Procedures & surgery prices at Delaware Valley Hospital, Inc

Walton, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,406 $2,406 2.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,405 $1,405 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $8,372 $8,372 2.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,328 $2,328 0.6×
Application cast elbow finger short arm (29075) $537 $537 1.5×
Application Finger Splint Dynamic (29131) $171 $171 2.3×
Application finger splint static (29130) $342 $342 2.1×
Application long arm splint shoulder hand (29105) $388 $388 1.9×
Application Long Leg Cast Brace (29358) $735 $735 2.1×
Application Long Leg Splint (29505) $452 $452 2.2×
Application short arm splint forearm-hand static (29125) $189 $189 1.1×
Application short leg splint calf foot (29515) $403 $403 2.0×
Apply hand/wrist cast (29085) $395 $395 1.9×
Apply long arm cast (29065) $706 $706 2.0×
Apply Short Leg Cast (29405) $477 $477 1.4×
Arterial puncture (36600) $278 $278 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $833 $833 2.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,678 $2,678 3.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$742–$833 $742–$833 varies
Avulsion nail plate partial/complete simple 1 (11730) $328 $328 1.3×
Bladder Irrigation (51700) $852 $852 2.7×
Bladder Scan (51798) $181 $181 2.5×
Blepharotomy drainage abscess eyelid (67700) $811 $811 2.0×
Blood Transfusion Service (36430) $1,063 $1,063 1.9×
Bronchoscopy W/Removal Foreign Body (31635) $4,251 $4,251 1.9×
Catheter aspiration nasotracheal spx (31720) $557 $557 2.0×
Change Cystostomy Tube Simple (51705) $605 $605 1.9×
Change of Windpipe Airway (31502) $626 $626 2.1×
Chest tube placement (32551) $1,714 $1,714 0.9×
Clear outer ear canal (69200) $224 $224 1.3×
Closed rx talotarsal disloc,anesth (28575) $8,206 $8,206 2.0×
Closed Treatment Ulnar Styloid Fracture (25650) $629 $629 2.0×
Closed tx ankle dislocation w/o anesthesia (27840) $592 $592 1.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,785 $1,785 0.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $592 $592 1.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $592 $592 1.9×
Closed tx metatarsal fracture w/o manipulation (28470) $592 $592 1.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,118 $4,118 2.1×
Closed tx patellar dislocation w/o anesthesia (27560) $657 $657 2.1×
Closed tx radial head/neck fx w/manipulation (24655) $4,025 $4,025 2.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $592 $592 1.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $4,425 $4,425 2.2×
Closed tx talotarsal joint dislc w/o anes (28570) $591 $591 1.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $614 $614 2.1×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,378 $1,378 2.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $5,261 $5,261 2.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,852 $1,852 6.0×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $611 $611 0.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,252 $4,252 2.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $4,425 $4,425 2.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $592 $592 1.9×
Cltx dstl fibular fx lat malls w/manj (27788) $724 $724 2.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $767 $767 2.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $657 $657 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $4,425 $4,425 2.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $4,025 $4,025 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,132 $1,132 3.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $592 $592 1.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $4,233 $4,233 2.1×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $674 $674 1.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $657 $657 2.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $767 $767 2.5×
Cltx Med Ankle Fx W/Mnpj (27762) $6,761 $6,761 3.4×
Cltx metacarpal fx w/manipulation each bone (26605) $767 $767 2.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $767 $767 2.5×
Cltx post hip arthrp dislc req anes (27266) $4,025 $4,025 2.0×
Cltx post hip arthrp dislc w/o anes (27265) $730 $730 2.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $636 $636 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $592 $592 1.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $592 $592 1.9×
Cltx tibial shaft fx w/o manipulation (27750) $592 $592 1.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,415 $2,415 1.2×
Collect Blood From Catheter Venous Nos (36592) $65 $65 0.4×
Collection of venous blood by venipuncture (36415) $31 $31 3.3×
Complex drainage wound (10180) $7,156 $7,156 2.0×
Composite Skin Graft (15760) $5,216 $5,216 2.0×
Control Nasal Hemorrhage Anterior Complex (30903) $348 $348 2.1×
Control Nasal Hemorrhage Anterior Simple (30901) $401 $401 2.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $342 $342 2.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $613 $613 2.1×
