Procedures & surgery prices at Fisher County Hospital District

Rotan, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $258–$1,053 $304–$1,239 varies
Acne surgery (10040) $55 $65 0.3×
Application cast elbow finger short arm (29075) $143 $168 0.5×
Application finger splint static (29130)
range across 3 matching MRF lines		 $47–$146 $55–$172 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $91–$184 $107–$216 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $88–$184 $103–$216 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $56–$146 $66–$172 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $66–$184 $78–$216 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $103–$184 $121–$216 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $133–$314 $157–$369 varies
Apply short leg cast (29425) $314 $369 1.1×
Arterial puncture (36600) $146 $172 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $71 $83 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $85–$340 $100–$400 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $69 $81 0.2×
Aspirate/Inj Ganglion Cyst (20612) $68 $80 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $100–$234 $118–$275 varies
Bladder Irrigation (51700) $347 $408 1.4×
Blood Transfusion Service (36430) $516 $607 1.2×
Change Cystostomy Tube Simple (51705) $347 $408 1.4×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $136–$213 $160–$250 varies
Clsd tx clavicular fracture w/o manipulation (23500) $268 $315 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $217–$268 $255–$315 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $340 $400 0.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $268 $315 1.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $268 $315 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $268 $315 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $362 $426 0.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,813 $2,133 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $268 $315 1.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $268 $315 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $268 $315 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $268 $315 1.1×
Cltx metacarpal fx w/manipulation each bone (26605) $395 $465 1.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $268 $315 1.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $268 $315 1.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $122–$268 $143–$315 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $1,813 $2,133 1.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $5–$10 $6–$12 varies
Complex drainage wound (10180) $2,059 $2,422 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $150 $177 1.1×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $116–$150 $136–$177 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $150 $177 1.1×
Cystourethroscopy (52000) $337 $396 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $91 $107 0.2×
Debride nail 1-5 (11720) $63 $74 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $255 $300 0.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $272 $320 0.7×
Declot vascular device (36593)
range across 2 matching MRF lines		 $110–$416 $129–$489 varies
Destruct B9 Lesion 1-14 (17110) $136 $160 0.7×
Destruction Benign Lesions 15/> (17111) $162 $190 0.8×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $221 $260 1.1×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $173 $204 0.9×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $135 $159 0.7×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $193 $227 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $214 $252 1.1×
Destruction premalignant lesion 1st (17000) $77 $91 0.4×
Dilation of vagina (57400) $14 $16 0.0×
Disarticulation of shoulder; secondary closure or scar revision Facility (23921) $206 $242 0.1×
Drainage of finger abscess simple (26010) $128 $150 0.6×
Drainage of gum lesion (41800) $213 $250 1.6×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $114–$1,221 $134–$1,437 varies
Draw Blood Off Venous Device (36591) $146 $172 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $34 $40 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $20 $23 0.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $234 $275 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $72–$234 $85–$275 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $61–$147 $72–$173 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $562 $661 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $114–$809 $134–$952 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $289 $340 0.2×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $478 $562 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $144 $169 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $236 $278 0.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $245 $288 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $301–$1,221 $354–$1,437 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $128 $150 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $153 $180 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $163–$1,221 $192–$1,437 varies
Exc hydrocele sprmatic cord uni spx (55500) $2 $2 0.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $241 $283 0.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $289 $340 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $422 $497 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $254 $299 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $431 $507 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $176 $207 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $137 $161 0.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $192 $226 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $255 $300 0.2×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $3,915 $4,606 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $378–$540 $445–$635 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $183 $215 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $289 $340 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $446–$540 $525–$635 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines		 $229–$1,221 $269–$1,437 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,221 $1,436 0.7×
Excision prepatellar bursa (27340) $634 $746 0.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $645 $759 0.2×
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure		 $41 $48 0.0×
Exploration penetrating wound spx extremity (20103) $810 $953 0.5×
Fine needle aspiration without imaging guidance (10021) $64 $75 0.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $97–$234 $114–$275 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $638 $750 0.2×
I&d perianal abscess superficial (46050) $1,033 $1,215 1.1×
I&d pilonidal cyst simple (10080) $540 $635 0.8×
