Procedures & surgery prices at East Adams Rural Hospital

Ritzville, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Application finger splint static (29130) $99.48 $132.64 0.7×
Application long arm splint shoulder hand (29105) $149.99 $199.98 0.8×
Application short arm splint forearm-hand static (29125) $131.54 $175.38 0.9×
Apply long leg splint (29505) $234.85 $313.13 1.3×
Apply short leg splint (29515) $182.24 $242.98 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $202.32 $269.77 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $354.57 $472.76 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $288.98 $385.31 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $397.90 $530.53 1.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $190 $253.34 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $145.58 $194.10 0.7×
Bladder Irrigation Simple (51700) $175.44 $233.92 0.6×
Blood patch (62273) $1,173.02 $1,564.03 1.5×
Change of cystostomy tube simple (51705) $525.30 $700.40 1.9×
Chemical cautery tissue (17250) $179.67 $239.56 0.8×
Chemodenerv musc migraine (64615) $197.46 $263.28 0.6×
Chemodenerv Musc Neck Dyston (64616) $507.20 $676.26 1.5×
Chemodenervation of one extremity; 1-4 muscle(s) (64642) $408.23 $544.31 0.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $280.24 $373.65 0.8×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $1,829.69 $2,439.58 1.0×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,645.84 $2,194.44 0.9×
Closed tx radial&ulnar shaft fractures w/manj (25565) $1,371.88 $1,829.18 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $386.70 $515.60 1.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $885.68 $1,180.92 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $733.10 $977.48 2.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,122.62 $1,496.82 0.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $714.82 $953.10 2.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $474 $632 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $209.17 $278.89 0.8×
Collect Blood From Catheter Venous Nos (36592) $199.94 $266.58 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $369.56 $492.74 2.5×
Control Nasal Hemorrhage Anterior Simple (30901) $212.21 $282.95 1.4×
Debride nail 6 or more (11721) $73.10 $97.46 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $395.30 $527.06 0.9×
Declot vascular device (36593) $888.01 $1,184.02 2.4×
Destroy cerv/thor facet jnt (64633) $1,674.27 $2,232.36 0.8×
Destroy lumb/sac facet jnt (64635) $1,816.97 $2,422.63 0.8×
Destruction by neurolytic agent, intercostal nerve (64620) $1,307.78 $1,743.70 1.3×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,214.36 $1,619.15 1.2×
Destruction by neurolytic agent; plantar common digital nerve (64632) $632.02 $842.70 1.8×
Destruction neurolytic agt genicular nerve w/img (64624) $1,343.95 $1,791.93 0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $822.43 $1,096.57 1.0×
Drain/inj small joint/bursa w/us (20604) $232.54 $310.05 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $255.99 $341.32 1.1×
Gastric Intubation/Aspiration, Therapeutic (43753) $281.43 $375.24 1.2×
I&d abscess simple (10060) $253.69 $338.26 1.1×
Incision & drainage abscess complicated/multiple (10061) $387.94 $517.24 0.9×
Incision & removal foreign body subq tiss simple (10120) $802.69 $1,070.26 1.8×
Initial tx 1st degree burn local tx (16000) $34.97 $46.63 0.2×
Inj paravert f jnt c/t 1 lev (64490) $982.62 $1,310.16 1.0×
Inj tendon sheath/ligament (20550) $151.05 $201.40 0.4×
Inj therapeutic carpal tunnel (20526) $152.64 $203.52 0.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $550.94 $734.58 0.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,012.04 $1,349.38 1.0×
Inject Nerv Blck,Axillary Nerv (64417) $1,024.36 $1,365.81 1.0×
Inject Nerv Blck,Celiac Plexus (64530) $1,100.28 $1,467.04 1.1×
Inject Nerv Blck,Intercost,Multpl (64421) $769.56 $1,026.08 0.8×
Inject Nerv Blck,Intercostal,One (64420) $998.52 $1,331.36 1.3×
Inject Nerv Blck,Paravert Sympath (64520) $972.68 $1,296.91 1.0×
Inject Tendon Origin/Insert (20551) $149.06 $198.75 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $767.97 $1,023.96 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,035.88 $1,381.18 1.3×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $662.64 $883.51 0.8×
Injection aa&/strd pudendal nerve (64430) $922.60 $1,230.13 0.9×
Injection aa&/strd trigeminal nerve each branch (64400) $319.59 $426.12 0.9×
Injection Anes Agent Sphenopalatine Ganglion (64505) $486.94 $649.25 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $1,256.10 $1,674.80 1.3×
