Procedures & surgery prices at ProMedica Fostoria Community Hospital

Fostoria, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $3,635.45 $5,593 4.2×
Application of rigid total contact leg cast (29445) $618.15 $951 2.3×
Application short arm splint forearm-hand static (29125) $396.50 $610 3.2×
Apply Multlay Comprs Lwr Leg (29581) $353.60 $544 2.3×
Arterial puncture (36600) $78.65 $121 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $742.95 $1,143 2.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $487.50 $750 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,472.25 $2,265 5.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $645.45 $993 2.2×
Aspirate pleura w/ imaging (32555) $3,319.55 $5,107 5.6×
Avulsion nail plate partial/complete simple 1 (11730) $462.15 $711 2.4×
Beta amyloid ab42/40 imprcip (0412U) $2,047.50 $3,150 2.7×
Biopsy Abdominal Mass (49180) $2,228.85 $3,429 1.4×
Biopsy bone open deep (20245) $4,997.20 $7,688 1.8×
Biopsy bone open superficial (20240) $4,997.20 $7,688 1.8×
Biopsy bone trocar/needle deep (20225) $1,856.40 $2,856 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $2,752.10 $4,234 1.8×
Biopsy muscle percutaneous needle (20206) $1,073.15 $1,651 0.7×
Biopsy of liver, needle; percutaneous (47000) $2,228.85 $3,429 1.4×
Biopsy Salivary Gland Needle (42400) $1,455.35 $2,239 2.2×
Bladder instillation anticarcinogenic agent (51720) $629.85 $969 1.0×
Blood Transfusion Service (36430) $807.30 $1,242 1.9×
Bx breast 1st lesion us imag (19083) $2,981.55 $4,587 1.9×
Catheter aspiration nasotracheal spx (31720) $232.70 $358 1.1×
Chemical Cautery Tissue (17250) $462.15 $711 2.4×
Chemodenerv Musc Migraine (64615) $487.50 $750 1.7×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,304.65 $8,161 1.6×
Collect Blood From Catheter Venous Nos (36592) $166.40 $256 1.3×
Collection of venous blood by venipuncture (36415) $14.30 $22 1.5×
Colposcopy cervix upper/adjacent vagina (57452) $308.10 $474 1.6×
Colposcopy entire vagina w/cervix if present (57420) $243.10 $374 0.8×
Colposcopy of vulva (56820) $212.55 $327 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,466.40 $2,256 2.1×
Debride nail 1-5 (11720) $432.90 $666 7.8×
Debride nail 6 or more (11721) $567.45 $873 10.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,610.75 $5,555 2.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,261 $1,940 3.3×
Declot vascular device (36593) $661.05 $1,017 2.1×
Destroy cerv/thor facet jnt (64633) $434.20 $668 0.2×
Destroy lumb/sac facet jnt (64635) $429.65 $661 0.2×
Drainage of hematoma/fluid (10140) $3,714.75 $5,715 2.4×
Draw Blood Off Venous Device (36591) $169 $260 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $815.75 $1,255 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $458.25 $705 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $462.15 $711 2.4×
Dx Bone Marrow Bx & Aspir (38222) $1,279.85 $1,969 0.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,565.85 $2,409 2.3×
Epidural Blood Patch (62273) $1,275.95 $1,963 1.9×
Fna bx w/us gdn 1st les (10005) $1,822.60 $2,804 2.7×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $1,392.30 $2,142 38.1×
Hem inh thrombocytopenia 42 (0276U) $5,216.25 $8,025 2.1×
Hem vw factor&clgn iii bndg (0279U) $532.35 $819 46.2×
Hepcidin-25 elisa serum or plasma (0251U) $505.05 $777 29.2×
I&d abscess simple (10060) $462.15 $711 2.4×
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,840.80 $2,832 2.7×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure
$1,952.60 $3,004 0.3×
Incision & drainage abscess complicated/multiple (10061) $823.55 $1,267 2.1×
Incision & removal foreign body subq tiss simple (10120) $839.80 $1,292 2.2×
Incisional biopsy skin single lesion (11106) $1,466.40 $2,256 2.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,271.75 $3,495 2.7×