Incise external hemorrhoid (46083) $347 $408 1.4×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $213–$455 $250–$535 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $114–$450 $134–$529 varies
Incision and drainage of vulva or perineal abscess (56405) $367 $432 1.2×
Incision of rectal abscess (46040) $1,350 $1,588 1.1×
Incisional biopsy skin single lesion (11106) $185 $218 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $234 $275 1.2×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $68–$340 $80–$400 varies
Injection single tendon origin/insertion (20551) $72 $85 0.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $72–$340 $85–$400 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $72–$340 $85–$400 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $102–$826 $120–$972 varies
Injection, intralesional; up to and including 7 lesions (11900) $47 $55 0.2×
Insert cath pleura w/o image (32556) $2,114 $2,487 1.1×
Insert Drug Implant Device (11981) $314 $369 2.3×
Insert non-tunnel cv cath (36556) $3,872 $4,555 1.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $46–$146 $54–$172 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $46–$146 $54–$172 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,831 $2,154 1.2×
Intubation endotracheal emergency procedure (31500) $308 $362 1.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $490 $576 1.2×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $12 $14 0.0×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478)
range across 3 matching MRF lines		 $14–$16 $16–$19 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $20 $24 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $68–$340 $80–$400 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $89–$340 $105–$400 varies
Osteot w/wo lngth shrt/corrj 1st metar (28306)
range across 2 matching MRF lines		 $10–$31 $12–$36 varies
Placement of needle for intraosseous infusion (36680) $353 $415 0.8×
Punch biopsy skin single lesion (11104) $149 $175 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $98–$450 $115–$529 varies
Removal Foreign Body Foot Complicated (28193) $442 $520 0.3×
Removal foreign body foot deep (28192) $391 $460 0.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $213–$809 $250–$952 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $22–$72 $26–$85 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $48–$72 $57–$85 varies
Removal implantable contraceptive capsules (11976) $314 $369 0.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $297–$450 $349–$529 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $91 $107 0.5×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $314–$353 $369–$415 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $70–$146 $82–$172 varies
Remove Intrauterine Device (58301) $170 $200 0.6×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $81–$146 $95–$172 varies
Remove/Insert Drug Implant (11983) $399 $469 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $682 $802 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $682 $802 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $763 $898 1.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $682 $802 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $682 $802 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $204–$450 $240–$529 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $450 $529 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $450 $529 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $450 $529 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $450 $529 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $450 $529 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $450 $529 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $173–$450 $203–$529 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $450 $529 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $682 $802 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $450 $529 1.1×
Repair of nail bed (11760) $682 $802 0.9×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420)
likely a partial charge, not the full procedure		 $18 $21 0.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $353 $415 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $146 $172 1.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $89–$353 $105–$415 varies
Rplc Gtube No Revj Trc (43762) $347 $408 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $234 $275 1.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,687 $4,338 1.1×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $96–$450 $113–$529 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $103 $121 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $91 $107 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $116 $137 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $136 $160 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $122 $144 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $106 $125 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $128 $150 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $143–$234 $168–$275 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $166–$196 $195–$230 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $234 $275 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $116–$234 $137–$275 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $234 $275 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $234 $275 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $162–$234 $190–$275 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $267–$450 $314–$529 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $450 $529 1.1×
Strapping ankle (29540)
range across 3 matching MRF lines		 $69–$184 $81–$216 varies
Strapping elbow or wrist (29260) $54 $64 0.9×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $54–$72 $64–$85 varies
Strapping knee (29530) $146 $172 1.1×
Strapping shoulder (29240) $146 $172 1.1×
Strapping Unna Boot (29580) $184 $216 1.1×
Tangential biopsy skin single lesion (11102) $92 $108 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $275 $324 1.2×
Treat humerus fracture (23600) $268 $315 1.1×
Treat knee fracture (27532) $3,687 $4,338 1.1×
Treat scapula fracture (23585)
likely a partial charge, not the full procedure		 $5 $6 0.0×
Treatment closed elbow dislocation w/o anes (24600) $268 $315 1.1×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $21–$63 $25–$74 varies
Trim skin lesions 2 to 4 (11056) $102 $120 0.5×
Trimming Nondystrophic Nails Any Number (11719) $55 $65 0.9×
Tx Gastro Intub W/Asp (43753) $344 $405 1.6×
Unlisted Procedure Casting/Strapping (29799) $184 $216 1.1×
Vaginal delivery only (59409) $3,415 $4,018 1.1×
Venous Cutdown >1 Y/O (36425) $353 $415 0.8×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $170–$450 $200–$529 varies

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.