Procedures & surgery prices at Floyd Valley Healthcare

Le Mars, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $452 $452 0.5×
Amniocentesis diagnostic (59000) $104 $104 0.1×
Anoscopy diagnostic (46600) $99 $99 0.8×
Application finger splint static (29130) $69 $69 0.5×
Application long arm splint shoulder hand (29105) $99 $99 0.6×
Application Long Leg Splint (29505) $250 $250 1.6×
Application short arm splint forearm-hand static (29125) $90 $90 0.7×
Application short leg splint calf foot (29515) $115 $115 0.7×
Apply Multlay Comprs Lwr Leg (29581) $448 $448 2.9×
Arterial puncture (36600) $35 $35 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $64 $64 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $67–$317 $67–$317 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $423 $423 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $70–$170 $70–$170 varies
Aspirate pleura w/ imaging (32555) $500 $500 0.8×
Aspirate/Inj Ganglion Cyst (20612) $62 $62 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $124 $124 0.6×
Biopsy Bone Trocar/Needle Superficial (20220) $800 $800 0.5×
Biopsy muscle percutaneous needle (20206) $271 $271 0.2×
Biopsy Salivary Gland Needle (42400) $197 $197 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $106 $106 0.1×
Bladder Irrigation (51700) $409 $409 1.7×
Bladder Scan (51798)
range across 2 matching MRF lines		 $259–$260 $259–$260 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $274–$288 $274–$288 varies
Bx breast 1st lesion us imag (19083) $2,187 $2,187 1.4×
Chemodenerv Musc Migraine (64615) $425 $425 1.4×
Clear outer ear canal (69200) $100 $100 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $77–$115 $77–$115 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $952 $952 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $666–$693 $666–$693 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $655 $655 2.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,229 $1,229 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $624 $624 2.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $229 $229 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,050 $1,050 0.7×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $196–$197 $196–$197 varies
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $19–$26 $19–$26 varies
Control Nasal Hemorrhage Anterior Complex (30903) $192 $192 1.5×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $237–$316 $237–$316 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $242 $242 1.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $101 $101 0.3×
Declot vascular device (36593) $710 $710 2.2×
Destruct B9 Lesion 1-14 (17110) $102 $102 0.5×
Destruction premalignant lesion 1st (17000) $63 $63 0.3×
Drain Cerebro Spinal Fluid (62272) $453 $453 0.7×
Drainage of finger abscess simple (26010) $160 $160 0.8×
Drainage of hematoma/fluid (10140) $172 $172 0.1×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $202–$213 $202–$213 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $416 $416 0.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $415 $415 0.6×
Endometrial Biopsy (58100) $94 $94 0.5×
Epidural Blood Patch (62273) $344 $344 0.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $509 $509 0.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $118 $118 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $224 $224 0.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $180 $180 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $184 $184 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $142 $142 0.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $160 $160 0.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $251 $251 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $275 $275 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $205 $205 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $220 $220 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $191 $191 0.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $226 $226 0.3×
Exploration penetrating wound spx extremity (20103) $828 $828 0.5×
Fetal non-stress test (59025) $456 $456 2.3×
Fine needle aspiration without imaging guidance (10021) $121 $121 0.3×
Fna bx w/us gdn 1st les (10005) $465 $465 0.7×
I&d abscess simple (10060) $124 $124 0.6×
Incision & removal foreign body subq tiss simple (10120) $146 $146 0.4×
Incision and drainage of bartholin's gland abscess (56420) $222 $222 1.1×
Incisional biopsy skin single lesion (11106) $138 $138 0.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $957 $957 1.1×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $702 $702 0.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines		 $479–$957 $479–$957 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $66 $66 0.2×
Injection aa&/strd axillary nerve w/img gdn (64417) $364 $364 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $364 $364 0.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $344 $344 0.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $416 $416 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $92–$136 $92–$136 varies
Injection therapeutic carpal tunnel (20526) $175 $175 0.6×
Injection, anesthetic agent; brachial plexus, single (64415) $375 $375 0.4×
Injection, anesthetic agent; femoral nerve, single (64447) $416 $416 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $286 $286 0.4×
Insert Bladder Cath Complex (51703) $76 $76 0.6×
Insert Temp Bladder Cath (51702) $76 $76 0.6×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $76–$80 $76–$80 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $464 $464 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $488 $488 0.3×
Intubation endotracheal emergency procedure (31500) $409 $409 1.8×
N block inj intercost sng (64420) $219 $219 0.3×
N Block Lumbar/Thoracic (64520) $344 $344 0.4×
Needle Biopsy Lymph Nodes (38505) $580 $580 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $97 $97 3.5×
Needle insertion w/o injection 3 or more muscles (20561) $97 $97 3.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $828 $828 2.0×
Njx anes stellate ganglion crv sympathetic (64510) $353 $353 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $156 $156 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $416–$936 $416–$936 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $510 $510 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $468 $468 0.7×
Occipital Nerve Block (64405) $437 $437 1.5×
Placement of needle for intraosseous infusion (36680) $196 $196 0.5×
Punch biopsy skin single lesion (11104) $114 $114 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $132–$451 $132–$451 varies
Puncture Aspiration Cyst Breast (19000) $192 $192 0.3×
Rbc DNA gntyp 12 bld grp gen (0282U) $300 $300 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $427 $427 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $55–$115 $55–$115 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $42–$116 $42–$116 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $90 $90 0.5×
Remove Intrauterine Device (58301) $109 $109 0.4×
Remove Nasal Foreign Body (30300) $312 $312 2.4×
Remove Tendon Sheath Lesion (26160) $952 $952 0.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $490 $490 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $266 $266 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $471 $471 1.2×
Repair of nail bed (11760) $322 $322 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $103 $103 0.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $132 $132 0.3×
Shave skin lesion 0.5 cm/< (11300) $84 $84 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $86 $86 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $109 $109 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $119 $119 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $104 $104 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $120 $120 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $117 $117 0.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $149 $149 0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $110 $110 0.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $310 $310 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $177 $177 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $117 $117 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $239 $239 0.6×
Spinal puncture lumbar diagnostic (62270) $260 $260 0.4×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $42–$297 $42–$297 varies
Tangential biopsy skin single lesion (11102) $77 $77 0.2×
Thyroid biopsy (60100) $1,257 $1,257 1.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $832 $832 0.5×
Treatment closed elbow dislocation w/o anes (24600) $803 $803 3.4×
Trim skin lesion (11055) $65 $65 0.3×
Unlisted procedure nervous system (64999) $416 $416 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $448 $448 0.2×

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.