Procedures & surgery prices at George E Weems Memorial Hospital

Apalachicola, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,074.36 $1,534.80 1.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $219.10 $313 0.2×
Application Finger Splint Dynamic (29131) $69.48 $99.26 1.1×
Application finger splint static (29130) $53.90 $77 0.4×
Application long arm splint shoulder hand (29105) $103.60 $148 0.6×
Application Long Leg Splint (29505) $156.80 $224 0.9×
Application short arm splint forearm-hand static (29125) $82.60 $118 0.6×
Application short leg splint calf foot (29515) $145.60 $208 0.9×
Arterial puncture (36600) $23.80 $34 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $67.20 $96 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $74.90 $107 0.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $152.60 $218 0.5×
Aspirate Pleura W/O Imaging (32554) $294 $420 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $74.90 $107 0.4×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,733.70 $2,476.72 1.0×
Bladder Scan (51798) $70.61 $100.87 1.1×
Blepharotomy drainage abscess eyelid (67700) $156.80 $224 0.5×
Blood Transfusion Service (36430) $226.80 $324 0.5×
Catheter aspiration nasotracheal spx (31720) $117.60 $168 0.5×
Chemical Cautery Tissue (17250) $220.70 $315.28 1.1×
Chest tube placement (32551) $274.40 $392 0.2×
Clear outer ear canal (69200) $78.40 $112 0.6×
Closed tx ankle dislocation w/o anesthesia (27840) $256.20 $366 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $376.60 $538 0.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $333.20 $476 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $235.20 $336 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $43.40–$191.80 $62–$274 varies
Closed tx patellar dislocation w/o anesthesia (27560) $470.40 $672 1.8×
Closed tx radial head/neck fx w/o manipulation (24650) $231.70 $331 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $333.20 $476 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $426.30 $609 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $125.30 $179 0.5×
Closed tx ulnar shaft fracture w/o manipulation (25530) $274.40 $392 1.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $224 $320 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $309.40 $442 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $117.60 $168 0.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,658.85 $2,369.79 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $203.70 $291 0.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $156.80 $224 0.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $297.50 $425 1.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $215.60 $308 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $93.80 $134 0.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $152.60 $218 0.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $272.37 $389.10 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $156.80 $224 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $168.70 $241 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $213.19 $304.56 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,711.97 $2,445.67 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $219.10 $313 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $290.28 $414.69 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $196.70 $281 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $274.40 $392 1.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $274.40 $392 1.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,758.65 $2,512.36 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $352.80 $504 1.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $196.70 $281 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $488.60 $698 1.9×
Cltx prox fibula/shft fx w/o manj (27780) $255.50 $365 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $191.80–$224 $274–$320 varies
Cltx tibial shaft fx w/o manipulation (27750) $352.80 $504 1.4×
Collection of venous blood by venipuncture (36415) $7 $10 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $106.40 $152 0.8×
Control Nasal Hemorrhage Anterior Simple (30901) $106.40 $152 0.8×
Cross Intrinsic Transfer Each Tendon (26510) $196.70 $281 0.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $278.60 $398 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $38.50 $55 0.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $186.90 $267 0.3×
Debride nail 1-5 (11720) $69.48 $99.26 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $74.90 $107 0.2×
Drain Cerebro Spinal Fluid (62272) $231.70 $331 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $137.90 $197 0.2×
Drainage Finger Abscess Complicated (26011) $255.50 $365 0.1×
Drainage of finger abscess simple (26010) $180.60 $258 0.9×
Drainage of gum lesion (41800) $137.71 $196.73 1.0×
Drainage of hematoma/fluid (10140) $156.80 $224 0.1×
Drainage of scrotal wall abscess (55100) $217.70 $311 0.1×
Drainage of scrotum (54700) $266.70 $381 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $98 $140 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $152.60 $218 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $196.70 $281 0.9×
Dx Laryngoscopy Excl Nb (31525) $1,729.53 $2,470.75 0.9×
Evacuation of subungual hematoma (11740) $63 $90 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $172.20 $246 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $107.10 $153 0.1×
Exploration penetrating wound spx extremity (20103) $303.80 $434 0.2×
Foreskin manipulation (54450) $292.30 $417.57 1.1×
I&d abscess simple (10060) $121.80 $174 0.6×
I&d perianal abscess superficial (46050) $125.30 $179 0.1×
I&d pilonidal cyst simple (10080) $137.90 $197 0.2×
Incise external hemorrhoid (46083) $152.60 $218 0.6×
Incision & drainage abscess complicated/multiple (10061) $224 $320 0.5×
Incision & removal foreign body subq tiss compl (10121) $145.60 $208 0.1×
Incision & removal foreign body subq tiss simple (10120) $117.60 $168 0.3×
Incision and drainage of bartholin's gland abscess (56420) $137.90 $197 0.7×
Incision and drainage of vulva or perineal abscess (56405) $196.70 $281 0.6×
Initial Tx 1st Degree Burn Local Tx (16000) $39.90 $57 0.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $801.54 $1,145.06 1.1×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $114.80 $164 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $133.70 $191 0.4×
Injection, anesthetic agent; femoral nerve, single (64447) $114.80 $164 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $93.80 $134 0.1×
