Procedures & surgery prices at Calhoun-Liberty Hospital

Blountstown, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis (49082) $373.14 $533.05 0.4×
Anoscopy diagnostic (46600) $86.28 $123.25 0.6×
Appl finger splint static (29130) $95.72 $136.75 0.7×
Application long leg splint thigh ankle/toes (29505) $138.60 $198 0.8×
Apply long arm splint (29105) $157.32 $224.75 0.9×
Apply Lower Leg Splint (29515) $123.90 $177 0.7×
Apply short arm splint static (29125) $139.27 $198.96 1.0×
Arterial puncture (36600) $78.37 $111.95 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $192.50 $275 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $107.10 $153 0.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $137.90 $197 0.4×
Aspiration and/or injection of ganglion cyst(s) any location (20612) $182.82 $261.17 0.6×
Avulsion of nail plate, partial or complete, simple; single (11730) $125.69 $179.55 0.6×
Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) $555.56 $793.65 0.6×
Bladder irrigation (51700) $186.30 $266.14 0.7×
Blood transfusion service (36430) $784.70 $1,121 1.7×
Chest tube placement (32551) $671.30 $959 0.4×
Close Rx Dist Fingr Fx (26750) $184.10 $263 0.7×
Close Rx Prox/Mid Fing Shft Fx (26720) $179.20 $256 0.7×
Closed Rx Toe Fx (28510) $126.70 $181 0.5×
Closed treatment of acromioclavicular dislocation; without manipulation (23540) $232.58 $332.25 0.9×
Closed treatment of clavicular fracture; without manipulation (23500) $200.44 $286.34 0.8×
Closed treatment of dislocated jaw joint (21480) $149.16 $213.10 0.6×
Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) $133.70 $191 0.5×
Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) $304.50 $435 1.2×
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) $190.29 $271.84 0.7×
Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) $382.55 $546.50 1.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $35.13 $50.19 0.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $795.32 $1,136.18 0.5×
CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) $250.84 $358.34 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $999.08 $1,427.25 0.6×
Collect blood from catheter venous nos (36592) $84 $120 0.6×
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical… (45384) $808.50 $1,155 0.6×
Colsc flexible w/control bleeding any method (45382) $1,001 $1,430 0.8×
Complete replacement picc rs&i (36584) $1,102.50 $1,575 0.7×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $137.20 $196 1.0×
Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) $213.56 $305.08 0.5×
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) $157.62 $225.17 0.4×
Destruction benign lesions up to 14 (17110) $95.90 $137 0.5×
Destruction by any method, including laser, with or without surgical curettement, all benign or premalignant lesions… (17000) $95.90 $137 0.5×
Drain blood under nail (11740) $61.94 $88.48 0.4×
Drainage finger abscess simple (26010) $186.02 $265.75 0.9×
Drainage of finger abscess; complicated (eg, felon) (26011) $656.42 $937.75 0.4×
Drainage scrotal wall abscess (55100) $984.90 $1,407 0.6×
Draw blood off venous device (36591) $122.50 $175 0.9×
Ed proc remve fb nasal- hospital (30300) $130.90 $187 0.9×
Ed prof burn - large - hospital (16030) $224.30 $320.42 0.5×
Ed prof burn medium - hospital (16025) $150.15 $214.50 0.7×
Ed prof burn small - hospital (16020) $126.35 $180.50 0.6×
Ed prof drain dental abscess-hospital (41800) $210 $300 1.5×
Ed prof insert non tunnel cv cath >5 (36556) $936.60 $1,338 0.3×
Ed prof int lac 12.6-20cm bd - hospital (12035) $408.10 $583 1.0×
Ed prof int lac 7.6-12.5cm bd - hospital (12034) $508.55 $726.50 1.2×
Ed prof interphalangeal dislocation- hospital (26770) $352.10 $503 1.4×
Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) $342.44 $489.21 0.7×
Egd balloon dilation esophagus <30 mm diam (43249) $1,137.51 $1,625.02 0.6×
Egd removal tumor polyp/other lesion snare tech (43251) $1,137.51 $1,625.02 0.6×
Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) $577.50 $825 0.6×
Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) $1,137.51 $1,625.02 0.6×
Esophagoscopy flexible transoral diagnostic (43200) $566.72 $809.60 0.6×
Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) $242.09 $345.84 0.6×
Exc tr-ext b9 + marg 2.1 to 3.0 (11403) $435.38 $621.97 0.6×
Exc tr-ext b9+marg 1.1-2 cm (11402) $435.38 $621.97 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $435.38 $621.97 0.6×
Fna w/o imaging guidance (10021) $236.54 $337.92 0.6×
Gastric lavage (43753) $370.13 $528.75 1.6×
I&d bartholins gland abscess (56420) $140.81 $201.16 0.7×
I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) $201.60 $288 0.1×
I&d hematoma/seroma/fluid (10140) $561.40 $802 0.3×
I&d perianal abscess superficial (46050) $555.56 $793.65 0.6×
I&d perirectal abscess (46040) $1,366.40 $1,952 1.1×
I&d pilonidal cyst simple (10080) $435.38 $621.97 0.6×
I&d vulva/perineal abscess (56405) $447.09 $638.70 1.4×
Incise external hemorrhoid (46083) $276.50 $395 1.1×
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) $242.09 $345.84 0.6×
Incision & Drainage Abscess Simple/Single (10060) $175.70 $251 0.8×
