Procedures & surgery prices at Gillette Children's

Saint Paul, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Analyze spine infus pump (62367) $459.90 $766.50 1.4×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $442.80 $738 2.6×
Application cast shoulder hand long arm (29065) $488.40 $814 1.7×
Application Cast Shoulder Spica (29055) $1,459.20 $2,432 5.0×
Application Long Leg Cast Walker/Ambulatory Type (29355) $4,228.20 $7,047 14.4×
Application of long leg cast (29345) $695.70 $1,159.50 2.4×
Application short arm splint forearm-hand static (29125) $112.20 $187 0.8×
Apply short leg cast (29405) $498.60 $831 1.7×
Apply short leg cast (29425) $826.80 $1,378 2.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $347.40 $579 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,315.80 $2,193 4.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $240 $400 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $741.60 $1,236 2.3×
Aspirate pleura w/ imaging (32555) $995.40 $1,659 1.5×
Aspirate/Inj Ganglion Cyst (20612) $973.80 $1,623 3.0×
Biopsy muscle deep (20205) $468.60 $781 0.2×
Bladder Irrigation Simple (51700) $663 $1,105 2.5×
Bronchosc dx w/w/o fluor&wash (31622) $1,040.70 $1,734.50 0.6×
Bronchoscopy,Diagnostic W Lavage (31624) $401.40 $669 0.2×
Change of cystostomy tube simple (51705) $839.10 $1,398.50 3.2×
Chemical cautery tissue (17250) $903.60 $1,506 4.3×
Chemodenerv Musc Neck Dyston (64616) $105.60 $176 0.3×
Chemodenerv trunk musc 6/> (64647) $303.60 $506 0.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $387.30 $645.50 1.2×
Collect Blood From Catheter Venous Nos (36592) $105 $175 0.8×
Complex Cystometrogram (51726) $942 $1,570 3.6×
Complex Uroflowmetry (51741) $922.80 $1,538 4.1×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $958.20 $1,597 4.3×
Control Nasal Hemorrhage Anterior Simple (30901) $165 $275 1.2×
Csf shunt reprogram (62252) $569.70 $949.50 1.8×
Cysto W/Simple Removal Stone & Stent (52310) $758.40 $1,264 0.3×
Cystourethroscopy (52000) $294 $490 0.4×
Cystourethroscopy inj chemodenervation bladder (52287) $529.20 $882 0.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $205.80 $343 0.5×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $710.40 $1,184 0.8×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $804 $1,340 1.1×
Draw blood off venous device (36591) $161.40 $269 1.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $198 $330 0.6×
Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) $1,322.40 $2,204 4.1×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $458.40 $764 3.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $177.60 $296 0.2×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $185.40 $309 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $356.40 $594 0.2×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $282.60 $471 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $252.60 $421 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $327 $545 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,005 $1,675 0.6×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $605.40 $1,009 0.8×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $517.80 $863 0.7×
Fasciotomy palmar percutaneous (26040) $388.80 $648 0.2×
Fine needle aspiration without imaging guidance (10021) $196.80 $328 0.5×
Fluoro exam of g/colon tube (49465) $1,175.40 $1,959 4.7×
I&d abscess simple (10060) $240 $400 1.1×
Incision & removal foreign body subq tiss simple (10120) $196.80 $328 0.5×
Inj tendon sheath/ligament (20550) $360 $600 1.1×
Inject Tendon Origin/Insert (20551) $1,606.20 $2,677 5.0×
Injection into skin lesions (11900) $221.40 $369 1.1×
Insert Bladder Cath Complex (51703) $126 $210 0.9×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,175.40 $1,959 0.9×
Insert Drug Implant Device (11981) $643.80 $1,073 4.6×
Insert gastrostomy tube percutaneous (49440) $1,175.40 $1,959 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $223.80 $373 0.1×
Insert Temp Bladder Cath (51702) $339 $565 2.4×
Insert,Non-Indwelling Bladder Catheter (51701) $373.20 $622 2.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $223.80 $373 0.1×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $828.60 $1,381 0.3×
Laryngoscopy flexible diagnostic (31575) $621 $1,035 3.0×
Nasal endoscopy dx (31231) $543.60 $906 2.6×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $1,175.40 $1,959 2.5×
Ndsc njx implt matrl urt&/bldr nck (51715) $704.40 $1,174 0.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,066.20 $1,777 1.4×
Perq replacement gtube not req revj gstrst trc (43762) $958.20 $1,597 3.7×
Picc line placement (36569) $490.20 $817 0.3×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $243 $405 0.6×
Puncture shunt tube/reservoir aspiration/inj px (61070) $522.30 $870.50 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $345 $575 5.6×
Removal Implant Superficial Separate Procedure (20670) $374.70 $624.50 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $3,283.20 $5,472 15.6×
Removal/bivalving full arm/full leg cast (29705) $207 $345 0.7×
Remove/Insert Drug Implant (11983) $858.60 $1,431 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $427.20 $712 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $319.50 $532.50 0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $180 $300 0.9×
Skin sub graft face/nk/hf/g (15275) $831 $1,385 1.1×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
likely a partial charge, not the full procedure
$1,203 $2,005 0.2×
Spinal puncture lumbar diagnostic (62270) $451.20 $752 0.6×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $863.10 $1,438.50 0.5×
Tracheobrnchsc Thru Est Trachs Inc (31615) $502.20 $837 0.9×
Unlisted procedure nervous system (64999) $419.40 $699 1.3×
Us urine capacity measure (51798) $148.20 $247 2.4×
Venipuncture (36415) $237 $395 25.4×