Procedures & surgery prices at Franklin County Medical Center

Preston, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Amputation metatarsal with toe single (28810) $7,398 $7,398 2.3×
Application short arm splint forearm-hand static (29125) $371 $371 2.8×
Arterial puncture (36600) $129 $129 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $679 $679 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $679 $679 2.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $648 $648 2.1×
Arthrodesis sacroiliac joint percutaneous (27279) $31,131 $31,131 1.8×
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) $25,935 $25,935 1.5×
Arthroplasty glenohumeral joint total shoulder (23472) $21,573 $21,573 1.2×
Arthroscopy shoulder distal claviculectomy (29824) $6,396 $6,396 2.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) $7,187 $7,187 2.2×
Arthroscopy, knee, surgical; with lateral release (29873) $7,463 $7,463 2.3×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) $7,463 $7,463 2.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $11,900 $11,900 1.7×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $7,298 $7,298 2.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $12,114 $12,114 1.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $13,946 $13,946 1.9×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $14,750 $14,750 2.1×
Aspiration and injection for treatment of bone cyst (20615) $1,618 $1,618 2.3×
Blood patch (62273) $4,770 $4,770 6.8×
Cartilage graft; nasal septum Facility (20912) $7,182 $7,182 2.1×
Catheter Aspiration Nasotracheal Spx (31720) $157 $157 0.7×
Cholecystostomy,Percutaneous, Complete (47490) $7,628 $7,628 2.2×
Circum 28 days or older (54161) $5,354 $5,354 2.6×
Closed Treatment Nasal Fracture W/Stabilization (21320) $6,325 $6,325 1.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,494 $2,494 1.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $654 $654 2.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $552 $552 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,085 $3,085 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $552 $552 2.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $603 $603 2.5×
Cltx prox fibula/shft fx w/o manj (27780) $1,153 $1,153 4.7×
Correction hammertoe (28285) $4,821 $4,821 1.5×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $7,463 $7,463 2.3×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $11,692 $11,692 2.2×
Cysto w/insert ureteral stent (52332) $7,933 $7,933 2.3×
Cysto w/removal of tumors small (52234) $1,168 $1,168 0.3×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $7,608 $7,608 2.2×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $7,480 $7,480 2.1×
Cysto/uretero w/lithotripsy (52356) $5,560 $5,560 1.0×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) $4,540.50 $4,540.50 0.9×
Cystouretero & or pyeloscope (52351) $3,924 $3,924 1.1×
Cystourethroscopy (52000) $828 $828 1.2×
Cystourethroscopy inj chemodenervation bladder (52287) $918 $918 0.4×
Cystourethroscopy w/dil bladder general anesth (52260) $4,712 $4,712 2.3×
Cystourethroscopy with biopsy (52204) $5,013 $5,013 2.4×
Destroy cerv/thor facet jnt (64633) $4,491 $4,491 2.3×
Destroy internal hemorrhoids (46930) $1,878 $1,878 1.6×
Destroy lumb/sac facet jnt (64635) $4,491 $4,491 2.3×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $2,812 $2,812 3.2×
Destruction by neurolytic agent; plantar common digital nerve (64632) $490 $490 1.6×
Destruction neurolytic agt genicular nerve w/img (64624) $4,491 $4,491 2.3×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $1,850 $1,850 1.1×
Drainage of scrotal wall abscess (55100) $3,344 $3,344 2.0×
Drainage of skene's gland abscess or cyst (53060) $3,541 $3,541 1.7×
Egd balloon dilation esophagus <30 mm diam (43249) $4,213 $4,213 2.2×
Egd flexible foreign body removal (43247) $2,713 $2,713 3.0×
Egd guide wire insertion (43248) $2,257 $2,257 2.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,429 $1,429 2.0×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $1,544 $1,544 2.2×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $887 $887 2.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,618 $1,618 2.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,727 $3,727 2.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,727 $3,727 2.3×
Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) $3,809 $3,809 2.3×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) $6,583 $6,583 2.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $6,958 $6,958 2.2×
Excision interdigital morton neuroma single each (28080) $4,285 $4,285 2.7×
Excision Multiple External Papillae/Tags Anus (46230) $6,017 $6,017 2.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,840 $3,840 2.4×
Excision of spermatocele, with or without epididymectomy Facility (54840) $5,484 $5,484 2.7×
Excision of thrombosed hemorrhoid, external (46320) $3,513 $3,513 3.0×
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) $5,548 $5,548 1.7×
Exploration Of Hip Joint (27033) $13,843 $13,843 1.9×
Fasciotomy foot and/or toe (28008) $7,222 $7,222 2.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $7,463 $7,463 2.3×
Fetal non-stress test (59025) $374.50 $374.50 1.9×
Hip arthro w/labral repair (29916) $15,023 $15,023 2.1×
Implant neuroelectrodes (63650) $13,060 $13,060 2.1×
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) $13,319 $13,319 1.5×
Incise external hemorrhoid (46083) $559 $559 2.3×
Incise finger tendon sheath (26055) $3,681 $3,681 2.3×
Incision & drainage abscess complicated/multiple (10061) $919 $919 2.3×
Incision extensor tendon sheath wrist (25000) $4,130 $4,130 2.6×
Inj paravert f jnt c/t 1 lev (64490) $1,730 $1,730 2.0×
