Procedures & surgery prices at Brown County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $235 $313 1.1×
Application long arm splint shoulder hand (29105) $104 $139 0.6×
Application of long leg cast (29345) $401 $534 1.4×
Application of rigid total contact leg cast (29445) $383 $511 1.3×
Application short arm splint forearm-hand static (29125) $108 $144 0.8×
Application short leg splint calf foot (29515) $57 $76 0.3×
Apply Multlay Comprs Lwr Leg (29581) $263 $350 1.6×
Apply Short Leg Cast (29405) $240 $320 0.8×
Arterial puncture (36600) $92 $123 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $111 $148 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $130 $173 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $110 $146 0.3×
Aspirate Pleura W/O Imaging (32554) $224 $298 0.3×
Aspirate/Inj Ganglion Cyst (20612) $131 $174 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $233 $311 1.1×
Biopsy External Auditory Canal (69105) $290 $387 0.2×
Biopsy external ear (69100) $194 $258 0.8×
Biopsy of floor of mouth (41108) $338 $451 0.2×
Biopsy of lip (40490) $248 $331 1.0×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $995 $1,326 0.6×
Biopsy Tongue Anterior Two-Thirds (41100) $378 $504 0.7×
Biopsy, vestibule of mouth (40808) $341 $454 0.6×
Bladder Scan (51798) $159 $212 2.6×
Blood Transfusion Service (36430) $884 $1,178 1.9×
Change of Windpipe Airway (31502) $70 $93 0.3×
Chemical Cautery Tissue (17250) $176 $234 0.8×
Chest tube placement (32551) $404 $538 0.2×
Clear outer ear canal (69200) $162 $216 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,290 $1,720 0.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $450 $600 1.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $825 $1,100 3.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,420 $1,893 0.9×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $8–$28 $10–$37 varies
Control Nasal Hemorrhage Anterior Complex (30903) $487 $649 3.5×
Control Nasal Hemorrhage Anterior Simple (30901) $311 $415 2.3×
Cornea Scraping Diagnostic Smear &/Culture (65430) $233 $311 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $698 $930 5.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $121 $161 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $465 $620 0.6×
Debride nail 1-5 (11720) $68 $91 1.1×
Destr penis lesion(s) (54065) $453 $604 0.2×
Destruct B9 Lesion 1-14 (17110) $230 $307 1.1×
Destruction Benign Lesions 15/> (17111) $269 $359 1.3×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $354 $472 1.7×
Destruction Premalignant Lesion 15/> (17004) $338 $450 0.8×
Destruction premalignant lesion 1st (17000) $137 $183 0.7×
Destruction Vaginal Lesions Simple (57061) $336 $448 0.1×
Drainage Abscess/Hematoma Nasal Septum (30020) $542 $723 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $441 $588 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $375 $500 0.5×
Drainage of hematoma/fluid (10140) $342 $456 0.2×
Drainage of nose lesion (30000) $533 $710 2.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $408 $544 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $173 $230 0.8×
Dstrj lesion anus simple cryosurgery (46916) $526 $701 2.5×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $529 $705 0.2×
Dstrj Lesion Penis Simple Cryosurgery (54056) $294 $392 1.4×
Evacuation of subungual hematoma (11740) $119 $158 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $259 $345 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $414 $552 0.2×
Exc Back Les Sc < 3 Cm (21930) $998 $1,330 0.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $478 $637 0.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $540 $720 0.7×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $779 $1,039 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $290 $387 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $353 $470 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $390 $520 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $460 $613 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $570 $760 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $257 $343 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $324 $432 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $362 $482 0.2×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $986 $1,314 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $398 $530 0.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $478 $637 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $656 $874 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $635 $846 0.4×
Exc Skin Benig >4cm Face,Facial (11446) $771 $1,028 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $596 $794 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $808 $1,077 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $891 $1,188 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $315 $420 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $347 $462 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $449 $598 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $563 $750 0.8×
Excision Lesion Tongue W/O Closure (41110) $462 $616 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $397 $529 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $494 $659 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $624 $832 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $410 $547 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $633 $844 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,005 $1,340 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $462 $616 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $512 $682 0.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $918 $1,224 0.5×
