Procedures & surgery prices at Graham County Hospital

Hill City, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $478–$1,524 $478–$1,524 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,524 $1,524 1.8×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $365 $365 2.4×
Application cast elbow finger short arm (29075) $562 $562 2.2×
Application Cast Finger (29086) $100 $100 0.7×
Application finger splint static (29130) $299 $299 2.4×
Application long arm splint shoulder hand (29105) $310 $310 2.1×
Application Long Leg Cast Brace (29358) $361 $361 1.4×
Application Long Leg Cast Walker/Ambulatory Type (29355) $375 $375 1.5×
Application Long Leg Splint (29505) $300 $300 2.0×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $147–$310 $147–$310 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $150–$300 $150–$300 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $230–$562 $230–$562 varies
Apply long arm cast (29065) $562 $562 2.2×
Apply Multlay Comprs Lwr Leg (29581) $365 $365 2.4×
Apply Short Leg Cast (29405) $365 $365 1.4×
Apply short leg cast (29425) $361 $361 1.4×
Arterial puncture (36600) $90 $90 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $145–$480 $145–$480 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $167–$537 $167–$537 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $480 $480 1.7×
Aspirate pleura w/ imaging (32555) $1,121 $1,121 1.9×
Aspirate Pleura W/O Imaging (32554) $965 $965 1.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $170–$375 $170–$375 varies
Bladder Irrigation (51700) $406 $406 1.8×
Bladder Scan (51798)
range across 2 matching MRF lines		 $90–$105 $90–$105 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $670–$675 $670–$675 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $248–$395 $248–$395 varies
Clear outer ear canal (69200) $234 $234 1.9×
Closed Treat Vert Body Fract (22310) $1,154 $1,154 5.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,099 $1,099 4.8×
Closed Treatment Ulnar Styloid Fracture (25650) $1,977 $1,977 8.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,601 $2,601 1.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,977 $1,977 8.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,977 $1,977 8.7×
Closed tx knee dislocation w/o anesthesia (27550) $1,099 $1,099 4.8×
Closed tx metatarsal fracture w/o manipulation (28470) $1,977 $1,977 8.7×
Closed tx patellar dislocation w/o anesthesia (27560) $1,099 $1,099 4.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $844 $844 3.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,891 $1,891 8.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,977 $1,977 8.7×
Closed tx tarsometatarsal dislocation w/o anes (28600) $1,099 $1,099 4.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,891 $1,891 8.3×
Clsd tx clavicular fracture w/o manipulation (23500) $1,099 $1,099 4.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,300 $1,300 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,167 $1,167 5.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,099 $1,099 4.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,055 $1,055 4.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,977 $1,977 8.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $588 $588 2.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,977 $1,977 8.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,601 $2,601 1.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,977 $1,977 8.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $1,891 $1,891 8.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,977 $1,977 8.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $1,977 $1,977 8.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,099 $1,099 4.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $665 $665 2.9×
Cltx metacarpal fx w/manipulation each bone (26605) $1,099 $1,099 4.8×
Cltx metacarpal fx w/o manipulation each bone (26600) $664 $664 2.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $475 $475 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,530 $1,530 6.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $1,099 $1,099 4.8×
Cltx post hip arthrp dislc req anes (27266) $1,718 $1,718 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $1,099 $1,099 4.8×
Cltx prox fibula/shft fx w/o manj (27780) $790 $790 3.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,891 $1,891 8.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,099 $1,099 4.8×
Cltx tibial fx proximal w/o manipulation (27530) $1,977 $1,977 8.7×
Cltx tibial shaft fx w/o manipulation (27750) $1,891 $1,891 8.3×
Collect Blood From Catheter Venous Nos (36592) $195 $195 1.6×
Collection of venous blood by venipuncture (36415) $25 $25 2.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,916 $1,916 1.7×
Complex drainage wound (10180) $4,920 $4,920 1.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $334–$772 $334–$772 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $221–$635 $221–$635 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $461–$499 $461–$499 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $131–$362 $131–$362 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $910 $910 1.3×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $50–$100 $50–$100 varies
Debride nail 6 or more (11721) $490 $490 9.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $188 $188 0.5×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,560–$3,173 $1,560–$3,173 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,560–$3,173 $1,560–$3,173 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $1,560–$1,638 $1,560–$1,638 varies
Diagnostic sigmoidoscopy (45330) $1,482 $1,482 1.7×
Drain Cerebro Spinal Fluid (62272) $563 $563 0.9×
Drainage of hematoma/fluid (10140) $2,633 $2,633 1.7×
Draw Blood Off Venous Device (36591) $170 $170 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $483 $483 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $505 $505 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $505 $505 2.7×
Dx Laryngoscopy Excl Nb (31525) $5,807 $5,807 3.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,083 $3,083 1.7×
Egd cautery tumor polyp (43250) $3,083 $3,083 1.7×
Egd Flexible Foreign Body Removal (43247) $1,702 $1,702 2.0×
Egd remove lesion snare (43251) $3,083 $3,083 1.7×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,325 $1,325 0.8×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,448 $1,448 0.8×
Evacuation of subungual hematoma (11740) $950 $950 7.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $178 $178 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $394 $394 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $492 $492 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $628 $628 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $979 $979 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $211 $211 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $286 $286 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $350 $350 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $445 $445 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $567 $567 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $193 $193 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $238 $238 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $296 $296 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $344 $344 0.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $504 $504 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $625–$4,651 $625–$4,651 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $654 $654 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $894–$2,598 $894–$2,598 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,199 $2,199 2.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $220 $220 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $266 $266 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $453 $453 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $484 $484 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $297 $297 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $360 $360 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $375 $375 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $556 $556 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $365 $365 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $741 $741 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $322 $322 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $407 $407 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $505 $505 0.8×
