Procedures & surgery prices at Diley Ridge Medical Center

Canal Winchester, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $172.25 $265 1.1×
Application Finger Splint Dynamic (29131)
range across 3 matching MRF lines
$95.55–$143.65 $147–$221 varies
Application finger splint static (29130)
range across 3 matching MRF lines
$128.70–$193.05 $198–$297 varies
Application long arm splint shoulder hand (29105)
range across 6 matching MRF lines
$165.10–$247.65 $254–$381 varies
Application Short Arm Splint Dynamic (29126)
range across 3 matching MRF lines
$194.35–$291.85 $299–$449 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$161.20–$241.80 $248–$372 varies
Apply Multlay Comprs Lwr Leg (29581) $289.90 $446 1.9×
Arterial puncture (36600) $251.55 $387 2.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$300.30–$450.45 $462–$693 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$531.70–$797.55 $818–$1,227 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines
$570.05–$855.40 $877–$1,316 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$1,476.15–$2,214.55 $2,271–$3,407 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines
$774.80–$1,162.20 $1,192–$1,788 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $593.45 $913 0.7×
Bladder Irrigation (51700) $430.95 $663 1.8×
Bladder Scan (51798) $95.55 $147 1.7×
Blood Transfusion Service (36430) $1,275.30 $1,962 3.0×
Bx breast 1st lesion mr imag (19085)
range across 3 matching MRF lines
$2,431.65–$3,647.80 $3,741–$5,612 varies
Bx breast 1st lesion strtctc (19081) $3,890.90 $5,986 2.4×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines
$2,608.45–$3,913 $4,013–$6,020 varies
Catheter aspiration nasotracheal spx (31720) $157.95 $243 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines
$1,184.30–$1,776.45 $1,822–$2,733 varies
Collect Blood From Catheter Venous Nos (36592) $108.55 $167 0.8×
Collection of venous blood by venipuncture (36415) $18.85 $29 2.0×
Complex drainage wound (10180) $2,080 $3,200 0.7×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines
$163.15–$245.05 $251–$377 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,293.90 $6,606 2.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,109.55 $1,707 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,538.55 $2,367 3.9×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines
$2,151.50–$3,227.25 $3,310–$4,965 varies
Dilat Xst Trc New Access Rcs (50437)
range across 3 matching MRF lines
$4,550–$6,825 $7,000–$10,500 varies
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines
$475.15–$713.05 $731–$1,097 varies
Drainage of finger abscess simple (26010) $238.55 $367 1.2×
Drainage of gum lesion (41800) $531.70 $818 4.1×
Drainage of hematoma/fluid (10140) $1,431.95 $2,203 0.9×
Draw Blood Off Venous Device (36591) $112.45 $173 0.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 4 matching MRF lines
$2,639.65–$3,959.80 $4,061–$6,092 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $2,132.65 $3,281 3.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,155.05 $1,777 0.7×
Fasciotomy, foot and/or toe (28008)
range across 4 matching MRF lines
$3,003–$4,504.50 $4,620–$6,930 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $962.65 $1,481 1.4×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $900.90 $1,386 1.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $797.55 $1,227 1.2×
Fna bx w/us gdn 1st les (10005) $1,826.50 $2,810 2.7×
I&d abscess simple (10060) $316.55 $487 1.6×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 3 matching MRF lines
$2,102.10–$3,153.15 $3,234–$4,851 varies
I&d pilonidal cyst simple (10080) $475.80 $732 0.7×
Incision and drainage of bartholin's gland abscess (56420) $192.40 $296 1.0×
Incisional biopsy skin single lesion (11106) $464.10 $714 0.7×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines
$960.05–$1,440.40 $1,477–$2,216 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 3 matching MRF lines
$988–$1,482 $1,520–$2,280 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 3 matching MRF lines
$1,459.25–$2,189.20 $2,245–$3,368 varies
Insert Temp Bladder Cath (51702) $216.45 $333 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $120.90 $186 0.9×
Intubation endotracheal emergency procedure (31500) $420.55 $647 1.8×
Laryngoscopy flexible diagnostic (31575) $294.45 $453 1.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $32.50 $50 1.2×
Needle insertion w/o injection 3 or more muscles (20561) $37.70 $58 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $957.45 $1,473 2.3×
Pericardiocentesis W/Imaging (33016) $1,276.60 $1,964 0.8×
Perq dev breast 1st mr guide (19287)
range across 3 matching MRF lines
$814.45–$1,222 $1,253–$1,880 varies
Perq dev breast 1st strtctc (19283)
range across 3 matching MRF lines
$1,325.35–$1,988.35 $2,039–$3,059 varies
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines
$2,023.45–$3,035.50 $3,113–$4,670 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$1,350.70–$2,026.05 $2,078–$3,117 varies
Perq dilation xst trc endourologic px w/img (50436)
range across 3 matching MRF lines
$2,704.65–$4,057.30 $4,161–$6,242 varies
Placement of needle for intraosseous infusion (36680) $450.45 $693 1.0×
Punch biopsy skin single lesion (11104) $465.40 $716 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $332.15 $511 0.8×
Rplc Gtube No Revj Trc (43762) $360.75 $555 1.5×
Rplc gtube revj gstrst trc (43763) $376.35 $579 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $193.70 $298 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $241.15 $371 1.2×
Tangential biopsy skin single lesion (11102) $196.30 $302 0.5×
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 3 matching MRF lines
$3,003–$4,504.50 $4,620–$6,930 varies
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)
range across 3 matching MRF lines
$2,252.25–$3,378.70 $3,465–$5,198 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,402.05 $2,157 2.1×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $9,907.95 $15,243 0.8×
Wound Prep F/N/Hf/G (15004) $508.95 $783 1.3×
Wound Prep Trk/Arm/Leg (15002) $1,344.20 $2,068 1.9×

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.