Insert cath pleura w/o image (32556) $1,873.59 $2,676.56 0.9×
Insert non-tunnel cv cath (36556) $196.70 $281 0.1×
Insert Temp Bladder Cath (51702) $134.50 $192.14 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $47.60 $68 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $844.20 $1,206 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,500.35 $5,000.50 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $392.70 $561 0.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $451.50 $645 1.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $324.80–$410.90 $464–$587 varies
Irrigation of corpora cavernosa for priapism (54220) $292.30 $417.57 1.1×
Laryngoscopy W/Foreign Body Removal (31530) $1,729.53 $2,470.75 0.9×
Late closure of wound (13160) $203.70 $291 0.1×
Manipulation tmj therapeutic require anesthesia (21073) $224 $320 0.1×
N Block Lumbar/Thoracic (64520) $966.06 $1,380.08 1.0×
Nasal surgery procedure (30999) $290.81 $415.44 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $28 $40 0.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $110.60 $158 0.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $161.70 $231 0.0×
Open Tx Distal Phalangeal Fracture Each (26765) $215.60 $308 0.1×
Placement of needle for intraosseous infusion (36680) $145.60 $208 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $121.80 $174 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $333.20 $476 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $196.70 $281 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $70.60 $100.86 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $51.10 $73 0.8×
Removal of foreign body from pharynx (42809) $180.60 $258 0.4×
Removal of nail bed (11750) $403.56 $576.52 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $65.80 $94 0.3×
Remove foreign body from eye (65205) $65.10 $93 0.5×
Remove Nasal Foreign Body (30300) $165.20 $236 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $451.50 $645 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $587.30 $839 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $392.70 $561 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $667.10 $953 1.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $352.80 $504 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $466.90 $667 1.1×
Repair complex trunk 1.1-2.5 cm (13100) $333.20 $476 0.4×
Repair complex trunk 2.6-7.5 cm (13101) $371.70 $531 0.5×
Repair extensor tendon finger w/o graft each (26418) $255.50 $365 0.2×
Repair Finger/Hand Tendon (26350) $647.50 $925 0.2×
Repair Hand Tendon (26410) $309.40 $442 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $255.50 $365 0.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $274.40 $392 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $302.40 $432 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $250.60 $358 0.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $509.60 $728 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $203.70 $291 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $224 $320 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $281.40 $402 0.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $203.70 $291 0.3×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $203.70 $291 0.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $203.70 $291 0.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $203.70 $291 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $203.70 $291 0.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $203.70 $291 0.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $203.70 $291 0.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $203.70 $291 0.1×
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure		 $203.70 $291 0.0×
Repair of nail bed (11760) $81.20 $116 0.1×
Repair tongue laceration (41252) $378.70 $541 1.5×
Repair tongue laceration (41250) $137.72 $196.74 0.3×
Replace g/c tube perc (49450) $961.90 $1,374.14 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $62.30 $89 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $78.40 $112 0.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $78.40 $112 0.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $352.80 $504 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $92.40 $132 0.1×
Rplc Gtube No Revj Trc (43762) $296.70 $423.85 1.1×
Rplcmt cath ctr vad subq port/pmp (36578) $3,336.45 $4,766.36 1.0×
Rpr blood vessel direct lower extremity (35226) $770.49 $1,100.70 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $203.70 $291 1.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $203.70 $291 0.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $490 $700 0.9×
Rpr Lip Full Thickness Vermilion Only (40650) $392.70 $561 0.7×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $607.60 $868 0.4×
Shave skin lesion 0.5 cm/< (11300) $42 $60 0.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $203.70 $291 0.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $203.70 $291 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $203.70 $291 1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $203.70 $291 0.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $203.70 $291 1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $203.70 $291 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $203.70 $291 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $203.70 $291 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $203.70 $291 1.0×
Skin Full Grft Face/Genit/Hf (15240) $1,956.46 $2,794.94 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $203.70 $291 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $203.70 $291 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $203.70 $291 0.5×
Spinal puncture lumbar diagnostic (62270) $191.80 $274 0.3×
Strapping ankle (29540) $168.92 $241.32 1.0×
Strapping elbow or wrist (29260) $40.57 $57.96 0.7×
Strapping hand/finger (29280) $40.57 $57.96 0.7×
Strapping knee (29530) $134.49 $192.13 1.0×
Strapping shoulder (29240) $134.49 $192.13 1.0×
Treat humerus fracture (24500) $306.60 $438 1.2×
Treat humerus fracture (23600) $313.60 $448 1.2×
Treat knee fracture (27532) $176.40 $252 0.1×
Treat Knuckle Dislocation (26700) $387.80 $554 1.5×
Treat toe dislocation (28630) $180.60 $258 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $255.50 $365 0.3×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $257.22 $367.45 1.0×
Vaginal delivery only (59409) $470.40 $672 0.1×
Wedge excision skin nail fold (11765) $72.10 $103 0.2×

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.