Procedures & surgery prices at Graham County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $691.50 $691.50 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $740 $740 0.9×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $365 $365 2.4×
Application cast elbow finger short arm (29075) $556 $556 2.2×
Application Cast Finger (29086) $100 $100 0.7×
Application Cast Hand & Lower Forearm Gauntlet (29085) $362.50 $362.50 2.4×
Application cast shoulder hand long arm (29065) $510 $510 2.0×
Application finger splint static (29130) $250 $250 2.0×
Application long arm splint shoulder hand (29105) $310 $310 2.1×
Application Long Leg Cast Walker/Ambulatory Type (29355) $375 $375 1.5×
Application long leg splint thigh ankle/toes (29505) $300 $300 2.0×
Application short arm splint forearm-hand static (29125) $228.50 $228.50 1.9×
Application short leg splint calf foot (29515) $300 $300 2.0×
Apply long leg cast brace (29358) $360 $360 1.4×
Apply multlay comprs arm/hand (29584) $365 $365 2.4×
Apply short leg cast (29405) $365 $365 1.4×
Apply short leg cast (29425) $360 $360 1.4×
Arterial puncture (36600) $90 $90 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $260 $260 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $495 $495 1.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $375 $375 1.3×
Avulsion nail plate partial/complete simple 1 (11730) $272.50 $272.50 1.5×
Bladder Irrigation Simple (51700) $100 $100 0.4×
Bladder Scan (51798) $97.50 $97.50 1.8×
Blood transfusion service (36430) $517.50 $517.50 1.3×
Change Cystostomy Tube Simple (51705) $164 $164 0.7×
Chg Collect Blood From Catheter Venous Nos (36592) $195 $195 1.6×
Closed Rx Radial Shaft Fx (25500) $1,872 $1,872 8.3×
Closed Rx Tibia Shaft Fx (27750) $1,875 $1,875 8.3×
Closed Rx Tibial Plateau Fx (27530) $1,977 $1,977 8.7×
Closed Treat Vert Body Fract (22310) $1,099 $1,099 4.8×
Closed treat wrist dislocation (25660) $1,750 $1,750 7.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,099 $1,099 4.8×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $1,977 $1,977 8.7×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $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) $1,725 $1,725 1.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $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 ulnar shaft fracture w/o manipulation (25530) $1,872 $1,872 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) $1,099 $1,099 4.8×
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) $1,099 $1,099 4.8×
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) $1,977 $1,977 1.3×
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) $1,795 $1,795 7.9×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,977 $1,977 8.7×
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 metacarpophalangeal dislc w/manj w/o anes (26700) $1,099 $1,099 4.8×
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 rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,099 $1,099 4.8×
Colonoscopy flex w/rem forcep (45384) $1,730 $1,730 1.6×
Complex Drainage, Wound (10180) $4,870 $4,870 1.8×
Control Nasal Hemorrhage Anterior Complex (30903) $361 $361 3.0×
Control Nasal Hemorrhage Anterior Simple (30901) $260 $260 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $432 $432 3.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $233 $233 0.6×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $360 $360 0.1×
Debride nail 1-5 (11720) $75 $75 1.4×
Debride nail 6 or more (11721) $490 $490 9.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $188 $188 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $304 $304 0.4×
Destroy cerv/thor facet jnt (64633) $1,380 $1,380 0.8×
Destroy lumb/sac facet jnt (64635) $1,380 $1,380 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $1,560 $1,560 0.9×
Diagnostic sigmoidoscopy (45330) $960 $960 1.1×
Drainage of hematoma/fluid (10140) $1,525 $1,525 1.0×
Draw blood off venous device (36591) $170 $170 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $480 $480 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×
Egd balloon dilation esophagus <30 mm diam (43249) $2,016 $2,016 1.1×
Egd flexible foreign body removal (43247) $1,685 $1,685 2.0×
Egd rem tumr/polyp forcep (43250) $1,448 $1,448 0.8×
Egd remove lesion snare (43251) $1,448 $1,448 0.8×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $1,448 $1,448 0.8×
Evacuation of subungual hematoma (11740) $950 $950 7.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $394 $394 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $504 $504 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $211 $211 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $445 $445 0.3×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $238 $238 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $220 $220 0.6×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $266 $266 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $344 $344 0.5×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $567 $567 0.4×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $453 $453 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,462.50 $1,462.50 0.5×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $741 $741 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,647 $1,647 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,178 $2,178 2.0×
Exc tr-ext b9+marg 0.5 cm or less (11400) $178 $178 0.3×
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 2.1-3.0 Cm (11603) $484 $484 0.7×
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 0.6-1.0 cm (11641) $492 $492 0.8×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $628 $628 1.0×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $979 $979 0.6×
