Procedures & surgery prices at Door County Medical Center
Sturgeon Bay, WI · every code in this section with a posted price and a Medicare benchmark.
194 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,626.75 | $2,169 | 1.8× |
| Anoscopy diagnostic (46600) | $170.25 | $227 | 1.3× |
| Application cast elbow finger short arm (29075) | $277.50 | $370 | 1.0× |
| Application finger splint static (29130) | $165.75 | $221 | 1.3× |
| Application long arm splint shoulder hand (29105) | $347.25 | $463 | 2.2× |
| Application Long Leg Splint (29505) | $320.25 | $427 | 2.0× |
| Application short arm splint forearm-hand static (29125) | $274.50 | $366 | 2.1× |
| Application short leg splint calf foot (29515) | $250.50 | $334 | 1.6× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$279–$423 | $372–$564 | varies |
| Arterial puncture (36600) | $139.50 | $186 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$132–$598.50 | $176–$798 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 11 matching MRF lines |
$141–$897 | $188–$1,196 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $564.75 | $753 | 1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$124.50–$897 | $166–$1,196 | varies |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $789 | $1,052 | 0.5× |
| Aspirate pleura w/ imaging (32555) | $1,382.25 | $1,843 | 2.3× |
| Aspirate Pleura W/O Imaging (32554) | $1,448.25 | $1,931 | 2.4× |
| Avulsion nail plate partial/complete simple 1 (11730) | $263.25 | $351 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$132–$1,593.75 | $176–$2,125 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $351.75 | $469 | 0.4× |
| Bladder Irrigation (51700) | $540 | $720 | 2.2× |
| Bladder Scan (51798) range across 5 matching MRF lines |
$128.25–$272.25 | $171–$363 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $652.50 | $870 | 2.1× |
| Blood Transfusion Service (36430) | $1,015.50 | $1,354 | 2.4× |
| Bone Marrow; Aspiration Only (38220) | $2,415.75 | $3,221 | 1.5× |
| Bx breast 1st lesion strtctc (19081) | $2,906.25 | $3,875 | 1.8× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,100.25–$1,650.75 | $1,467–$2,201 | varies |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $1,939.50 | $2,586 | 0.6× |
| Carpal Tunnel Surgery (64721) | $2,273.25 | $3,031 | 1.2× |
| Cataract surgery complex (66982) | $4,254 | $5,672 | 1.9× |
| Catheter aspiration nasotracheal spx (31720) | $250.50 | $334 | 1.2× |
| Change Cystostomy Tube Simple (51705) | $486 | $648 | 2.0× |
| Chemical Cautery Tissue (17250) | $477.75 | $637 | 2.5× |
| Chest tube placement (32551) | $2,317.50 | $3,090 | 1.5× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$294.75–$315 | $393–$420 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $449.78 | $599.70 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $825.75 | $1,101 | 3.4× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $1,194 | $1,592 | 5.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $930.75 | $1,241 | 3.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,015.25 | $2,687 | 1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $880.50 | $1,174 | 3.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,182 | $1,576 | 4.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $1,110.75 | $1,481 | 4.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,134.75 | $1,513 | 4.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $402.75 | $537 | 1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $714 | $952 | 3.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,062 | $1,416 | 4.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$999.75–$2,334.75 | $1,333–$3,113 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $532.50 | $710 | 2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $525.75 | $701 | 2.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $1,068 | $1,424 | 4.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $1,788.75 | $2,385 | 7.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $572.25 | $763 | 2.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,400.60 | $3,200.80 | 1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$364.50–$971.25 | $486–$1,295 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $845.25 | $1,127 | 3.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,306.50 | $1,742 | 5.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $500.25 | $667 | 2.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,884.75 | $2,513 | 1.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,765.50 | $2,354 | 1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,404.75 | $1,873 | 0.9× |
| Collection of venous blood by venipuncture (36415) | $30.75 | $41 | 3.3× |
| Colonoscopy W/Band Ligation (45398) | $3,980.25 | $5,307 | 3.4× |
