Procedures & surgery prices at Garfield County Memorial Hospital

Pomeroy, WA · 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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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,870 $2,200 1.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $789.22 $928.50 0.8×
Anoscopy diagnostic (46600) $73.10 $86 0.5×
Application finger splint static (29130) $72.25 $85 0.5×
Application long arm splint shoulder hand (29105) $107.10 $126 0.6×
Application short arm splint forearm-hand static (29125) $70.55 $83 0.5×
Apply long leg splint (29505) $283.05 $333 1.6×
Apply short leg splint (29515) $89.25 $105 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $124.10 $146 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $108.80 $128 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $111.35 $131 0.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $77.35 $91 0.2×
Aspirate pleura w/ imaging (32555) $1,885.30 $2,218 2.7×
Avulsion nail plate partial/complete simple 1 (11730) $113.48 $133.50 0.5×
Bx breast 1st lesion us imag (19083) $2,533 $2,980 1.4×
Change of cystostomy tube simple (51705) $379.10 $446 1.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $746.30 $878 0.4×
Closed tx knee dislocation w/anesthesia (27552) $1,122.85 $1,321 0.6×
Closed tx patellar dislocation w/o anesthesia (27560) $489.60 $576 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $703.80 $828 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $504.90 $594 1.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $581.40 $684 0.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $899.30 $1,058 0.5×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $529.55 $623 1.9×
Cltx post hip arthrp dislc req anes (27266) $1,024.25 $1,205 0.6×
Collect Blood From Catheter Venous Nos (36592) $193.80 $228 1.3×
Control Nasal Hemorrhage Anterior Simple (30901) $182.32 $214.50 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $181.05 $213 1.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $48.45 $57 0.1×
Debride nail 1-5 (11720) $55.25 $65 0.8×
Debride nail 6 or more (11721) $75.65 $89 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $217.60 $256 0.5×
Destruction Benign Lesions 15/> (17111) $230.35 $271 1.0×
Destruction Benign Lesions Up To 14 (17110) $123.68 $145.50 0.6×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $303.45 $357 1.4×
Destruction premalignant lesion 1st (17000) $83.30 $98 0.4×
Drainage Finger Abscess Simple (26010) $446.25 $525 2.0×
Drainage of hematoma/fluid (10140) $192.95 $227 0.1×
Draw blood off venous device (36591) $187 $220 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $211.65 $249 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $175.95 $207 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $85.85 $101 0.4×
Evacuation of subungual hematoma (11740) $52.70 $62 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $345.95 $407 0.4×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $213.35 $251 0.1×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $437.75 $515 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $240.55 $283 0.3×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $297.50 $350 0.1×
Exc lesion tendon sheath/capsule w/synvct foot (28090) $1,530 $1,800 0.9×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $268.60 $316 0.3×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $302.60 $356 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $385.05 $453 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $595 $700 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $377.40 $444 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $504.05 $593 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $535.50 $630 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $491.30 $578 1.1×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $569.50 $670 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $569.50 $670 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $523.60 $616 0.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $301.75 $355 0.2×
Exploration penetrating wound spx extremity (20103) $616.25 $725 0.3×
Fit/Insert Intravag Support Device (57160) $123.25 $145 0.5×
Gastric Intubation/Aspiration, Therapeutic (43753) $76.50 $90 0.3×
I&d abscess simple (10060) $167.88 $197.50 0.8×
I&D Below Fascia Foot 1 Bursal Space (28002) $408 $480 0.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $522.75 $615 0.2×
Incise external hemorrhoid (46083) $330.65 $389 1.2×
Incision & drainage abscess complicated/multiple (10061) $297.08 $349.50 0.7×
Incision & removal foreign body subq tiss simple (10120) $170.42 $200.50 0.4×
Incisional biopsy skin single lesion (11106) $258.40 $304 0.3×
Initial tx 1st degree burn local tx (16000) $199.75 $235 0.9×
Inj tendon sheath/ligament (20550) $87.55 $103 0.3×
Inj therapeutic carpal tunnel (20526) $138.55 $163 0.4×
Inject Tendon Origin/Insert (20551) $89.25 $105 0.3×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $83.30 $98 0.1×
Injection aa&/strd trigeminal nerve each branch (64400) $125.80 $148 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $87.55 $103 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $79.05 $93 0.2×
