Procedures & surgery prices at Franciscan Healthcare

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $3,337 $3,337 3.5×
Amniocentesis diagnostic (59000) $911 $911 1.0×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $280–$419 $280–$419 varies
Application Finger Splint Dynamic (29131) $355 $355 5.8×
Application finger splint static (29130)
range across 2 matching MRF lines		 $197–$269 $197–$269 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $334–$339 $334–$339 varies
Application Long Leg Splint (29505) $410 $410 2.4×
Application Short Arm Splint Dynamic (29126) $494 $494 3.6×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $265–$292 $265–$292 varies
Application short leg splint calf foot (29515) $312 $312 1.8×
Apply hand/wrist cast (29085) $410 $410 2.4×
Apply Short Leg Cast (29405) $368 $368 1.3×
Arterial puncture (36600) $155 $155 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $284–$545 $284–$545 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $409–$623 $409–$623 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,482 $1,482 4.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $259–$397 $259–$397 varies
Aspirate pleura w/ imaging (32555) $1,838 $1,838 2.8×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $938–$1,549 $938–$1,549 varies
Biopsy Abdominal Mass (49180) $2,456 $2,456 1.4×
Biopsy of liver, needle; percutaneous (47000) $2,456 $2,456 1.4×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $397–$400 $397–$400 varies
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $400–$420 $400–$420 varies
Bladder Scan (51798) $450 $450 7.3×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $1,276–$1,329 $1,276–$1,329 varies
Bx breast 1st lesion strtctc (19081) $4,365 $4,365 2.5×
Bx breast 1st lesion us imag (19083) $3,628 $3,628 2.1×
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $586–$603 $586–$603 varies
Chest tube placement (32551) $1,654 $1,654 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $2,205 $2,205 1.3×
Clear outer ear canal (69200) $248 $248 1.8×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,500 $1,500 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,103 $1,103 0.7×
Closed tx radial head/neck fx w/manipulation (24655) $1,654 $1,654 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,575 $1,575 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,985 $1,985 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $541 $541 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,050 $1,050 4.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,985 $1,985 1.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,575 $1,575 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $446 $446 1.7×
Cltx hip dislocation traumatic req anesthesia (27252) $2,205 $2,205 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,575 $1,575 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $607 $607 2.4×
Cltx Med Ankle Fx W/Mnpj (27762) $1,575 $1,575 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $1,544 $1,544 6.0×
Cltx post hip arthrp dislc req anes (27266) $1,645 $1,645 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $607 $607 2.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $397 $397 1.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,985 $1,985 1.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,464 $2,464 1.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $992 $992 0.6×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $210–$221 $210–$221 varies
Collection of venous blood by venipuncture (36415) $50 $50 5.4×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $324–$473 $324–$473 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $703 $703 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $453 $453 3.3×
Control Nasal Hemorrhage Anterior Simple (30901) $376 $376 2.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines		 $2,471–$5,570 $2,471–$5,570 varies
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $335–$407 $335–$407 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $662 $662 4.8×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $551 $551 0.7×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $107–$128 $107–$128 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $122–$138 $122–$138 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,401 $1,401 3.3×
Declot vascular device (36593)
range across 2 matching MRF lines		 $383–$396 $383–$396 varies
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $210–$221 $210–$221 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $625–$656 $625–$656 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $555–$599 $555–$599 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,615 $1,615 2.2×
Electro-Uroflowmetry First (51741) $210 $210 0.9×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,519 $3,519 0.7×
Endometrial Biopsy (58100) $553 $553 2.6×
Epidural Blood Patch (62273) $1,579 $1,579 2.2×
Evacuation of subungual hematoma (11740) $162 $162 1.2×
Exploration penetrating wound spx extremity (20103) $2,000 $2,000 1.2×
External cephalic version (59412) $702 $702 0.2×
Fetal Contraction Stress Test (59020) $961 $961 4.6×
Fetal non-stress test (59025) $550 $550 2.6×
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $1,806–$1,896 $1,806–$1,896 varies
