Procedures & surgery prices at Franklin County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $221 $245 1.1×
Application cast elbow finger short arm (29075) $242 $269 0.8×
Application finger splint static (29130)
range across 2 matching MRF lines		 $101–$151 $112–$168 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $207–$233 $230–$259 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $108–$310 $120–$344 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $79–$257 $88–$285 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $140–$205 $155–$228 varies
Apply hand/wrist cast (29085) $257 $286 1.5×
Apply long arm cast (29065) $275 $306 0.9×
Apply Multlay Comprs Lwr Leg (29581) $183 $203 1.1×
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)
range across 2 matching MRF lines		 $164–$230 $182–$255 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $127 $141 0.4×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $204–$291 $227–$323 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $165–$968 $183–$1,076 varies
Blood Transfusion Service (36430)
range across 4 matching MRF lines		 $810–$869 $900–$965 varies
Change Cystostomy Tube Simple (51705) $384 $427 1.5×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $180–$190 $200–$211 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $807–$1,367 $897–$1,519 varies
Closed tx metatarsal fracture w/o manipulation (28470) $569 $632 2.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $535 $594 2.1×
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 Req Anes (26775)
range across 2 matching MRF lines		 $680–$842 $756–$935 varies
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 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×
Collect Blood From Catheter Venous Nos (36592) $152 $169 1.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $14–$32 $16–$35 varies
Colonoscopy w/submucosal inj (45381) $1,688 $1,876 1.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,729 $3,032 2.2×
Control Nasal Hemorrhage Anterior Complex (30903) $532 $591 3.9×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $234–$301 $260–$334 varies
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)
range across 3 matching MRF lines		 $18–$284 $20–$315 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $110 $122 0.3×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $273–$347 $303–$385 varies
Destruct B9 Lesion 1-14 (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×
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×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $19 $21 0.0×
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×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681)
range across 2 matching MRF lines		 $18–$135 $20–$150 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $95–$363 $106–$403 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $225 $250 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $392 $435 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $478 $531 0.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $525 $583 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $257 $286 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $299 $332 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $386 $429 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $232 $258 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $290 $322 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $378 $420 0.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $548 $609 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $537 $597 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $581 $645 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $794 $882 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $280 $311 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $325 $361 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $567 $630 0.8×
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 malignant lesion f/e/e/n/l 0.5 cm/< (11640) $346 $384 0.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $630 $700 0.4×
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×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $231–$499 $257–$554 varies
I&d pilonidal cyst simple (10080) $210 $233 0.3×
Incise external hemorrhoid (46083) $324 $360 1.2×
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)
range across 2 matching MRF lines		 $294–$446 $327–$496 varies
Incisional biopsy eyelid skin & lid margin (67810) $69 $77 0.2×
Incisional biopsy skin single lesion (11106) $319 $354 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $154 $171 0.7×
Injection 1 tendon sheath/ligament aponeurosis (20550) $130 $144 0.4×
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)
range across 4 matching MRF lines		 $162–$226 $180–$251 varies
Insert,Non-Indwelling Bladder Catheter (51701) $159 $177 1.2×
Intubation endotracheal emergency procedure (31500) $678 $753 2.8×
Lavage cannulation sphenoid sinus (31002) $15 $17 0.0×
Nfct ds pthgn-sna 10vir&4bct (0564U) $511 $568 1.2×
Nfct ds pthgn-sna 11vir&4bct (0563U) $511 $568 1.2×
Punch biopsy skin single lesion (11104) $259 $288 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160) $297 $330 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $68–$71 $75–$79 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $96–$143 $107–$159 varies
Removal of nail bed (11750) $374 $416 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $172 $191 0.8×
Remove drug implant device (11982) $149 $165 0.3×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $110–$202 $122–$224 varies
Remove Tendon Sheath Lesion (26160) $635 $705 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $437 $486 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $972 $1,080 2.3×
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)
range across 2 matching MRF lines		 $588–$663 $653–$737 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $827 $919 2.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $123 $137 0.3×
Rplc Gtube No Revj Trc (43762) $475 $528 1.8×
Shave skin lesion 0.5 cm/< (11300) $185 $205 0.4×
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×
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)
range across 2 matching MRF lines		 $289–$293 $321–$326 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $355–$736 $394–$818 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $501–$567 $557–$630 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $259–$340 $288–$378 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $376–$639 $418–$710 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $305–$394 $339–$438 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $119–$232 $132–$258 varies
Tangential biopsy skin single lesion (11102) $200 $222 0.5×
Tendon shortening (26477) $58 $64 0.0×
Treat humerus fracture (24500) $725 $806 2.8×
Treat toe dislocation (28630) $343 $381 1.3×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $135–$478 $150–$531 varies
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×
Wedge excision skin nail fold (11765) $284 $316 0.7×

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.