Cysto Bladder W/Ureteral Catheterization (52005) $5,369 $5,369 2.1×
Cystourethroscopy (52000) $1,710 $1,710 2.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $7,108 $7,108 2.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,575 $1,575 1.7×
Debride nail 1-5 (11720) $154 $154 2.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,277 $4,277 2.1×
Destruction of skin lesions (17106) $950 $950 1.9×
Drainage external auditory canal abscess (69020) $1,760 $1,760 2.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,762 $1,762 2.0×
Drainage Finger Abscess Complicated (26011) $4,277 $4,277 2.1×
Drainage Mouth Roof Lesion (42000) $614 $614 2.1×
Drainage of finger abscess simple (26010) $1,107 $1,107 4.4×
Drainage of gum lesion (41800) $412 $412 2.5×
Drainage of hematoma/fluid (10140) $3,647 $3,647 1.8×
Drainage of scrotal wall abscess (55100) $4,060 $4,060 2.0×
Drainage of scrotum (54700) $5,191 $5,191 2.0×
Draw Blood Off Venous Device (36591) $94 $94 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,841 $1,841 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $302 $302 1.2×
Egd Flexible Foreign Body Removal (43247) $2,271 $2,271 2.0×
Egd guide wire insertion (43248) $2,271 $2,271 2.0×
Endometrial Biopsy (58100) $499 $499 2.0×
Evacuation of subungual hematoma (11740) $144 $144 0.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,790 $1,790 2.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $4,277 $4,277 2.1×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $5,122 $5,122 2.0×
Excision/curettage cyst/tumor phalanx finger (26210) $4,233 $4,233 2.1×
Exploration penetrating wound spx extremity (20103) $1,890 $1,890 0.9×
Fine needle aspiration without imaging guidance (10021) $1,024 $1,024 2.0×
Fluid Pressure Muscle (20950) $1,841 $1,841 2.1×
Fluoro exam of g/colon tube (49465) $682 $682 2.3×
I&d abscess simple (10060) $502 $502 2.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $7,115 $7,115 2.0×
I&d pilonidal cyst complicated (10081) $3,652 $3,652 4.1×
I&d pilonidal cyst simple (10080) $683 $683 0.8×
Ileoscopy Stoma W/Balloon Dilation (44381) $4,801 $4,801 2.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,271 $2,271 2.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,271 $2,271 2.0×
Incise external hemorrhoid (46083) $645 $645 2.1×
Incision & drainage abscess complicated/multiple (10061) $614 $614 1.2×
Incision & removal foreign body subq tiss compl (10121) $4,060 $4,060 2.0×
Incision & removal foreign body subq tiss simple (10120) $999 $999 2.0×
Incision and drainage of bartholin's gland abscess (56420) $417 $417 1.7×
Incision and drainage of vulva or perineal abscess (56405) $2,704 $2,704 7.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $4,745 $4,745 2.3×
Initial Tx 1st Degree Burn Local Tx (16000) $302 $302 1.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $750 $750 2.0×
Injection single/mlt trigger point 1/2 muscles (20552) $102 $102 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $750 $750 2.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,180 $1,180 1.3×
Insert Bladder Cath Complex (51703) $551 $551 3.4×
Insert non-tunnel cv cath (36556) $2,995 $2,995 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $4,274 $4,274 2.2×
Insert Temp Bladder Cath (51702) $206 $206 1.2×
Insert tunneled cv cath (36561) $7,593 $7,593 1.9×
Insert,Non-Indwelling Bladder Catheter (51701) $207 $207 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $4,274 $4,274 2.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,828 $2,828 0.7×
Insj Picc Rs&I <5 Yr (36572) $4,274 $4,274 5.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $4,274 $4,274 2.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $8,773 $8,773 2.2×
Intraoral i&d tongue/floor sublngl supfc (41005) $613 $613 2.1×
Intraoral i&d tongue/floor submndblr space (41008) $7,843 $7,843 1.9×
Intubation endotracheal emergency procedure (31500) $460 $460 1.6×
Laryngoscopy flexible diagnostic (31575) $497 $497 2.0×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $1,609 $1,609 3.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $651 $651 1.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,381 $2,381 2.2×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $8,372 $8,372 2.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $17,912 $17,912 2.0×
Partial Excision Distal Phalanx Finger (26236) $4,118 $4,118 2.1×
Pericardiocentesis W/Imaging (33016) $3,884 $3,884 2.0×
Punch biopsy skin single lesion (11104) $580 $580 1.1×
Puncture aspiration abscess hematoma bulla/cyst (10160) $549 $549 1.1×
Removal Foreign Body Deep Thigh/Knee (27372) $7,121 $7,121 2.0×
Removal Foreign Body Foot Subcutaneous (28190) $1,892 $1,892 2.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,862 $3,862 1.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $117 $117 1.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $165 $165 2.2×
