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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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $965 $965 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $257 $257 0.3×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $199.50 $199.50 1.2×
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 arm/hand (29584) $159 $159 0.9×
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×
Aspirat/Injection Ganglion Cyst(S) (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 mouth lesion (40808) $161 $161 0.3×
Biopsy of palate, uvula (42100) $500 $500 0.3×
Biopsy of tongue (41100) $1,300 $1,300 2.3×
Biopsy of uterus lining (58100) $220 $220 1.0×
Biopsy Salivary Gland,Needle (42400) $1,150 $1,150 1.6×
Bladder Instillation Anticarcinogenic Agent (51720) $740 $740 1.0×
Bladder Irrigation Simple (51700) $12 $12 0.0×
Bladder Scan (51798) $41 $41 0.7×
Blood patch (62273) $754 $754 1.0×
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×
Bx/exc lymph node needle superficial (38505) $1,500 $1,500 0.9×
Chemical Cautery Tissue (17250) $44 $44 0.2×
Chemodenerv Musc Migraine (64615) $728 $728 2.3×
Chest tube placement (32551) $500 $500 0.3×
Chg Collect Blood From Catheter Venous Nos (36592) $109 $109 0.8×
Circumcision (54150) $1,000 $1,000 0.5×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $135 $135 0.5×
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×
Colonoscopy flex w/rem forcep (45384) $3,423 $3,423 2.8×
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 - Colonoscopy (45386) $3,640 $3,640 2.9×
Complex Uroflowmetry (51741) $13 $13 0.1×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $608 $608 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×
Destruc Benign/Premal,15+ Lesions (17004) $59 $59 0.1×
Destruction benign lesions 15 or more (17111) $165 $165 0.8×
Destruction Benign Lesions Up To 14 (17110) $236 $236 1.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,419 $1,419 1.5×
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 1st (17000) $125 $125 0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,115 $1,115 1.5×
Diagnostic sigmoidoscopy (45330) $888 $888 0.9×
Drainage skenes gland abscess (53060) $196 $196 0.1×
Draw blood off venous device (36591) $197 $197 1.4×
Dx bone marrow bx & aspir (38222) $949 $949 0.3×
Egd balloon dilation esophagus <30 mm diam (43249) $2,867 $2,867 1.4×
Egd Dilation Gastric/Duodenal Stricture - Egd (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 rem tumr/polyp forcep (43250) $2,190 $2,190 1.1×
Egd remove lesion snare (43251) $2,270 $2,270 1.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $6,750 $6,750 2.1×
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 Face-Mm B9+Marg 2.1-3 Cm (11443) $289 $289 0.2×
Exc hand les sc < 1.5 cm (26115) $585 $585 0.3×
Exc shoulder les sc 3 cm/> (23071) $6,557 $6,557 3.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $255 $255 0.3×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $260 $260 0.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $3,685 $3,685 1.2×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,003 $1,003 0.6×
Excise cutaneous neurofibroma (64788) $645 $645 0.3×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $134 $134 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 of benign lesion other than skin tag 0.6-1.0 cm (11441) $242 $242 0.3×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $350 $350 0.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $235 $235 0.1×
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 bx w/us gdn 1st lesion (10005) $1,478 $1,478 2.0×
Fine needle aspiration without imaging guidance (10021) $194 $194 0.5×
I&d abscess simple (10060) $225 $225 1.1×
I&d pilonidal cyst simple (10080) $274.50 $274.50 0.4×
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 labial frenum frenotomy (40806) $57 $57 0.1×
Incision of eardrum (69420) $421 $421 1.7×
Incision of lingual frenum (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 paravert f jnt c/t 1 lev (64490) $1,871 $1,871 2.0×
Inj tendon sheath/ligament (20550) $208 $208 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,735 $1,735 1.9×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $122 $122 0.4×
Inject Nerv Blck,Intercost,Multpl (64421) $1,196 $1,196 1.3×
Inject Nerv Blck,Intercostal,One (64420) $890 $890 1.2×
Inject Tendon Origin/Insert (20551) $121 $121 0.4×
Injection aa&/strd trigeminal nerve each branch (64400) $225 $225 0.7×
Injection anes other peripheral nerve/branch (64450) $596 $596 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $400.50 $400.50 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $439 $439 1.4×
Injection therapeutic carpal tunnel (20526) $320 $320 1.0×
Injection(s) spider veins (36468) $200 $200 0.5×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $189 $189 0.6×
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×
Ligation of hemorrhoid(s) (46221) $200 $200 0.2×
Liver Biopsy (47000) $300 $300 0.2×
Myelography Lumbar Injection (62304) $835 $835 1.0×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $375 $375 1.8×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $464 $464 0.3×
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×
Open bone biopsy (20250) $552 $552 0.2×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $6,531 $6,531 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,118 $7,118 0.9×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $4,500 $4,500 1.3×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $4,500 $4,500 1.3×
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 (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 intrauterine device (iud) (58301) $250 $250 0.8×
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×
Remv Ext Canal Foreign Body (69200) $169 $169 1.2×
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 flx w/biopsy single/multiple (45331) $1,570 $1,570 1.6×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $1,850 $1,850 1.9×
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×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $1,664 $1,664 2.3×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,208 $1,208 1.9×
Thoracentesis needle/cath pleura w/o imaging (32554) $31 $31 0.0×
Thyroid biopsy (60100) $926 $926 1.3×
Trim skin lesion (11055) $57 $57 0.3×
Trim skin lesions 2 to 4 (11056) $6 $6 0.0×
Trimming Of 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×
Venipuncture (36415) $35 $35 3.7×
Vulvectomy simple partial (56620) $2,103 $2,103 0.6×