Exploration penetrating wound spx extremity (20103) $403 $403 0.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,142 $1,142 0.4×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $177–$200 $177–$200 varies
Incise external hemorrhoid (46083) $395 $395 1.7×
Incision & drainage abscess complicated/multiple (10061) $360 $360 1.0×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $426–$459 $426–$459 varies
Incision & removal foreign body subq tiss simple (10120) $210 $210 0.6×
Initial Tx 1st Degree Burn Local Tx (16000) $325 $325 1.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $624–$1,447 $624–$1,447 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $141–$179 $141–$179 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $546–$1,071 $546–$1,071 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $145–$430 $145–$430 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $186–$430 $186–$430 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $272 $272 0.4×
Injection, intralesional; up to and including 7 lesions (11900) $323 $323 1.8×
Insert cath pleura w/o image (32556) $965 $965 0.5×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $500–$2,524 $500–$2,524 varies
Insert Temp Bladder Cath (51702) $195 $195 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $188 $188 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $500–$1,253 $500–$1,253 varies
Intro Gastrointestinal Tube (44500) $131 $131 0.2×
Intubation endotracheal emergency procedure (31500) $459 $459 2.1×
Late closure of wound (13160) $1,662 $1,662 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $546–$1,447 $546–$1,447 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $625–$1,500 $625–$1,500 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $625–$1,500 $625–$1,500 varies
Open Tx Distal Phalangeal Fracture Each (26765) $2,846 $2,846 0.9×
Placement of needle for intraosseous infusion (36680) $648 $648 1.6×
Punch biopsy skin single lesion (11104) $175 $175 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,232 $1,232 3.3×
Removal Foreign Body Foot Subcutaneous (28190) $2,589 $2,589 4.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $30 $30 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $98 $98 1.8×
Removal of implant from finger or hand (26320) $1,106 $1,106 0.7×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $464–$665 $464–$665 varies
Removal or bivalving full arm or full leg cast (29705) $362 $362 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $137 $137 0.7×
Removal/bivalving gauntlet boot/body cast (29700) $386 $386 1.5×
Remove foreign body from eye (65205) $119 $119 1.0×
Remove Nasal Foreign Body (30300) $1,220 $1,220 10.0×
Repair Achilles Tendon (27650) $5,790 $5,790 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $899 $899 2.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $421 $421 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $733 $733 2.0×
Repair extensor tendon finger w/o graft each (26418) $3,923 $3,923 2.7×
Repair Finger Tendon (26433) $2,692 $2,692 0.9×
Repair Finger/Hand Tendon (26350) $1,823 $1,823 0.6×
Repair Hand Tendon (26410) $2,692 $2,692 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $424 $424 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $468 $468 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $581 $581 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $729 $729 1.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $362 $362 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $427–$514 $427–$514 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $562 $562 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $624 $624 1.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $334 $334 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $429 $429 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $5,340 $5,340 7.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $486 $486 1.3×
Repair intrinsic muscles hand each muscle (26591) $2,692 $2,692 0.9×
Repair of nail bed (11760) $400 $400 0.6×
Repair tongue laceration (41252) $450 $450 2.1×
Repair tongue laceration (41250) $250 $250 0.6×
Replace g/c tube perc (49450) $1,524 $1,524 1.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $704 $704 1.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $835 $835 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,246 $1,246 2.2×
Rplc Gtube No Revj Trc (43762) $601 $601 2.6×
Rplc gtube revj gstrst trc (43763) $601 $601 2.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $723 $723 3.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,823 $1,823 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,916 $1,916 1.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $180 $180 1.0×
Sigmoidoscopy & Polypectomy (45333) $1,482 $1,482 1.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,482 $1,482 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $344 $344 1.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $377 $377 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $445 $445 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $300 $300 1.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $835 $835 4.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $422–$444 $422–$444 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $350–$384 $350–$384 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,052 $1,052 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $670 $670 1.8×
Strapping ankle (29540) $432 $432 2.9×
Strapping elbow or wrist (29260) $361 $361 6.7×
Strapping hand/finger (29280) $361 $361 6.7×
Strapping Hip (29520) $432 $432 3.5×
Strapping knee (29530) $432 $432 3.5×
Strapping shoulder (29240) $361 $361 3.0×
Strapping thorax (29200) $256 $256 1.7×
Strapping Unna Boot (29580) $365 $365 2.4×
Treat humerus fracture (24500) $1,977 $1,977 8.7×
Treat humerus fracture (23600) $1,977 $1,977 8.7×
Treat Knuckle Dislocation (26700) $1,099 $1,099 4.8×
Treatment closed elbow dislocation w/o anes (24600) $1,099 $1,099 4.8×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $34–$98 $34–$98 varies
Tx Gastro Intub W/Asp (43753) $506 $506 2.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $439 $439 0.6×
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $281–$316 $281–$316 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $594 $594 2.6×
Unlisted Procedure Casting/Strapping (29799) $263 $263 1.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $382 $382 0.5×
Vaginal Delivery After Cesarean Delivery (59612) $945 $945 0.3×
Vaginal delivery only (59409) $5,167 $5,167 1.7×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $314–$901 $314–$901 varies
Wedging of cast (29740) $278 $278 1.1×

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.