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×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $654 $654 0.4×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $286 $286 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $350 $350 0.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $296 $296 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $193 $193 0.1×
Excision of nail fold toe (11765) $344.50 $344.50 0.9×
Exploration penetrating wound spx extremity (20103) $375 $375 0.2×
Gastric Intubation/Aspiration, Therapeutic (43753) $185 $185 0.9×
Hemorrhoidectomy (46255) $1,142 $1,142 0.4×
I&d abscess simple (10060) $188.50 $188.50 1.0×
Incision & drainage abscess complicated/multiple (10061) $360 $360 1.0×
Incision & removal foreign body subq tiss compl (10121) $442.50 $442.50 0.3×
Incision & removal foreign body subq tiss simple (10120) $210 $210 0.6×
Incision thrombosed hemorrhoid external (46083) $158 $158 0.7×
Initial tx 1st degree burn local tx (16000) $325 $325 1.8×
Inj paravert f jnt c/t 1 lev (64490) $697 $697 0.9×
Inj tendon sheath/ligament (20550) $160 $160 0.6×
Injection aa&/strd genicular nrv branches w/img (64454) $808.50 $808.50 1.2×
Injection anes other peripheral nerve/branch (64450) $272 $272 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $153 $153 0.5×
Injection single/mlt trigger point 3/> muscles (20553) $308 $308 1.1×
Injection, intralesional; up to and including 7 lesions (11900) $125 $125 0.7×
Insert picc cath (36569) $900 $900 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $900 $900 0.6×
Insert Temp Bladder Cath (51702) $195 $195 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $125 $125 1.0×
Intro Gastrointestinal Tube (44500) $125 $125 0.1×
Intubation endotracheal emergency procedure (31500) $459 $459 2.1×
Laryngoscopy,Direct,Diagnostic (31525) $5,750 $5,750 3.5×
Late closure of wound (13160) $1,662 $1,662 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $858 $858 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,062.50 $1,062.50 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,062.50 $1,062.50 1.6×
Open Tx Distal Phalangeal Fracture Each (26765) $2,846 $2,846 0.9×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $955 $955 0.5×
Perq replacement gtube not req revj gstrst trc (43762) $597.50 $597.50 2.6×
Placement of needle for intraosseous infusion (36680) $195 $195 0.5×
Punch biopsy skin single lesion (11104) $175 $175 0.5×
Puncture Aspiration (10160) $1,220 $1,220 3.3×
Removal fb intranasal (30300) $1,208 $1,208 9.9×
Removal foreign body foot subcutaneous (28190) $2,025 $2,025 3.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $30 $30 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $98 $98 1.8×
Removal Implant From Finger/Hand (26320) $342.50 $342.50 0.2×
Removal of nail bed (11750) $564.50 $564.50 1.5×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $137 $137 0.7×
Removal/bivalving full arm/full leg cast (29705) $295 $295 1.1×
Removal/bivalving gauntlet boot/body cast (29700) $386 $386 1.5×
Remv Ext Canal Foreign Body (69200) $234 $234 1.9×
Remv F.B.,Eye,Superf Conjunc (65205) $119 $119 1.0×
Repair achilles tendon (27650) $5,733 $5,733 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) $3,885 $3,885 2.6×
Repair finger tendon (26433) $2,692 $2,692 0.9×
Repair finger/hand tendon (26350) $900 $900 0.3×
Repair forearm tendon/muscle (25260) $929.50 $929.50 0.3×
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) $470.50 $470.50 1.3×
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 of hand (26591) $2,692 $2,692 0.9×
Repair of nail bed (11760) $400 $400 0.6×
Replace g/c tube perc (49450) $698 $698 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $697 $697 1.7×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $835 $835 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $914 $914 1.6×
Rplc gtube revj gstrst trc (43763) $595 $595 2.6×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $450 $450 2.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,468 $1,468 1.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $180 $180 1.0×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $960 $960 1.1×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $960 $960 1.1×
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 f/e/e/n/l/m 7.6cm-12.5 cm (12015) $723 $723 3.9×
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) $433 $433 2.3×
Small bowel endoscopy (44376) $1,325 $1,325 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $367 $367 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,045 $1,045 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $670 $670 1.8×
Spinal Puncture Therapeutic (62272) $505 $505 0.8×
Strapping ankle (29540) $432 $432 2.9×
Strapping elbow/wrist (29260) $358 $358 6.6×
Strapping hand/finger (29280) $360 $360 6.6×
Strapping Hip (29520) $432 $432 3.5×
Strapping knee (29530) $432 $432 3.5×
Strapping shoulder (29240) $295 $295 2.4×
Strapping thorax (29200) $250 $250 1.7×
Strapping unna boot (29580) $365 $365 2.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,025 $1,025 1.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $955 $955 1.7×
Treat finger dislocation (26775) $1,099 $1,099 4.3×
Treat Fracture Radius & Ulna (25560) $1,977 $1,977 8.7×
Treat humerus fracture (24500) $1,977 $1,977 8.7×
Treat humerus fracture (23600) $1,977 $1,977 8.7×
Treat wrist bone fracture (25622) $1,977 $1,977 8.7×
Treatment closed elbow dislocation w/o anes (24600) $1,099 $1,099 4.8×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $594 $594 2.6×
Trimming Of Nondystrophic Nails, Any Number (11719) $66 $66 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $439 $439 0.6×
Tx superficial wound dehiscence w/packing (12021) $298 $298 0.8×
Unlisted Procedure Casting/Strapping (29799) $250 $250 1.7×
Vaginal delivery only (59409) $750 $750 0.3×
Vbac delivery only (59612) $900 $900 0.3×
Venipuncture (36415) $20 $20 2.1×
Wedging of cast (29740) $265 $265 1.0×