Inj W/Fluor Eval Cv Device (36598) $746.20 $1,148 3.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,271.75 $3,495 2.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,153.75 $1,775 1.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $37.05 $57 0.1×
Injection single/mlt trigger point 1/2 muscles (20552) $487.50 $750 1.7×
Injection single/mlt trigger point 3/> muscles (20553) $487.50 $750 1.7×
Injection, anesthetic agent; brachial plexus, single (64415) $112.45 $173 0.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $697.45 $1,073 1.0×
Insert cath pleura w/ image (32557) $2,548.65 $3,921 1.7×
Insert Drug Implant Device (11981) $199.55 $307 1.6×
Insert Temp Bladder Cath (51702) $306.80 $472 2.4×
Insert tun ip cath perc (49418) $7,002.45 $10,773 2.1×
Insert,Non-Indwelling Bladder Catheter (51701) $312 $480 2.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,790.10 $2,754 1.2×
Instlj ther agent renal pelvis&/ureter via tub (50391) $332.80 $512 1.4×
Intubation endotracheal emergency procedure (31500) $635.05 $977 2.8×
Klhl11 antb serum/csf cell binding assay qual (0432U) $99.45 $153 2.7×
Myelography Lumbar Injection (62305) $1,950.65 $3,001 2.6×
Myelography Lumbar Injection (62304) $1,647.75 $2,535 2.2×
Myelography via lumbar injection rs&i cervical (62302) $1,647.75 $2,535 2.2×
N Block Inj Celiac Pelus (64530) $208.65 $321 0.2×
N Block Inj Ilio-Ing/Hypogi (64425) $1,266.20 $1,948 1.9×
N block inj intercost sng (64420) $1,153.75 $1,775 1.7×
N Block Lumbar/Thoracic (64520) $221.65 $341 0.3×
Needle Biopsy Lymph Nodes (38505) $2,496.65 $3,841 1.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $83.85 $129 3.1×
Needle insertion w/o injection 3 or more muscles (20561) $83.85 $129 3.1×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $2,436.85 $3,749 3.2×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $2,059.20 $3,168 2.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,847.30 $2,842 4.4×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $2,902.25 $4,465 1.4×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,283.15 $5,051 1.5×
Njx anes stellate ganglion crv sympathetic (64510) $112.45 $173 0.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,703.70 $5,698 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,271.75 $3,495 2.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,571.40 $3,956 3.9×
Occipital Nerve Block (64405) $487.50 $750 1.7×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $2,416.70 $3,718 1.4×
Penile Plethysmography (54240) $343.20 $528 1.7×
Perq dev breast 1st us imag (19285) $1,826.50 $2,810 2.7×
Perq device breast 1st imag (19281) $1,093.95 $1,683 0.7×
Punch biopsy skin single lesion (11104) $846.95 $1,303 2.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $386.10 $594 1.0×
Puncture Aspiration Cyst Breast (19000) $1,026.35 $1,579 1.5×
Remove Intrauterine Device (58301) $548.60 $844 1.9×
Remove/Insert Drug Implant (11983) $189.15 $291 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,688.70 $2,598 2.8×
Skin sub graft face/nk/hf/g (15275) $3,497 $5,380 5.0×
Skin sub graft trnk/arm/leg (15271) $3,210.35 $4,939 4.6×
Skin sub grft t/arm/lg child (15273) $5,861.05 $9,017 3.0×
Strapping knee (29530) $299 $460 2.4×
Strapping Unna Boot (29580) $360.10 $554 2.3×
Tangential biopsy skin single lesion (11102) $473.85 $729 1.2×
Thrombolytic Therapy Stroke (37195) $799.50 $1,230 2.6×
Thyroid biopsy (60100) $1,227.85 $1,889 1.8×
Tma/tmao profile ms/ms urine alg alys&report (0256U) $445.90 $686 2.8×
Trim skin lesion (11055) $341.25 $525 1.8×
Trim skin lesions 2 to 4 (11056) $326.30 $502 1.7×
Tx Gastro Intub W/Asp (43753) $430.95 $663 2.1×
Vw factor type 2n eval plsm (0284U) $1,370.85 $2,109 79.4×