Procedures & surgery prices at Community Hospital – Fairfax

Fairfax, MO · 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
Amputation toe interphalangeal joint (28825) $251 $251 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure
$1,648 $1,648 0.3×
Application finger splint static (29130) $72 $72 0.5×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$71–$118 $71–$118 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$73–$122 $73–$122 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$57–$95 $57–$95 varies
Apply long arm cast (29065)
range across 3 matching MRF lines
$98–$163 $98–$163 varies
Arterial puncture (36600) $137 $137 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $80 $80 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines
$32.57–$404 $32.57–$404 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,335 $1,335 4.3×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,073 $1,073 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $442 $442 2.2×
Bladder Scan (51798) $28 $28 0.5×
Blood Transfusion Service (36430)
range across 3 matching MRF lines
$400–$800 $400–$800 varies
Bx breast 1st lesion us imag (19083) $4,634 $4,634 2.8×
Carpal Tunnel Surgery (64721) $625 $625 0.3×
Circumcision 28 days or older (54161)
range across 2 matching MRF lines
$379–$5,206 $379–$5,206 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines
$120–$407 $120–$407 varies
Clear outer ear canal (69200) $100 $100 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines
$114–$190 $114–$190 varies
Collect Blood From Catheter Venous Nos (36592) $134 $134 1.0×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$5–$14 $5–$14 varies
Colonoscopy thru stoma (44388) $642 $642 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines
$661–$3,111 $661–$3,111 varies
Cysto calibration dilat urtl strix/stenosis (52281) $2,000 $2,000 1.0×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines
$860–$9,229 $860–$9,229 varies
Cysto w/removal of lesions small (52224) $3,011 $3,011 0.9×
Cysto w/removal of tumors small (52234) $3,011 $3,011 0.9×
Cysto W/Simple Removal Stone & Stent (52310) $5,379 $5,379 2.6×
Cystourethroscopy (52000)
range across 2 matching MRF lines
$371–$1,617 $371–$1,617 varies
Cystourethroscopy inj chemodenervation bladder (52287) $254 $254 0.1×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $563 $563 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $100 $100 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,207 $1,207 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $317 $317 0.8×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines
$130–$300 $130–$300 varies
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines
$236–$2,429 $236–$2,429 varies
Dilation & curettage dx&/ther nonobstetric (58120) $500 $500 0.2×
Draw Blood Off Venous Device (36591) $112 $112 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$78–$130 $78–$130 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $165 $165 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $316 $316 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines
$117–$2,063 $117–$2,063 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $319 $319 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $301 $301 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $439 $439 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 3 matching MRF lines
$530–$7,110 $530–$7,110 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $400 $400 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $270 $270 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines
$220–$328.17 $220–$328.17 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $336 $336 0.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $440 $440 0.6×
Excision of hydrocele; unilateral (55040) $649 $649 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $508 $508 0.2×
Fetal non-stress test (59025) $456 $456 2.3×
I&d abscess simple (10060)
range across 5 matching MRF lines
$141–$235 $141–$235 varies
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines
$1,458–$8,969 $1,458–$8,969 varies
Implant Periph/Gastric Neurostim/Receiver (64590) $28,061 $28,061 1.4×
Incise external hemorrhoid (46083) $320 $320 1.3×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines
$148–$247 $148–$247 varies
Initial Tx 1st Degree Burn Local Tx (16000) $115 $115 0.6×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$110–$371 $110–$371 varies
Injection single/mlt trigger point 1/2 muscles (20552) $100 $100 0.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$66–$110 $66–$110 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines
$72.67–$218 $72.67–$218 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$294–$294.17 $294–$294.17 varies
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines
$214–$479 $214–$479 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$107–$178 $107–$178 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $5,031 $5,031 7.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $5,031 $5,031 7.1×
Open Implantation Nea Sacral Nerve (64581)
range across 2 matching MRF lines
$1,309–$8,969 $1,309–$8,969 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $20 $20 0.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $80 $80 1.4×
Removal implantable contraceptive capsules (11976) $277 $277 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $148 $148 0.7×
Remove drug implant device (11982) $247 $247 0.6×
Remove Intrauterine Device (58301) $219 $219 0.7×
Remove/Insert Drug Implant (11983) $410 $410 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$462–$769 $462–$769 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$282–$469 $282–$469 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,550 $1,550 1.0×
Shave skin lesion 0.5 cm/< (11300) $86 $86 0.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $136 $136 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines
$82–$250 $82–$250 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines
$88–$356 $88–$356 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines
$66–$215 $66–$215 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$110–$183 $110–$183 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure
$1,390 $1,390 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines
$87–$326 $87–$326 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$143–$238 $143–$238 varies
Strapping ankle (29540) $45 $45 0.3×
Strapping elbow or wrist (29260)
range across 2 matching MRF lines
$29–$49 $29–$49 varies
Strapping hand/finger (29280) $50 $50 0.8×
Strapping knee (29530) $47 $47 0.4×
Strapping Unna Boot (29580) $69 $69 0.4×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines
$631–$1,052 $631–$1,052 varies
Thyroid biopsy (60100) $1,234 $1,234 1.7×
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure
$4,009 $4,009 0.3×
Treat toe dislocation (28630)
range across 2 matching MRF lines
$161–$269 $161–$269 varies
Tubal ligation (58600) $717 $717 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $749 $749 0.2×
Vaginal delivery only (59409) $1,250 $1,250 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines
$500–$1,800 $500–$1,800 varies
Wedge excision skin nail fold (11765) $223 $223 0.5×

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.