Procedures & surgery prices at Clinch Memorial Hospital

Homerville, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Application long arm splint shoulder hand (29105) $56.50 $113 0.4×
Application Long Leg Splint (29505) $46 $92 0.3×
Application short arm splint forearm-hand static (29125) $41 $82 0.4×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $47–$316.25 $94–$632.50 varies
Arterial puncture (36600) $51.09 $102.18 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $40 $80 0.1×
Avulsion nail plate partial/complete simple 1 (11730) $51.50 $103 0.3×
Blood Transfusion Service (36430) $251.55 $503.10 0.7×
Brnchsc Brushing/Protected Brushings (31623) $5,237.36 $10,474.73 3.4×
Bronchoscopy W/Biopsy(S) (31625) $5,237.36 $10,474.73 3.4×
Catheter aspiration nasotracheal spx (31720) $9.50 $19 0.0×
Chest tube placement (32551) $170.50 $341 0.1×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $55.50–$250.73 $111–$501.46 varies
Closed tx ankle dislocation w/o anesthesia (27840) $105.25 $210.50 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $103.09 $206.19 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $103.09 $206.19 0.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $736.75 $1,473.50 3.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $342.26 $684.53 1.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $256.75 $513.50 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $103.09 $206.19 0.5×
Cltx metacarpal fx w/manipulation each bone (26605) $105.25 $210.50 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $206.19–$479.76 $412.38–$959.52 varies
Collection of venous blood by venipuncture (36415) $9.75 $19.50 1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,347.50 $2,695 1.3×
Colonoscopy w/submucosal inj (45381) $1,347.50 $2,695 1.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,347.50 $2,695 1.3×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,347.50 $2,695 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $79.50 $159 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $262.19 $524.38 2.2×
Diagnostic sigmoidoscopy (45330) $1,032.50 $2,065 1.3×
Dilate Esophagus 1/Mult Pass (43450) $1,052.50 $2,105 1.3×
Draw Blood Off Venous Device (36591) $22 $44 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $270.87 $541.74 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $91.70 $183.40 0.5×
Dx Bronchoscope/Lavage (31624) $5,237.36 $10,474.73 3.4×
Dx Bronchoscope/Wash (31622) $5,237.36 $10,474.73 3.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,112.50 $4,225 1.3×
Egd cautery tumor polyp (43250) $2,112.50 $4,225 1.3×
Egd control bleeding any (43255) $2,112.50 $4,225 1.3×
Egd Flexible Foreign Body Removal (43247) $1,052.50 $2,105 1.3×
Egd guide wire insertion (43248) $1,052.50 $2,105 1.3×
Egd place gastrostomy tube (43246) $2,112.50 $4,225 1.3×
Egd remove lesion snare (43251) $2,112.50 $4,225 1.3×
Egd Varices Ligation (43244) $2,112.50 $4,225 1.3×
Endoscopy Upper Small Intestine (44360) $2,112.50 $4,225 1.3×
Endoscopy upper small intestine w/biopsy (44361) $2,112.50 $4,225 1.3×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $2,112.50 $4,225 1.3×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,112.50 $4,225 1.3×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $2,127.50 $4,255 1.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $2,112.50 $4,225 1.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,052.50 $2,105 1.3×
Evacuation of subungual hematoma (11740) $30.50 $61 0.3×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $89–$761.32 $178–$1,522.64 varies
I&d pilonidal cyst complicated (10081) $322.64 $645.28 0.5×
I&d pilonidal cyst simple (10080) $94.50 $189 0.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $154.50–$799.06 $309–$1,598.12 varies
Incision & removal foreign body subq tiss simple (10120) $54.45 $108.90 0.2×
Incision and drainage of bartholin's gland abscess (56420) $104.50 $209 0.6×
Incision and drainage of vulva or perineal abscess (56405) $1,021.86 $2,043.72 3.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $966.51 $1,933.02 1.6×
Insert Temp Bladder Cath (51702) $206.45 $412.91 1.8×
Intubation endotracheal emergency procedure (31500) $109.50 $219 0.5×
Nasal/Orogastric W/Tube Plmt (43752) $352.50 $705 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $32.50 $65 1.3×
Placement of needle for intraosseous infusion (36680) $59.50 $119 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $181.11–$193.73 $362.23–$387.46 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $32–$150.20 $64–$300.40 varies
Remove Nasal Foreign Body (30300) $118.50 $237 1.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $2,033.32 $4,066.65 5.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,033.32 $4,066.65 5.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $244 $488 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $176.50–$1,083.77 $353–$2,167.54 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $341.60 $683.21 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $348.42 $696.84 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $131 $262 0.1×
Rplc Gtube No Revj Trc (43762) $92.50 $185 0.4×
Rplc gtube revj gstrst trc (43763) $345 $690 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $110.50 $221 0.6×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,032.50 $2,065 1.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,347.50 $2,695 1.3×
Sigmoidoscopy & decompress (45337) $1,032.50 $2,065 1.3×
Sigmoidoscopy & Polypectomy (45333) $1,032.50 $2,065 1.3×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,347.50 $2,695 1.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,347.50 $2,695 1.3×
Sigmoidoscopy w/plcmt stent (45347) $6,537.50 $13,075 1.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,032.50 $2,065 1.3×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,347.50 $2,695 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $72.96 $145.92 0.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $64–$381.63 $128–$763.26 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $72.50–$344.90 $145–$689.80 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $90 $180 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $69.55–$352.92 $139.10–$705.84 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $161.50 $323 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $77–$362.59 $154–$725.18 varies
Small bowel endoscopy (44366) $2,112.50 $4,225 1.3×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $2,112.50 $4,225 1.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $89.05–$365.76 $178.10–$731.53 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $629.22 $1,258.45 1.8×
Strapping ankle (29540) $23 $46 0.2×
Strapping elbow or wrist (29260) $35.50 $71 0.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,583.26 $3,166.52 3.3×
Treat Thumb Dislocation (26641) $103.09 $206.19 0.5×
Treat toe dislocation (28630) $107.82 $215.64 0.5×
Treatment closed elbow dislocation w/o anes (24600) $105.25 $210.50 0.5×
Wedge excision skin nail fold (11765) $66 $132 0.2×

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.