Procedures & surgery prices at Fillmore County Hospital

Geneva, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $965 $965 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $257 $257 0.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $159 $159 0.9×
Application long arm splint shoulder hand (29105) $314 $314 1.9×
Application short leg splint calf foot (29515) $159 $159 0.9×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $19–$380 $19–$380 varies
Arterial puncture (36600) $132 $132 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $115 $115 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $318 $318 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $353 $353 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $127 $127 0.4×
Aspirate pleura w/ imaging (32555) $1,208 $1,208 1.9×
Aspirate Pleura W/O Imaging (32554) $31 $31 0.0×
Aspirate/Inj Ganglion Cyst (20612) $146 $146 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $71 $71 0.3×
Biopsy bone trocar/needle deep (20225) $2,250 $2,250 1.3×
Biopsy Bone Trocar/Needle Superficial (20220) $1,100 $1,100 0.6×
Biopsy external ear (69100) $52 $52 0.2×
Biopsy of liver, needle; percutaneous (47000) $300 $300 0.2×
Biopsy of palate, uvula (42100) $500 $500 0.3×
Biopsy Salivary Gland Needle (42400) $1,150 $1,150 1.6×
Biopsy Tongue Anterior Two-Thirds (41100) $1,300 $1,300 2.3×
Biopsy, vestibule of mouth (40808) $161 $161 0.3×
Bladder instillation anticarcinogenic agent (51720) $740 $740 1.0×
Bladder Irrigation (51700) $12 $12 0.0×
Bladder Scan (51798) $41 $41 0.7×
Blood Transfusion Service (36430) $1,000 $1,000 2.2×
Bone Marrow Biopsy (38221) $180 $180 0.1×
Bx breast 1st lesion us imag (19083) $2,492 $2,492 1.5×
Chemical Cautery Tissue (17250) $44 $44 0.2×
Chemodenerv Musc Migraine (64615) $728 $728 2.3×
Chest tube placement (32551) $500 $500 0.3×
Circumcision w/clamp/oth dev w/block (54150) $1,000 $1,000 0.5×
Clear outer ear canal (69200) $169 $169 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,807 $1,807 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $680 $680 2.7×
Cltx metacarpal fx w/manipulation each bone (26605) $399 $399 1.6×
Collect Blood From Catheter Venous Nos (36592) $109 $109 0.8×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $35–$40 $35–$40 varies
Colonoscopy w/ablation (45388) $2,260 $2,260 1.8×
Colonoscopy W/Band Ligation (45398) $2,289 $2,289 1.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $138 $138 0.4×
Colposcopy Vulva W/Biopsy (56821) $166 $166 0.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $3,640 $3,640 2.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $3,423 $3,423 2.8×
Control Nasal Hemorrhage Anterior Complex (30903) $600 $600 4.3×
Control Nasal Hemorrhage Anterior Simple (30901) $196 $196 1.4×
Debride nail 1-5 (11720) $4 $4 0.1×
Debride nail 6 or more (11721) $7 $7 0.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $217 $217 0.5×
Declot vascular device (36593) $55 $55 0.2×
Destruct B9 Lesion 1-14 (17110) $236 $236 1.1×
Destruction Benign Lesions 15/> (17111) $165 $165 0.8×
Destruction by neurolytic agent; plantar common digital nerve (64632) $125 $125 0.4×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $173 $173 0.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $52 $52 0.2×
Destruction neurolytic agt genicular nerve w/img (64624) $3,000 $3,000 1.5×
Destruction Premalignant Lesion 15/> (17004) $59 $59 0.1×
Destruction premalignant lesion 1st (17000) $125 $125 0.6×
Diagnostic sigmoidoscopy (45330) $888 $888 0.9×
Drainage of skene's gland abscess or cyst (53060) $196 $196 0.1×
Draw Blood Off Venous Device (36591) $197 $197 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,419 $1,419 1.5×
Dx Bone Marrow Bx & Aspir (38222) $949 $949 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,115 $1,115 1.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,867 $2,867 1.4×
Egd cautery tumor polyp (43250) $2,190 $2,190 1.1×
Egd dilation gastric/duodenal stricture (43245) $1,770 $1,770 0.9×
Egd Flexible Foreign Body Removal (43247) $2,320 $2,320 2.5×
Egd place gastrostomy tube (43246) $2,080 $2,080 1.0×
Egd remove lesion snare (43251) $2,270 $2,270 1.1×
Electro-Uroflowmetry First (51741) $13 $13 0.1×
Endometrial Biopsy (58100) $220 $220 1.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $6,750 $6,750 2.1×
Epidural Blood Patch (62273) $754 $754 1.0×
Evacuation of subungual hematoma (11740) $129 $129 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $498 $498 0.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $134 $134 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $242 $242 0.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $350 $350 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $289 $289 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $235 $235 0.1×
Exc Hand Les Sc < 1.5 Cm (26115) $585 $585 0.3×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $645 $645 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $255 $255 0.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,685 $3,685 1.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $260 $260 0.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $337 $337 0.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $740 $740 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $6,557 $6,557 3.8×
External cephalic version (59412) $2,276 $2,276 0.7×
Fasciotomy, foot and/or toe (28008) $2,063 $2,063 0.6×
Fetal non-stress test (59025) $414 $414 2.0×
Fine needle aspiration without imaging guidance (10021) $194 $194 0.5×
Fna bx w/us gdn 1st les (10005) $1,478 $1,478 2.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $200 $200 0.2×
I&d abscess simple (10060) $225 $225 1.1×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $184–$365 $184–$365 varies