| Colonoscopy W/Resection (45390) | $4,183.50 | $5,578 | 1.6× |
| Colonoscopy w/submucosal inj (45381) | $2,349.75 | $3,133 | 2.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $669 | $892 | 2.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $599.25 | $799 | 2.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,421 | $3,228 | 2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$309.75–$465 | $413–$620 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $309.75 | $413 | 2.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,593.75 | $2,125 | 2.2× |
| Debride nail 1-5 (11720) | $67.50 | $90 | 1.2× |
| Debride nail 6 or more (11721) | $112.50 | $150 | 2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$414–$858 | $552–$1,144 | varies |
| Declot vascular device (36593) | $634.50 | $846 | 2.0× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$2,101.50–$3,152.25 | $2,802–$4,203 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,312.25–$3,467.25 | $3,083–$4,623 | varies |
| Destruct B9 Lesion 1-14 (17110) | $168.75 | $225 | 0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$4,760.25–$7,140 | $6,347–$9,520 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$555–$575.25 | $740–$767 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$298.50–$3,978.75 | $398–$5,305 | varies |
| Draw Blood Off Venous Device (36591) | $250.50 | $334 | 1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $749.10 | $998.80 | 1.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$918–$1,377 | $1,224–$1,836 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,353.50 | $3,138 | 1.3× |
| Egd Flexible Foreign Body Removal (43247) | $2,049.75 | $2,733 | 2.3× |
| Egd guide wire insertion (43248) | $1,859.25 | $2,479 | 2.1× |
| Egd remove lesion snare (43251) | $2,925 | $3,900 | 1.6× |
| Endometrial Biopsy (58100) | $384.75 | $513 | 2.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $5,975.25 | $7,967 | 1.9× |
| Endoven ther chem adhes 1st (36482) | $7,689 | $10,252 | 1.4× |
| Epidural Blood Patch (62273) | $1,306.50 | $1,742 | 1.9× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $2,277.75 | $3,037 | 1.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $269.25 | $359 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $355.50 | $474 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $448.50 | $598 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $335.25 | $447 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $383.25 | $511 | 0.6× |
| Exploration penetrating wound spx extremity (20103) | $981.75 | $1,309 | 0.6× |
| External cephalic version (59412) | $493.50 | $658 | 0.2× |
| Fetal non-stress test (59025) | $381 | $508 | 1.9× |
| I&d abscess simple (10060) range across 7 matching MRF lines |
$262.50–$514.50 | $350–$686 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$2,239.50–$4,233.75 | $2,986–$5,645 | varies |
| I&d pilonidal cyst simple (10080) | $392.25 | $523 | 0.6× |
| Implant neuroelectrodes (63650) | $10,755.75 | $14,341 | 1.7× |
| Incise external hemorrhoid (46083) | $1,772.25 | $2,363 | 7.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$297.75–$819 | $397–$1,092 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$458.25–$690.75 | $611–$921 | varies |
| Incision of rectal abscess (46040) | $2,688 | $3,584 | 2.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $388.50 | $518 | 2.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,008.50–$3,012.75 | $2,678–$4,017 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$231.75–$324 | $309–$432 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$1,860.75–$2,791.50 | $2,481–$3,722 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,731–$2,596.50 | $2,308–$3,462 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$474.75–$711.75 | $633–$949 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$1,551–$2,326.50 | $2,068–$3,102 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $284.25 | $379 | 1.0× |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$266.25–$576.75 | $355–$769 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,075.50 | $1,434 | 1.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 5 matching MRF lines |
$1,298.25–$1,947 | $1,731–$2,596 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$269.25–$1,656.75 | $359–$2,209 | varies |
| Insert non-tunnel cv cath (36556) | $1,631.25 | $2,175 | 0.5× |
| Insert Temp Bladder Cath (51702) | $204.75 | $273 | 1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $204.75 | $273 | 1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,330.25 | $3,107 | 1.5× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $19,119.75 | $25,493 | 0.6× |
| Intubation endotracheal emergency procedure (31500) | $1,015.50 | $1,354 | 4.4× |
