) $501 $668 2.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $511 $681 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $353 $470 0.5×
Drainage of hematoma/fluid (10140) $323 $430 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $162 $216 0.8×
Dstrj lesion anus simple cryosurgery (46916) $496 $661 2.4×
Dstrj lesion anus smpl eltrdsiccation (46910) $498 $664 0.2×
Evacuation of subungual hematoma (11740) $111 $148 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $390 $520 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $450 $600 0.3×
Exc back les sc < 3 cm (21930) $940 $1,253 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $274 $365 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $433 $577 0.3×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $305 $406 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $297 $396 0.7×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $326 $435 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $375 $500 0.5×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $537 $716 0.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $423 $564 0.2×
Exc Skin Benig >4 Cm Face,Facial (11446) $726 $968 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $618 $824 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $598 $797 0.3×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $596 $795 0.3×
Exc Skin Malig >4 Cm Face,Facial (11646) $947 $1,263 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $839 $1,119 0.5×
Exc tr-ext b9+marg 0.5 cm or less (11400) $244 $325 0.3×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,705 $2,273 1.0×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $374 $499 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $466 $621 1.1×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $530 $706 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $588 $784 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $386 $515 0.5×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $450 $600 0.6×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $509 $678 0.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $734 $979 0.4×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $435 $580 0.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $561 $748 0.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $332 $442 0.5×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $368 $490 0.5×
Excision of lesion of tongue without closure (41110) $435 $580 0.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $341 $454 0.2×
Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) $929 $1,238 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $865 $1,153 0.5×
Fine needle aspiration without imaging guidance (10021) $191 $255 0.5×
I&d abscess simple (10060) $284 $378 1.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,852 $2,469 0.6×
I&d pilonidal cyst simple (10080) $273 $364 0.4×
Incision & drainage abscess complicated/multiple (10061) $407 $543 1.0×
Incision & removal foreign body subq tiss compl (10121) $500 $666 0.3×
Incision & removal foreign body subq tiss simple (10120) $215 $286 0.5×
Incision and drainage of bartholin's gland abscess (56420) $353 $470 1.7×
Incision of eardrum (69420) $362 $483 1.5×
Incision&drainage bursa foot (28001) $410 $547 0.2×
Incisional biopsy skin single lesion (11106) $294 $392 0.4×
Inj tendon sheath/ligament (20550) $161 $215 0.5×
Injection anes other peripheral nerve/branch (64450) $143 $190 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $100 $133 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $325 $433 1.0×
Injection therapeutic carpal tunnel (20526) $227 $302 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $110 $146 0.5×
Insert non-tunnel cv cath (36556) $563 $750 0.2×
Insert Temp Bladder Cath (51702) $195 $260 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $85 $113 0.6×
Intubation endotracheal emergency procedure (31500) $351 $468 1.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure
$1,304 $1,738 0.2×
Laryngoscopy Flexible Diagnostic (31575) $244 $325 1.2×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $354 $472 1.7×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $485 $647 0.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,200 $1,600 2.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $919 $1,225 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,050 $1,400 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,088 $1,450 1.5×
Punch biopsy skin single lesion (11104) $237 $316 0.6×
Puncture Aspiration (10160) $246 $328 0.6×
Puncture Aspiration Cyst Breast (19000) $190 $253 0.3×
Removal fb intranasal (30300) $276 $368 2.0×
Removal foreign body foot subcutaneous (28190) $457 $609 0.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $412 $549 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $30 $40 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $91 $121 1.5×
Removal Implant Deep (20680) $1,655 $2,207 0.5×
Removal Implant Superficial Separate Procedure (20670) $984 $1,312 0.6×
Removal of indwelling tunneled pleural catheter with cuff (32552) $342 $456 0.5×
Removal of intrauterine device (iud) (58301) $208 $277 0.7×
Removal of nail bed (11750) $308 $411 0.7×
Removal of salivary stone (42330) $444 $592 0.1×
Removal of sesamoid bone (28315) $909 $1,212 0.3×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $176 $235 0.8×
Remove drug implant device (11982) $208 $277 0.4×
Remove foreign body from eye (65210) $74 $99 0.2×
Remv Ext Canal Foreign Body (69200) $152 $203 1.1×
Remv F.B.,Eye,Superf Conjunc (65205) $107 $143 0.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $800 $1,066 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $892 $1,189 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $805 $1,073 1.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $537 $716 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $599 $798 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $688 $917 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $722 $962 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $500 $666 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $588 $784 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $723 $964 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $729 $972 1.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $498 $664 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $577 $769 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $633 $844 1.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $115 $153 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $220 $293 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $233 $311 1.1×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $191 $254 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $295 $393 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $230 $307 1.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $261 $348 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $407 $542 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $210 $280 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $218 $291 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $266 $355 1.3×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $321 $428 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $177 $236 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $431 $575 2.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $248 $331 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $214 $285 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $331 $441 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $381 $508 0.9×
Spinal puncture lumbar diagnostic (62270) $600 $800 0.8×
Strapping ankle (29540) $79 $105 0.5×
Strapping toes (29550) $55 $73 0.9×
Strapping unna boot (29580) $356 $474 2.1×
Tangential biopsy skin single lesion (11102) $191 $254 0.5×
Trach Tube Change (31502) $65 $87 0.3×
Tracheobrnchsc Thru Est Trachs Inc (31615) $326 $434 0.6×
Trim skin lesion (11055) $135 $180 0.6×
Trim skin lesions over 4 (11057) $173 $230 0.8×
Trimming Of Nondystrophic Nails, Any Number (11719) $28 $37 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $565 $753 0.7×
Tx superficial wound dehiscence w/packing (12021) $334 $445 0.8×
Venipuncture (36415) $16.50 $21.50 1.8×