Fine needle aspiration without imaging guidance (10021) $203 $271 0.5×
I&d abscess simple (10060) $302 $402 1.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,965 $2,620 0.7×
I&d pilonidal cyst simple (10080) $290 $386 0.4×
Incision & drainage abscess complicated/multiple (10061) $433 $577 1.0×
Incision & removal foreign body subq tiss compl (10121) $530 $707 0.3×
Incision & removal foreign body subq tiss simple (10120) $228 $304 0.5×
Incision and drainage of bartholin's gland abscess (56420) $375 $500 1.8×
Incision of eardrum (69420) $385 $513 1.6×
Incision&drainage bursa foot (28001) $436 $581 0.3×
Incisional biopsy skin single lesion (11106) $312 $416 0.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $172 $229 0.5×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $32–$279 $42–$372 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $119–$344 $159–$459 varies
Injection therapeutic carpal tunnel (20526) $241 $321 0.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $152 $202 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $117 $156 0.6×
Insert non-tunnel cv cath (36556) $597 $796 0.2×
Insert Temp Bladder Cath (51702) $207 $276 1.5×
Insert,Non-Indwelling Bladder Catheter (51701) $91 $121 0.7×
Intranasal Biopsy (30100) $284 $378 0.2×
Intubation endotracheal emergency procedure (31500) $373 $497 1.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,384 $1,845 0.2×
Laryngoscopy flexible diagnostic (31575) $259 $345 1.2×
Nasal Endoscopy Dx (31231) $377 $502 1.8×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $515 $687 0.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,273 $1,697 3.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $975 $1,300 1.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,114 $1,485 1.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $1,154–$1,869 $1,539–$2,492 varies
Punch biopsy skin single lesion (11104) $252 $336 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160) $261 $348 0.6×
Puncture Aspiration Cyst Breast (19000) $202 $269 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $485 $647 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $437 $583 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $32 $43 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $97 $129 1.6×
Removal Implant Deep (20680) $1,757 $2,342 0.6×
Removal Implant Superficial Separate Procedure (20670) $1,045 $1,393 0.6×
Removal of nail bed (11750) $328 $437 0.8×
Removal of sesamoid bone (28315) $965 $1,286 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $188 $250 0.9×
Remove drug implant device (11982) $221 $295 0.5×
Remove foreign body from eye (65205) $114 $152 0.8×
Remove Intrauterine Device (58301) $221 $295 0.7×
Remove lung catheter (32552) $363 $484 0.6×
Remove Nasal Foreign Body (30300) $293 $391 2.1×
Remove Tendon Sheath Lesion (26160) $1,809 $2,412 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $848 $1,131 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $947 $1,262 2.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $854 $1,139 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $570 $760 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $635 $847 1.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $730 $973 1.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $766 $1,021 1.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $530 $707 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $624 $832 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $767 $1,023 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $774 $1,032 1.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $529 $705 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $613 $817 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $672 $896 1.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $122 $163 0.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $79 $105 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $341 $454 1.6×
Shave skin lesion 0.5 cm/< (11300) $203 $270 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $233 $311 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $248 $331 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $313 $417 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $245 $327 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $278 $370 1.3×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $471 $628 0.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $432 $576 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $224 $298 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $232 $309 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $283 $377 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $188 $251 0.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $458 $611 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $263 $351 1.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $227 $303 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $352 $469 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $405 $540 1.0×
Spinal puncture lumbar diagnostic (62270) $637 $849 0.9×
Strapping ankle (29540) $84 $112 0.5×
Strapping toes (29550) $59 $78 1.0×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $189–$378 $252–$504 varies
Tangential biopsy skin single lesion (11102) $203 $270 0.5×
Tracheobrnchsc Thru Est Trachs Inc (31615) $346 $461 0.6×
Treat Knuckle Dislocation (26700) $1,027 $1,369 4.0×
Trim skin lesion (11055) $144 $192 0.7×
Trim skin lesions over 4 (11057) $183 $244 0.9×
Trimming Nondystrophic Nails Any Number (11719) $30 $40 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $599 $799 0.8×
Tx superficial wound dehiscence w/packing (12021) $355 $473 0.8×

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.