| Lap paraesoph her rpr w/mesh (43282) | $7,432.50 | $9,910 | 0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $14,160.75 | $18,881 | 2.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,283.25 | $1,711 | 1.9× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$1,283.25–$1,924.50 | $1,711–$2,566 | varies |
| Needle Biopsy Lymph Nodes (38505) | $721.50 | $962 | 0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $15 | $20 | 0.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $30 | $40 | 1.1× |
| Nfct agt sti chlmyd gonorr trich mult amp prb ur (0455U) | $258.53 | $344.70 | 1.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $369 | $492 | 0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$1,428–$2,142 | $1,904–$2,856 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,262.25 | $1,683 | 1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,308.75 | $1,745 | 1.9× |
| Perq dev breast 1st us imag (19285) | $1,388.25 | $1,851 | 2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $10,443 | $13,924 | 1.5× |
| Perq Vertebral Augmentation (22513) | $11,171.25 | $14,895 | 1.6× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$451.50–$582.75 | $602–$777 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $832.50 | $1,110 | 2.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$87–$214.50 | $116–$286 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$158.25–$236.25 | $211–$315 | varies |
| Removal of foreign body from pharynx (42809) | $1,404.75 | $1,873 | 3.2× |
| Removal of nail bed (11750) | $510 | $680 | 1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $224.25 | $299 | 1.2× |
| Remove foreign body from eye (65205) | $246.75 | $329 | 1.9× |
| Remove Nasal Foreign Body (30300) | $297 | $396 | 2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,521 | $2,028 | 3.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $650.25 | $867 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $867.75 | $1,157 | 2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $670.50 | $894 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,170 | $1,560 | 1.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $749.10 | $998.80 | 1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $417 | $556 | 1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $695.25 | $927 | 1.8× |
| Repair tongue laceration (41250) | $741.75 | $989 | 1.7× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $8,625 | $11,500 | 2.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $234.75 | $313 | 0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $362.25 | $483 | 2.8× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $3,053.25 | $4,071 | 1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $717 | $956 | 3.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,709.48 | $2,279.30 | 1.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,434.75 | $1,913 | 1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $180 | $240 | 0.9× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $2,071.50 | $2,762 | 1.8× |
| Sigmoidoscopy W/Resection (45349) | $4,183.50 | $5,578 | 1.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $810 | $1,080 | 0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$342.75–$439.50 | $457–$586 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $500.25 | $667 | 2.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $505.50 | $674 | 2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$343.50–$477.75 | $458–$637 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$480.75–$558 | $641–$744 | varies |
| Skin sub graft face/nk/hf/g (15275) | $2,390.25 | $3,187 | 3.3× |
| Skin sub graft trnk/arm/leg (15271) | $956.25 | $1,275 | 1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$405.75–$475.50 | $541–$634 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$603–$702 | $804–$936 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $677.25 | $903 | 1.7× |
| Spinal puncture lumbar diagnostic (62270) | $504 | $672 | 0.7× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$74.25–$372.75 | $99–$497 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,164.75 | $1,553 | 0.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,248.75 | $1,665 | 0.8× |
| Total Knee Arthroplasty (27447) | $16,719.75 | $22,293 | 1.3× |
| Treat humerus fracture (24500) | $1,245.75 | $1,661 | 5.2× |
| Treat humerus fracture (23600) | $1,278 | $1,704 | 5.3× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,404 | $1,872 | 5.9× |
| Trim skin lesion (11055) | $55.50 | $74 | 0.3× |
| Trim skin lesions 2 to 4 (11056) | $162.75 | $217 | 0.8× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $1,301.25 | $1,735 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $701.25 | $935 | 1.0× |
| Unlisted procedure nervous system (64999) | $1,324.50 | $1,766 | 4.4× |
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.