Fluoro exam of g/colon tube (49465) $652 $652 2.6×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,525 $1,525 2.1×
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $1,108–$2,498 $1,108–$2,498 varies
Foreskin manipulation (54450) $525 $525 2.0×
Guide Cathet Fluid Drainage (10030) $2,625 $2,625 3.6×
I&d abscess simple (10060) $849 $849 4.1×
I&d pilonidal cyst simple (10080) $772 $772 1.0×
Incise external hemorrhoid (46083) $717 $717 2.8×
Incise finger tendon sheath (26055) $4,077 $4,077 2.4×
Incision & drainage abscess complicated/multiple (10061) $938 $938 2.2×
Incision & removal foreign body subq tiss simple (10120) $1,505 $1,505 3.6×
Incision of eardrum (69420)
range across 2 matching MRF lines		 $312–$386 $312–$386 varies
Incision of lingual frenum (frenotomy) (41010) $320 $320 0.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,673–$1,852 $1,673–$1,852 varies
Inj W/Fluor Eval Cv Device (36598) $2,428 $2,428 11.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,852 $1,852 2.0×
Injection aa&/strd genicular nrv branches w/img (64454) $1,155 $1,155 1.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $689 $689 0.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,083 $1,083 1.5×
Injection Into Brain Canal (61055) $1,303 $1,303 4.1×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $482–$662 $482–$662 varies
Injection single/mlt trigger point 3/> muscles (20553) $516 $516 1.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $690 $690 0.9×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $330–$338 $330–$338 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $266–$287 $266–$287 varies
Insertion indwelling tunneled pleural catheter (32550) $6,267 $6,267 1.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,888 $3,888 2.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,600–$1,857 $1,600–$1,857 varies
Intubation endotracheal emergency procedure (31500) $1,053 $1,053 4.3×
Myelography Lumbar Injection (62305) $3,195 $3,195 3.9×
Myelography Lumbar Injection (62304) $1,541 $1,541 1.9×
Myelography via lumbar injection rs&i cervical (62302) $1,618 $1,618 2.0×
N block inj intercost sng (64420) $559 $559 0.8×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,024 $2,024 1.1×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $2,096–$3,712 $2,096–$3,712 varies
Njx anes stellate ganglion crv sympathetic (64510) $380 $380 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,673–$1,764 $1,673–$1,764 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,787 $1,787 2.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,876 $1,876 2.6×
Occipital Nerve Block (64405) $424 $424 1.3×
Perq dev breast 1st us imag (19285) $1,536 $1,536 2.1×
Perq device breast 1st imag (19281) $2,576 $2,576 1.5×
Perq Lumbosacral Injection (22511) $6,634 $6,634 2.0×
Placement of needle for intraosseous infusion (36680) $449 $449 1.0×
Punch biopsy skin single lesion (11104) $331 $331 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $446 $446 1.1×
Puncture Aspiration Cyst Breast (19000) $1,111 $1,111 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $208 $208 3.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $358 $358 5.8×
Removal of nail bed (11750) $634 $634 1.5×
Remove Nasal Foreign Body (30300) $290 $290 2.1×
Renal Biopsy Perq (50200) $3,131 $3,131 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $992 $992 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $938 $938 2.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $689 $689 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $607 $607 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $882 $882 2.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,103 $1,103 2.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $788 $788 1.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $717 $717 1.7×
Repair of nail bed (11760) $938 $938 1.2×
Repair tongue laceration (41252) $1,050 $1,050 4.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $368 $368 0.8×
Rplc Gtube No Revj Trc (43762) $689 $689 2.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $436 $436 2.1×
Rpr Lip Full Thickness Vermilion Only (40650) $1,625 $1,625 2.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $431 $431 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $520 $520 2.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $511 $511 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $434 $434 2.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $607 $607 2.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $520 $520 2.5×
Skin sub graft face/nk/hf/g (15275) $131 $131 0.2×
Skin sub graft trnk/arm/leg (15271) $133 $133 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $465 $465 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $524 $524 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $579 $579 1.4×
Strapping Unna Boot (29580) $376 $376 2.2×
Thrombolytic Therapy Stroke (37195) $654 $654 1.9×
Treat Knuckle Dislocation (26700) $386 $386 1.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $938 $938 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $630 $630 0.8×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 2 matching MRF lines		 $232–$311 $232–$311 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.