Procedures & surgery prices at Franklin County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Acne Surgery (10040) $221 $245 1.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $183 $203 1.1×
Application cast elbow finger short arm (29075) $242 $269 0.8×
Application Cast Hand & Lower Forearm Gauntlet (29085) $257 $286 1.5×
Application cast shoulder hand long arm (29065) $275 $306 0.9×
Application finger splint static (29130) $126 $140 0.9×
Application long arm splint shoulder hand (29105) $220 $244.50 1.3×
Application long leg splint thigh ankle/toes (29505) $209 $232 1.2×
Application short arm splint forearm-hand static (29125) $168 $186.50 1.2×
Application short leg splint calf foot (29515) $172.50 $191.50 1.0×
Apply short leg cast (29405) $207 $230 0.7×
Arterial puncture (36600) $112 $124 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $135 $150 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $197 $218.50 0.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $127 $141 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $247.50 $275 1.2×
Bladder Irrigation Simple (51700) $566.50 $629.50 2.2×
Blood transfusion service (36430) $810 $900 1.8×
Change Cystostomy Tube Simple (51705) $384 $427 1.5×
Chg Collect Blood From Catheter Venous Nos (36592) $152 $169 1.1×
Closed Rx Radial Shaft Fx (25500) $535 $594 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $1,087 $1,208 4.2×
Closed tx metatarsal fracture w/o manipulation (28470) $569 $632 2.2×
Clsd tx clavicular fracture w/o manipulation (23500) $460 $511 1.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $797 $885 3.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $421 $468 1.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $643 $714 2.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $333 $370 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $235 $261 0.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $397 $441 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $612 $680 2.4×
Cltx metacarpal fx w/manipulation each bone (26605) $329 $366 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $559 $621 2.2×
Cltx metatarsophlngl jt dislc w/o anes (28630) $343 $381 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $685 $761 2.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $410 $455 1.6×
Cltx post hip arthrp dislc w/o anes (27265) $974 $1,082 3.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $228 $253 0.9×
Colonoscopy flex w/rem forcep (45384) $2,729 $3,032 2.2×
Colsc flx with directed submucosal njx any sbst (45381) $1,688 $1,876 1.4×
Control Nasal Hemorrhage Anterior Complex (30903) $532 $591 3.9×
Control Nasal Hemorrhage Anterior Simple (30901) $267.50 $297 1.9×
Correction hammertoe (28285) $3,105 $3,450 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $604 $671 4.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $635 $705 2.6×
Cystourethroscopy (52000) $284 $315 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $110 $122 0.3×
Delivery placenta separate procedure (59414) $310 $344 0.1×
Destruction Benign Lesions Up To 14 (17110) $213 $237 1.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $258 $287 1.2×
Destruction premalignant lesion 1st (17000) $138 $153 0.7×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $19 $21 0.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $266 $295 0.4×
Drainage of hematoma/fluid (10140) $360 $400 0.2×
Draw blood off venous device (36591) $152 $169 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $553 $614 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $543 $603 2.6×
Evacuation of subungual hematoma (11740) $229 $254.50 1.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $392 $435 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $548 $609 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $257 $286 0.3×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $290 $322 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $280 $311 0.7×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $325 $361 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $378 $420 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $537 $597 0.2×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $630 $700 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $794 $882 0.5×
Exc tr-ext b9+marg 0.5 cm or less (11400) $225 $250 0.3×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $635 $705 0.4×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $301 $334 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $398 $442 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $480 $533 1.1×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $567 $630 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $346 $384 0.5×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $478 $531 0.7×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $525 $583 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $318 $353 0.2×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $483 $537 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $496 $551 0.7×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $581 $645 0.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $299 $332 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $386 $429 0.5×
Excision of lesion other than skin tag </= 0.5 cm (11420) $232 $258 0.1×
Excision of nail fold toe (11765) $284 $316 0.7×
I&d abscess simple (10060) $365 $405.50 1.8×
I&d pilonidal cyst simple (10080) $210 $233 0.3×
Incision & drainage abscess complicated/multiple (10061) $396 $440 0.9×
Incision & removal foreign body subq tiss compl (10121) $496 $551 0.3×
Incision & removal foreign body subq tiss simple (10120) $370 $411.50 0.9×
Incision thrombosed hemorrhoid external (46083) $324 $360 1.2×
Incisional biopsy eyelid skin & lid margin (67810) $69 $77 0.2×
Incisional biopsy skin single lesion (11106) $319 $354 0.4×
Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA),… (0563U) $511 $568 1.2×
Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA),… (0564U) $511 $568 1.2×
Initial tx 1st degree burn local tx (16000) $154 $171 0.7×
Inj tendon sheath/ligament (20550) $130 $144 0.4×
Injection of agent to destroy presacral nerve bundle (64681) $76.50 $85 0.1×
Injection single/mlt trigger point 1/2 muscles (20552) $113 $125 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $126 $140 0.4×
Insert Temp Bladder Cath (51702) $226 $251 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $159 $177 1.2×
Intubation endotracheal emergency procedure (31500) $678 $753 2.8×
Lavage by cannulation; sphenoid sinus (31002) $15 $17 0.0×
Perq replacement gtube not req revj gstrst trc (43762) $475 $528 1.8×
Punch biopsy skin single lesion (11104) $259 $288 0.6×
Puncture Aspiration (10160) $297 $330 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $69.50 $77 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $119.50 $133 2.0×
Removal of nail bed (11750) $374 $416 0.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $172 $191 0.8×
Remove drug implant device (11982) $149 $165 0.3×
Remove foreign body from eye (65210) $123 $137 0.3×
Remv Ext Canal Foreign Body (69200) $185 $205.50 1.3×
Remv F.B.,Eye,Superf Conjunc (65205) $156 $173 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $437 $486 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $959 $1,066 2.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $689 $766 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $993 $1,103 2.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $495 $550 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $625.50 $695 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $827 $919 2.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $276 $307 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $193 $214 0.9×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $185 $205 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $212 $236 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $158 $176 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $243 $270 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $291 $323.50 1.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $545.50 $606 2.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $534 $593.50 2.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $299.50 $333 1.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $507.50 $564 2.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $349.50 $388.50 1.7×
Strapping unna boot (29580) $128 $142 0.8×
Tangential biopsy skin single lesion (11102) $200 $222 0.5×
Tendon shortening (26477) $58 $64 0.0×
Treat finger dislocation (26775) $761 $845.50 2.6×
Treat humerus fracture (24500) $725 $806 2.8×
Trim skin lesion (11055) $306.50 $340.50 1.5×
Trim skin lesions 2 to 4 (11056) $174 $193 0.8×
Unlisted Procedure Nervous System (64999) $18 $20 0.1×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $98 $109 0.1×
Vaginal delivery only (59409) $1,349 $1,499 0.4×
Venipuncture (36415) $23 $25.50 2.5×