Incision and removal of foreign body, subcutaneous tissues; complicated (10121) $984.90 $1,407 0.6×
Incision and removal of foreign body, subcutaneous tissues; simple (10120) $242.09 $345.84 0.6×
Initial treatment, first degree burn, when no more than local treatment is required (16000) $87.15 $124.50 0.4×
Inject Nerv Blck,Othr Periph Nerv (64450) $120.44 $172.06 0.2×
Inject Tendon Sheath/Ligament (20550) $182.82 $261.17 0.6×
Injection aa&/strd trigeminal nerve each branch (64400) $182.82 $261.17 0.6×
Injection therapeutic carpal tunnel (20526) $182.82 $261.17 0.6×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $182.82 $261.17 0.6×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $242.20 $346 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $109.90 $157 0.8×
Insert,Temp Indwelling Blad Cath,Simple (51702) $103.95 $148.50 0.7×
Intubation endotracheal (31500) $551.25 $787.50 2.2×
Layr Clos Wnd Rest Body <2.5 Cm (12041) $234.85 $335.50 0.6×
Lumbar puncture (62270) $544.28 $777.54 0.7×
Perq replacement gtube not req revj gstrst trc (43762) $558.89 $798.42 2.1×
Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) $1,102.50 $1,575 0.7×
Placement Needle Intraosseous Infusion (36680) $192.50 $275 0.4×
Puncture Aspiration (10160) $120.05 $171.50 0.3×
Puncture aspiration of cyst of breast (19000) $1,306.14 $1,865.91 1.8×
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) $674.80 $964 0.9×
Removal Impacted Cerumen Instrumentation Unilat (69210) $72.45 $103.50 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $77.88 $111.25 1.3×
Removal of foreign body in muscle or tendon sheath; simple (20520) $224.70 $321 0.1×
Removal of foreign body, external eye; conjunctival superficial (65205) $227.32 $324.75 1.6×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $219.35 $313.36 0.5×
Removal of nail bed (11750) $242.09 $345.84 0.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $35 $50 0.2×
Remv Ext Canal Foreign Body (69200) $114.28 $163.25 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $371 $530 0.9×
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) $589.75 $842.50 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $536.02 $765.75 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $765.45 $1,093.50 1.8×
Repair complex trunk 2.6-7.5 cm (13101) $381.15 $544.50 0.5×
Repair forearm tendon/muscle (25260) $2,293.94 $3,277.05 0.7×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) $245.82 $351.17 0.6×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) $369.95 $528.50 0.9×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) $304.62 $435.17 0.7×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $726.26 $1,037.52 1.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $366.68 $523.84 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $270.20 $386 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $451.68 $645.25 0.6×
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) $215.60 $308 0.5×
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) $245.70 $351 0.6×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) $277.32 $396.17 0.7×
Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) $646.10 $923 0.3×
Repair nail bed (11760) $361.55 $516.50 0.5×
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) $366.98 $524.25 0.5×
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) $659.75 $942.50 0.9×
Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) $375.96 $537.08 0.5×
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) $864.10 $1,234.43 0.4×
Replace Tunneled Cv Cath (36578) $2,003.16 $2,861.66 0.6×
Resuperf Wnd Face 5.1-7.5 Cm (12014) $285.25 $407.50 1.4×
Resuperf Wnd Face 7.6-12.5 Cm (12015) $317.80 $454 1.5×
Rmvl of access device (36589) $1,212.75 $1,732.50 1.9×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less Other… (11300) $125.69 $179.55 0.3×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm Other Surgical… (11301) $125.69 $179.55 0.6×
Sigmoidoscopy & polypectomy (45333) $555.56 $793.65 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $325.85 $465.50 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $325.85 $465.50 1.6×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) $219.80 $314 1.0×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) $7 $10 0.0×
Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) $316.17 $451.67 0.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $193.72 $276.75 0.9×
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) $362.60 $518 1.7×
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) $266.12 $380.17 0.6×
Strapping of knee (29530) $78.37 $111.95 0.6×
Strapping of shoulder (29240) $78.37 $111.95 0.6×
Strapping unna boot (29580) $211.40 $302 1.2×
Thrombolysis cerebral IV infus (37195) $652.05 $931.50 1.9×
Treatment of closed elbow dislocation; without anesthesia (24600) $282.24 $403.20 1.1×
Trim skin lesion 4 or more (11057) $379.22 $541.74 1.8×
Tx superficial wound dehiscence simple closure (12020) $1,193.68 $1,705.25 1.5×
Vaginal delivery only (59409) $1,624.62 $2,320.88 0.5×
Venipuncture (36415) $8.40 $12 0.9×