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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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,870 $2,200 1.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$134.30–$1,444.15 $158–$1,699 varies
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 Long Leg Splint (29505) $283.05 $333 1.6×
Application short arm splint forearm-hand static (29125) $70.55 $83 0.5×
Application short leg splint calf foot (29515) $89.25 $105 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$91.80–$156.40 $108–$184 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$98.60–$300.05 $116–$353 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $111.35 $131 0.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$64.60–$90.10 $76–$106 varies
Aspirate pleura w/ imaging (32555) $1,885.30 $2,218 2.7×
Aspirate Pleura W/O Imaging (32554) $162.35 $191 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$34.85–$192.10 $41–$226 varies
Bladder Scan (51798) $282.20 $332 4.3×
Bx breast 1st lesion us imag (19083) $2,533 $2,980 1.4×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$226.95–$531.25 $267–$625 varies
Clear outer ear canal (69200) $80.75 $95 0.5×
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 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×
Collection of venous blood by venipuncture (36415) $26.35 $31 2.8×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$102–$262.65 $120–$309 varies
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)
range across 2 matching MRF lines
$98.60–$217.60 $116–$256 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$55.25–$192.10 $65–$226 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines
$224.40–$236.30 $264–$278 varies
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $303.45 $357 1.4×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines
$28.90–$114.75 $34–$135 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$325.55–$566.95 $383–$667 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$186.15–$199.75 $219–$235 varies
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)
range across 2 matching MRF lines
$215.90–$476 $254–$560 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $240.55 $283 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $213.35 $251 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $268.60 $316 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $301.75 $355 0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,530 $1,800 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$334.05–$436.05 $393–$513 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $595 $700 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines
$262.65–$342.55 $309–$403 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$289.85–$585.65 $341–$689 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $377.40 $444 0.2×
Excis Mouth Mucosa/Sub,No Repair (40810) $297.50 $350 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $569.50 $670 0.7×
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 3.1-4.0 Cm (11604) $569.50 $670 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $523.60 $616 0.2×
Exploration penetrating wound spx extremity (20103) $616.25 $725 0.3×
I&d abscess simple (10060)
range across 2 matching MRF lines
$154.70–$181.05 $182–$213 varies
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)
range across 2 matching MRF lines
$284.75–$309.40 $335–$364 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$162.35–$178.50 $191–$210 varies
Incisional biopsy skin single lesion (11106) $258.40 $304 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $199.75 $235 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines
$76.50–$214.20 $90–$252 varies
Injection single tendon origin/insertion (20551) $89.25 $105 0.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$68.85–$107.10 $81–$126 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines
$55.25–$100.30 $65–$118 varies
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines
$54.40–$243.95 $64–$287 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $83.30 $98 0.1×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines
$168.30–$214.20 $198–$252 varies
Insert non-tunnel cv cath (36556) $1,096.50 $1,290 0.3×
Insert pessary/other device (57160) $123.25 $145 0.5×
Insert Temp Bladder Cath (51702) $44.20 $52 0.3×
Insert,Non-Indwelling Bladder Catheter (51701) $218.45 $257 1.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $481.95 $567 1.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $548.25 $645 1.2×
Intubation endotracheal emergency procedure (31500) $508.30 $598 1.9×
Nasal/Orogastric W/Tube Plmt (43752) $76.50 $90 0.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $125.80 $148 0.4×
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)
range across 2 matching MRF lines
$38.25–$207.40 $45–$244 varies
Puncture aspiration abscess hematoma bulla/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 Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines
$260.95–$367.20 $307–$432 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $26.35 $31 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$52.70–$79.90 $62–$94 varies
Removal of foreign body from pharynx (42809) $258.40 $304 0.5×
Removal of nail bed (11750) $269.45 $317 0.6×
Removal or bivalving full arm or full leg cast (29705) $85.85 $101 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines
$156.40–$212.50 $184–$250 varies
Remove drug implant device (11982)
range across 2 matching MRF lines
$183.60–$349.35 $216–$411 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$46.75–$79.90 $55–$94 varies
Remove Nasal Foreign Body (30300) $222.70 $262 1.5×
Remove Tendon Sheath Lesion (26160) $523.60 $616 0.3×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines
$234.60–$454.75 $276–$535 varies
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)
range across 2 matching MRF lines
$423.30–$709.75 $498–$835 varies
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 2.5 cm/< (12051)
range across 2 matching MRF lines
$270.30–$509.15 $318–$599 varies
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 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)
range across 2 matching MRF lines
$237.15–$442 $279–$520 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$315.35–$520.20 $371–$612 varies
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)
range across 2 matching MRF lines
$324.70–$560.15 $382–$659 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $513.40 $604 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $76.50 $90 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines
$97.75–$113.05 $115–$133 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $368.05 $433 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $149.60 $176 0.7×
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×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines
$192.10–$218.45 $226–$257 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $174.25 $205 0.8×
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)
range across 2 matching MRF lines
$228.65–$599.25 $269–$705 varies
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)
range across 2 matching MRF lines
$88.40–$187.85 $104–$221 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$92.65–$194.65 $109–$229 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $119 $140 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$71.40–$157.25 $84–$185 varies
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)
range across 2 matching MRF lines
$151.30–$221.85 $178–$261 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$92.65–$190.40 $109–$224 varies
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×
Treat Knuckle Dislocation (26700) $529.55 $623 1.9×
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 Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines
$23.80–$56.10 $28–$66 varies
Tx Gastro Intub W/Asp (43753) $76.50 $90 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $502.35 $591 0.6×
Unlisted procedure anus (46999) $453.90 $534 0.4×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines
$149.60–$278.80 $176–$328 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.