Insert Drug Implant Device (11981) $191.25 $225 1.3×
Insert non-tunnel cv cath (36556) $1,096.50 $1,290 0.3×
Insert Temp Bladder Cath (51702) $44.20 $52 0.3×
Insert,Non-Indwelling Bladder Catheter (51701) $218.45 $257 1.5×
Intubation endotracheal emergency procedure (31500) $508.30 $598 1.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $76.50 $90 0.2×
Perq dev breast 1st us imag (19285) $1,060.80 $1,248 1.3×
Placement of needle for intraosseous infusion (36680) $102 $120 0.2×
Punch biopsy skin single lesion (11104) $122.82 $144.50 0.3×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $163.20 $192 0.4×
Removal foreign body foot deep (28192) $566.95 $667 0.3×
Removal foreign body foot subcutaneous (28190) $242.25 $285 0.3×
Removal foreign body intranasal (30300) $222.70 $262 1.5×
Removal foreign body muscle/tendon sheath simple (20520) $314.08 $369.50 0.2×
Removal foreign body pharynx (42809) $258.40 $304 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $26.35 $31 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $66.30 $78 1.0×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $76.50 $90 0.2×
Removal of nail bed (11750) $269.45 $317 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $184.45 $217 0.8×
Removal/bivalving full arm/full leg cast (29705) $85.85 $101 0.3×
Remove drug implant device (11982) $266.48 $313.50 0.5×
Remove Tendon Sheath Lesion (26160) $523.60 $616 0.3×
Remove/Insert Drug Implant (11983) $344.68 $405.50 0.7×
Remv Ext Canal Foreign Body (69200) $80.75 $95 0.5×
Remv F.B.,Eye,Superf Conjunc (65205) $63.32 $74.50 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $454.75 $535 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $551.65 $649 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $395.25 $465 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $498.10 $586 1.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $372.30 $438 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $566.52 $666.50 1.3×
Repair complex trunk 1.1-2.5 cm (13100) $325.55 $383 0.4×
Repair complex trunk 2.6-7.5 cm (13101) $399.50 $470 0.5×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $481.95 $567 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $389.72 $458.50 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $321.30 $378 0.7×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $548.25 $645 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $334.05 $393 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $351.90 $414 0.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $638.35 $751 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $339.15 $399 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $339.58 $399.50 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $417.78 $491.50 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $377.40 $444 0.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $240.55 $283 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $306 $360 0.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $437.75 $515 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $442.42 $520.50 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $513.40 $604 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $113.05 $133 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $368.05 $433 0.2×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $424.15 $499 0.5×
Shave skin lesion 0.5 cm/< (11300) $166.60 $196 0.4×
Shave skin lesion 0.5 cm/< (11305) $174.25 $205 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $205.28 $241.50 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $203.15 $239 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $202.30 $238 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $228.65 $269 1.0×
Simple Cystometrogram (51725) $413.95 $487 1.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $204 $240 0.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $138.12 $162.50 0.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $143.65 $169 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $119 $140 0.5×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $149.60 $176 0.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $114.32 $134.50 0.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $232.90 $274 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $186.58 $219.50 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $141.52 $166.50 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $151.30 $178 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $185.30 $218 0.4×
Spinal puncture lumbar diagnostic (62270) $141.95 $167 0.2×
Tangential biopsy skin single lesion (11102) $81.60 $96 0.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $162.35 $191 0.2×
Treat vagina infection (57150) $94.35 $111 1.4×
Treatment closed elbow dislocation req anes (24605) $824.50 $970 0.5×
Treatment closed elbow dislocation w/o anes (24600) $585.65 $689 2.1×
Trim skin lesion (11055) $119 $140 0.5×
Trimming Of Nondystrophic Nails, Any Number (11719) $39.95 $47 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $502.35 $591 0.6×
Unlisted procedure anus (46999) $453.90 $534 0.4×
Us urine capacity measure (51798) $282.20 $332 4.3×
Venipuncture (36415) $26.35 $31 2.8×
Wedge excision skin nail fold (11765) $214.20 $252 0.5×