Injection anesthetic agent femoral nerve single (64447) $831.17 $1,108.23 1.1×
Injection anesthetic agent suprascapular nerve (64418) $943.27 $1,257.69 1.2×
Injection into skin lesions (11900) $223.40 $297.86 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $273.88 $365.17 0.8×
Injection single/mlt trigger point 3/> muscles (20553) $307.66 $410.22 0.9×
Injection, Intralesional; More Than 7 Lesions (11901) $114.48 $152.64 0.5×
Insert non-tunnel cv cath (36556) $1,361.96 $1,815.94 0.4×
Insert Temp Bladder Cath (51702) $140.42 $187.23 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $118.07 $157.43 0.8×
Intubation endotracheal emergency procedure (31500) $466.17 $621.56 1.8×
Laryngoscopy diagnostic (31505) $207.96 $277.28 0.9×
N Block Inj Ilio-Ing/Hypogi (64425) $994.54 $1,326.06 1.3×
N Block Inj, Plantar Digit (64455) $188.81 $251.75 0.6×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $52.47 $69.96 0.1×
Njx aa&/strd sciatic nerve (64445) $939.69 $1,252.92 1.2×
Njx anes stellate ganglion crv sympathetic (64510) $1,072.06 $1,429.41 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $905.50 $1,207.34 0.9×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $841.91 $1,122.54 1.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $892.78 $1,190.38 1.1×
Occipital Nerve Block (64405) $403.86 $538.48 1.2×
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846)
likely a partial charge, not the full procedure
$978.67 $1,304.90 0.1×
Placement of needle for intraosseous infusion (36680) $204.02 $272.03 0.4×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $742.52 $990.04 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,705.67 $2,274.23 0.8×
Removal foreign body intranasal (30300) $212.26 $283.02 1.4×
Removal foreign body upper arm/elbow deep (24201) $824.87 $1,099.82 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $44.56 $59.42 0.7×
Removal of arm foreign body (24200) $277.26 $369.69 0.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $183.55 $244.74 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $170.92 $227.89 0.8×
Remv Ext Canal F.B.,Gen Anesth (69205) $269.20 $358.94 0.1×
Remv Ext Canal Foreign Body (69200) $168.20 $224.26 1.1×
Remv F.B.,Eye,Superf Conjunc (65205) $257.44 $343.26 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $812.48 $1,083.30 1.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $465.44 $620.60 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $446.45 $595.26 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $487.37 $649.83 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $657.60 $876.81 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $362.04 $482.72 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $459.06 $612.08 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $453.15 $604.20 1.0×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $168.76 $225 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $310.30 $413.73 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $194.84 $259.78 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $223.22 $297.62 1.0×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $321.44 $428.58 0.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $273.74 $365 1.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $299.68 $399.56 1.3×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $224.19 $298.92 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $190.02 $253.36 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $241.15 $321.53 1.1×
Skin sub graft face/nk/hf/g (15275) $1,510.50 $2,014 1.8×
Skin sub graft trnk/arm/leg (15271) $1,510.50 $2,014 1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $213.20 $284.26 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $339.08 $452.10 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $289.99 $386.65 0.6×
Spinal puncture lumbar diagnostic (62270) $550.94 $734.58 0.7×
Spinal Puncture Therapeutic (62272) $1,280.74 $1,707.66 1.6×
Strapping ankle (29540) $92.24 $122.98 0.5×
Strapping elbow or wrist (29260) $164.17 $218.89 2.5×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $740.15 $986.86 0.9×
Thoracentesis needle/cath pleura w/o imaging (32554) $772.57 $1,030.09 1.1×
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure
$9,812.68 $13,083.58 0.1×
Trnsplj autologous hematopoietic cells per donor (38241) $3,230.48 $4,307.31 1.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $406.25 $541.66 0.5×
Tx superficial wound dehiscence w/packing (12021) $257.75 $343.67 0.6×
Us urine capacity measure (51798) $93.15 $124.20 1.4×
Vaginal delivery only (59409) $4,213.76 $5,618.36 1.2×
Wound Prep F/N/Hf/G (15004) $681.31 $908.42 1.5×