Inject Nerv Blck,Celiac Plexus (64530) $2,243 $2,243 2.6×
Injection aa&/strd genicular nrv branches w/img (64454) $1,947 $1,947 2.8×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $1,488 $1,488 2.1×
Injection anesthetic agent femoral nerve single (64447) $1,693 $1,693 2.4×
Insert cervical dilator (59200) $655 $655 2.2×
Insert Temp Bladder Cath (51702) $296 $296 2.3×
Insert,Non-Indwelling Bladder Catheter (51701) $296 $296 2.3×
Insertion/rplcmt peripheral/gastric npgr (64590) $30,041 $30,041 1.6×
Insrt/redo spine n generator (63685) $41,844 $41,844 1.4×
Laparoscopy appendectomy (44970) $13,419 $13,419 2.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $13,419 $13,419 2.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $12,401 $12,401 2.1×
Lithotripsy (50590) $9,496 $9,496 2.7×
Manipulation knee joint under general anesthesia (27570) $3,681 $3,681 2.3×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $6,517 $6,517 1.8×
Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) $3,617 $3,617 2.1×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $11,654 $11,654 1.7×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $11,453 $11,453 1.6×
Ndsc njx implt matrl urt&/bldr nck (51715) $3,730 $3,730 1.1×
Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) $4,572 $4,572 2.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,307 $2,307 2.6×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $2,022 $2,022 2.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,995 $1,995 2.9×
Open biopsy/excision inguinofemoral nodes (38531) $8,807 $8,807 2.3×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
unusually low: confirm this is the full procedure
$14,021 $14,021 0.5×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $16,081 $16,081 2.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $14,950 $14,950 2.1×
Open Tx Distal Tibiofibular Joint Disruption (27829) $12,751 $12,751 1.8×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $9,368 $9,368 1.3×
Ostectomy calcaneus (28118) $7,114 $7,114 2.2×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) $6,569 $6,569 2.0×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) $6,936 $6,936 2.1×
Partial Excision Distal Phalanx Finger (26236) $3,681 $3,681 2.3×
Partical Excision Bone Phalanx Toe (28124) $6,788 $6,788 2.1×
Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) $6,280 $6,280 1.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $14,886 $14,886 2.1×
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) $6,929.50 $6,929.50 1.1×
Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) $7,463 $7,463 2.3×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) $14,422 $14,422 2.0×
Removal implant deep (20680) $6,583 $6,583 2.3×
Removal of adenoids (42830) $7,459 $7,459 2.3×
Removal of heel spur (28119) $7,076 $7,076 2.2×
Removal Of Tendon Lesion (27630) $7,463 $7,463 2.3×
Removal of tonsils (42826) $3,386 $3,386 1.0×
Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) $7,313 $7,313 2.3×
Remove ext hem groups 2+ (46250) $6,307 $6,307 2.3×
Remove Pilonidal Cyst Exten (11771) $7,810 $7,810 2.7×
Remove Prostate Regrowth (52630) $11,345 $11,345 2.1×
Remove spine eltrd perq aray (63661) $4,491 $4,491 2.3×
Remove Tendon Sheath Lesion (26160) $3,739 $3,739 2.4×
Repair achilles tendon (27650) $13,699 $13,699 1.9×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $6,449 $6,449 1.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,017 $1,017 2.5×
Repair Nasal Stenosis (30465) $10,003 $10,003 1.7×
Repair of hammertoe (28286) $7,463 $7,463 2.3×
Repair of nasal septum (30520) $6,130 $6,130 1.9×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) $12,774 $12,774 1.8×
Repair rotator cuff acute (23410) $5,998 $5,998 0.8×
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) $12,073 $12,073 1.7×
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) $11,846 $11,846 1.7×
Revise spine eltrd perq aray (63663) $14,102 $14,102 2.2×
Revise ulnar nerve at elbow (64718) $4,827 $4,827 2.5×
Revise/Remove Neuroreceiver (63688) $7,910 $7,910 2.3×
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) $8,361 $8,361 0.7×
Revision of urethra (53460) $6,409 $6,409 1.8×
Rhinoplasty, primary; including major septal repair Facility (30420) $12,146 $12,146 2.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $13,419 $13,419 2.2×
Rpr aa hernia 1st < 3 cm reducible (49591) $8,117 $8,117 2.3×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $13,419 $13,419 2.2×
Rpr aa hrn 1st < 3 ncr/strn (49592) $13,419 $13,419 2.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $498 $498 2.5×
Skin tissue rearrangement (14040) $4,248 $4,248 2.1×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $5,449 $5,449 1.1×
Strapping unna boot (29580) $416 $416 2.6×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $6,187 $6,187 1.9×
Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) $7,048 $7,048 2.2×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $7,034 $7,034 2.2×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $29,594 $29,594 2.3×
Tnot elbow lateral/medial debride open tdn rpr (24359) $7,463 $7,463 2.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,584 $3,584 1.1×
Total hip arthroplasty (27130) $25,320 $25,320 2.0×
Total Knee Arthroplasty (27447) $25,460 $25,460 2.0×
Transur electr resection of prostate (52601) $7,846.50 $7,846.50 1.5×
Treatment closed elbow dislocation w/o anes (24600) $535 $535 2.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,133 $7,133 2.2×
Tympanostomy general anesthesia (69436) $3,540 $3,540 2.3×
Unlisted procedure dentoalveolar structures (41899) $2,994 $2,994 12.8×
Venipuncture (36415) $21 $21 2.2×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $8,964 $8,964 1.7×