Removal of nail bed (11750) $754 $754 1.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $602 $602 2.4×
Removal/bivalving gauntlet boot/body cast (29700) $674 $674 1.9×
Remove Forearm Foreign Body (25248) $6,005 $6,005 3.0×
Remove foreign body from eye (65205) $304 $304 1.8×
Remove Intrauterine Device (58301) $804 $804 2.1×
Remove Nasal Foreign Body (30300) $224 $224 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $3,690 $3,690 4.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,794 $1,794 3.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,004 $2,004 3.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,573 $1,573 3.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,062 $2,062 4.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $894 $894 1.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,140 $1,140 2.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,035 $1,035 2.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,224 $1,224 2.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,573 $1,573 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $520 $520 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,557 $1,557 3.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $772 $772 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $999 $999 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $534 $534 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,505 $1,505 3.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $990 $990 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,168 $1,168 2.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $6,564 $6,564 1.6×
Repair tongue laceration (41252) $2,418 $2,418 8.2×
Repair tongue laceration (41250) $323 $323 0.6×
Replace duodenostomy/jejunostomy tube perq (49451) $2,271 $2,271 2.0×
Replace g/c tube perc (49450) $2,271 $2,271 2.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $5,742 $5,742 3.0×
Rmvl embedded fb vestibule mouth comp (40805) $1,378 $1,378 2.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,168 $1,168 2.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $318 $318 1.9×
Rmvl fecal impaction/fb spx under anes (45915) $2,948 $2,948 2.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $4,277 $4,277 2.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,546 $1,546 2.0×
Rplc Gtube No Revj Trc (43762) $314 $314 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $4,006 $4,006 2.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $502 $502 2.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $612 $612 2.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,378 $1,378 2.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,819 $3,819 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $502 $502 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $599 $599 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $502 $502 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $375 $375 1.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $879 $879 3.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $623 $623 2.5×
Skin Pinch Graft (15050) $1,571 $1,571 1.7×
Small bowel endoscopy (44384) $8,560 $8,560 3.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $502 $502 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $459 $459 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $433 $433 0.9×
Strapping ankle (29540) $431 $431 2.1×
Strapping elbow or wrist (29260) $115 $115 1.6×
Strapping hand/finger (29280) $171 $171 2.3×
Strapping Hip (29520) $321 $321 1.9×
Strapping knee (29530) $342 $342 2.1×
Strapping toes (29550) $154 $154 2.1×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $5,851 $5,851 2.0×
Therapeutic plasma exchange (36514) $4,034 $4,034 2.1×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $5,064 $5,064 2.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $613 $613 2.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $3,819 $3,819 2.0×
Treat Dental Ridge Fracture (21440) $8,062 $8,062 1.9×
Treat dislocation/fracture (23680) $37,422 $37,422 2.3×
Treat Hip Socket Fracture (27222) $611 $611 2.0×
Treat humerus fracture (24500) $879 $879 2.9×
Treat humerus fracture (23600) $918 $918 3.0×
Treat knee fracture (27532) $617 $617 0.2×
Treat Knuckle Dislocation (26700) $657 $657 2.1×
Treat Metatarsal Fracture (28475) $592 $592 1.9×
Treatment Closed Elbow Dislocation Req Anes (24605) $4,021 $4,021 2.0×
Trim skin lesion (11055) $507 $507 2.0×
Trim skin lesions 2 to 4 (11056) $507 $507 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,573 $1,573 1.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,829 $3,829 1.9×
Unlisted procedure humerus/elbow (24999) $562 $562 1.8×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $612 $612 2.1×
Vaginal delivery only (59409) $7,761 $7,761 1.9×
Wedge excision skin nail fold (11765) $1,029 $1,029 2.0×

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.