Incise finger tendon sheath (26055) $927 $927 0.6×
Incision & removal foreign body subq tiss compl (10121) $1,890 $1,890 1.1×
Incision & removal foreign body subq tiss simple (10120) $337 $337 0.8×
Incision of eardrum (69420) $421 $421 1.7×
Incision of labial frenum (frenotomy) (40806) $57 $57 0.1×
Incision of lingual frenum (frenotomy) (41010) $4,250 $4,250 2.6×
Incision of rectal abscess (46040) $1,946 $1,946 1.6×
Incisional biopsy skin single lesion (11106) $58 $58 0.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,871 $1,871 2.0×
Inj W/Fluor Eval Cv Device (36598) $608 $608 2.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,735 $1,735 1.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $208 $208 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,196 $1,196 1.3×
Injection Anes Agent Sphenopalatine Ganglion (64505) $189 $189 0.6×
Injection single tendon origin/insertion (20551) $121 $121 0.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $343–$458 $343–$458 varies
Injection single/mlt trigger point 3/> muscles (20553) $439 $439 1.4×
Injection therapeutic carpal tunnel (20526) $320 $320 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $596 $596 0.8×
Injection, intralesional; up to and including 7 lesions (11900) $94 $94 0.5×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,900 $1,900 2.1×
Insert cervical dilator (59200) $345 $345 1.1×
Insert non-tunnel cv cath (36556) $1,650 $1,650 0.5×
Insert Temp Bladder Cath (51702) $90 $90 0.7×
Insert tunneled cv cath (36561) $5,000 $5,000 1.5×
Insert,Non-Indwelling Bladder Catheter (51701) $90 $90 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,846 $2,846 1.7×
Intubation endotracheal emergency procedure (31500) $490 $490 2.0×
Laryngoscopy flexible diagnostic (31575) $245 $245 1.2×
Myelography Lumbar Injection (62304) $835 $835 1.0×
N block inj intercost sng (64420) $890 $890 1.2×
N Block Inj Plantar Digit (64455) $122 $122 0.4×
Nasal Endoscopy Dx (31231) $375 $375 1.8×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $464 $464 0.3×
Needle Biopsy Lymph Nodes (38505) $1,500 $1,500 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $225 $225 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,200 $2,200 2.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,620 $1,620 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,702 $1,702 2.3×
Njx Sclrsnt 1 Incmptnt Vein (36470) $425 $425 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $425 $425 1.0×
Njx Sclrsnt Spider Veins (36468) $200 $200 0.5×
Open bone biopsy (20250) $552 $552 0.2×
Perq Cervicothoracic Inject (22510) $4,500 $4,500 1.3×
Perq Lumbosacral Injection (22511) $4,500 $4,500 1.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,118 $7,118 0.9×
Perq Vertebral Augmentation (22513) $6,531 $6,531 0.9×
Placement of needle for intraosseous infusion (36680) $787.50 $787.50 1.7×
Punch biopsy skin single lesion (11104) $167 $167 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $306 $306 0.7×
Puncture Aspiration Cyst Breast (19000) $368 $368 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $26 $26 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $116 $116 1.9×
Removal Implant Superficial Separate Procedure (20670) $2,365 $2,365 1.4×
Removal of infusion pump (36262) $233 $233 0.1×
Removal of nail bed (11750) $73 $73 0.2×
Removal/bivalving gauntlet boot/body cast (29700) $115 $115 0.4×
Remove drug implant device (11982) $33 $33 0.1×
Remove Intrauterine Device (58301) $250 $250 0.8×
Remove Tendon Sheath Lesion (26160) $1,003 $1,003 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,062 $1,062 2.5×
Repair Elbow Perc (24357) $1,995 $1,995 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $258 $258 0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $650 $650 1.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,612 $1,612 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,425 $1,425 2.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,110 $2,110 1.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $150 $150 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $177 $177 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $161 $161 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $184 $184 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $129 $129 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $215 $215 1.0×
Sigmoidoscopy & Polypectomy (45333) $1,850 $1,850 1.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,570 $1,570 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $189 $189 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $345 $345 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $252 $252 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $386 $386 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $395 $395 1.9×
Skin sub graft trnk/arm/leg (15271) $45 $45 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $414 $414 2.0×
Strapping toes (29550) $7 $7 0.1×
Tangential biopsy skin single lesion (11102) $136 $136 0.3×
Tenotomy Adductor Hip Percutaneous Spx (27000) $1,918 $1,918 1.1×
Tenotomy Percutaneous Toe Single Tendon (28010) $166 $166 0.1×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,020 $2,020 1.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,664 $1,664 2.3×
Thyroid biopsy (60100) $926 $926 1.3×
Treat Thumb Dislocation (26641) $135 $135 0.5×
Trim skin lesion (11055) $57 $57 0.3×
Trim skin lesions 2 to 4 (11056) $6 $6 0.0×
Trimming Nondystrophic Nails Any Number (11719) $5 $5 0.1×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $410 $410 0.2×
Unlisted procedure nervous system (64999) $224 $224 0.7×
Vulvectomy simple partial (56620) $2,103 $2,103 0.6×

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.