Procedures & surgery prices at Grisell Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Application cast elbow finger short arm (29075) $241.30 $254 0.9×
Application of rigid total contact leg cast (29445) $814.39 $857.25 3.2×
Application short arm splint forearm-hand static (29125) $203.49 $214.20 1.7×
Application short leg splint calf foot (29515) $473.16 $498.06 3.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$304–$473.16 $320–$498.06 varies
Arterial puncture (36600) $110.91 $116.75 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$169.10–$893.76 $178–$940.80 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $216.60 $228 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $893.76 $940.80 3.2×
Aspirate/Inj Ganglion Cyst (20612) $131.10 $138 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $584.19 $614.94 3.2×
Biopsy bone trocar/needle deep (20225) $4,809 $5,062.11 3.2×
Biopsy Bone Trocar/Needle Superficial (20220) $4,809 $5,062.11 3.2×
Bladder Irrigation (51700) $107.16 $112.80 0.5×
Bladder Scan (51798)
range across 3 matching MRF lines
$92.13–$126.29 $96.98–$132.94 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$79.29–$100.57 $83.46–$105.86 varies
Chemical Cautery Tissue (17250) $584.19 $614.94 3.2×
Clear outer ear canal (69200) $395.67 $416.49 3.2×
Collect Blood From Catheter Venous Nos (36592) $228.35 $240.37 1.9×
Collection of venous blood by venipuncture (36415) $26.09 $27.46 2.8×
Complex drainage wound (10180) $8,457.75 $8,902.89 3.2×
Control Nasal Hemorrhage Anterior Simple (30901) $801.26 $843.43 6.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $852.44 $897.31 7.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,151.98 $2,265.24 3.2×
Debride nail 1-5 (11720)
range across 2 matching MRF lines
$80.75–$171.77 $85–$180.81 varies
Debride nail 6 or more (11721) $171.77 $180.81 3.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,808.86 $5,061.96 3.2×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$207.10–$1,183.66 $218–$1,245.96 varies
Destruct B9 Lesion 1-14 (17110) $314.45 $331 1.7×
Drainage Finger Abscess Complicated (26011) $1,741.57 $1,833.23 1.1×
Drainage of finger abscess simple (26010) $524.79 $552.41 2.8×
Drainage of hematoma/fluid (10140) $4,808.86 $5,061.96 3.2×
Drainage of skene's gland abscess or cyst (53060) $551.72 $580.76 0.3×
Draw Blood Off Venous Device (36591) $199.65 $210.16 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,183.66 $1,245.96 3.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $584.19 $614.94 3.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $584.19 $614.94 3.2×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $6,007.71 $6,323.91 3.2×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $6,007.71 $6,323.91 3.2×
Evacuation of subungual hematoma (11740) $387.40 $407.79 3.2×
I&d abscess simple (10060)
range across 2 matching MRF lines
$312.55–$584.19 $329–$614.94 varies
I&d pilonidal cyst simple (10080) $2,061.89 $2,170.41 3.2×
Incision & drainage abscess complicated/multiple (10061) $1,183.66 $1,245.96 3.2×
Incision & removal foreign body subq tiss simple (10120) $1,183.66 $1,245.96 3.2×
Incision&drainage bursa foot (28001) $4,809 $5,062.11 3.2×
Incisional biopsy skin single lesion (11106) $2,151.98 $2,265.24 3.2×
Initial Tx 1st Degree Burn Local Tx (16000) $584.19 $614.94 3.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$144.78–$426.55 $152.40–$449 varies
Insert,Non-Indwelling Bladder Catheter (51701) $144.78 $152.40 1.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $2,234.90 $2,352.53 6.0×
Intubation endotracheal emergency procedure (31500) $151.51 $159.48 0.7×
Placement of needle for intraosseous infusion (36680) $259.67 $273.34 0.6×
Punch biopsy skin single lesion (11104) $1,183.66 $1,245.96 3.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,183.66 $1,245.96 3.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$266–$2,061.89 $280–$2,170.41 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $142.50 $150 2.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $121.02 $127.39 2.2×
Removal of nail bed (11750)
range across 2 matching MRF lines
$608.95–$1,183.66 $641–$1,245.96 varies
Removal/bivalving gauntlet boot/body cast (29700) $814.39 $857.25 3.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $2,155.44 $2,268.88 3.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,652.09 $2,791.67 3.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,291.28 $1,359.24 3.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,653.83 $1,740.87 4.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $884.03 $930.56 2.4×
Repair complex trunk 1.1-2.5 cm (13100) $508.24 $534.99 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,172.08 $1,233.77 3.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $739.51 $778.43 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,595.89 $1,679.88 4.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,738.25 $1,829.74 4.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,781.30 $1,875.05 2.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $872.44 $918.36 2.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,158.84 $1,219.83 3.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,326.05 $1,395.84 2.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $2,989.80 $3,147.16 8.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $739.51 $778.43 2.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $739.51 $778.43 2.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $3,613.91 $3,804.12 5.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $2,537.86 $2,671.43 6.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $855.14 $900.15 7.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $984.96 $1,036.80 1.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,326.05 $1,395.84 7.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,326.05 $1,395.84 3.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $779.73 $820.77 4.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $345.80 $364 1.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $2,521.30 $2,654 6.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $779.73 $820.77 4.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$426.55–$584.19 $449–$614.94 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $2,521.30 $2,654 13.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $946.94 $996.78 5.1×
Skin sub graft face/nk/hf/g (15275) $2,151.98 $2,265.24 3.2×
Skin sub graft trnk/arm/leg (15271) $2,151.98 $2,265.24 3.2×
Skin sub grft t/arm/lg child (15273) $6,007.71 $6,323.91 3.2×
Skn sub grft f/n/hf/g child (15277) $6,007.71 $6,323.91 3.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$384.28–$584.19 $404.50–$614.94 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,326.05 $1,395.84 3.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $2,521.30 $2,654 6.7×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $10,318.37 $10,861.44 3.2×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $6,007.71 $6,323.91 3.2×
Strapping elbow or wrist (29260) $455.26 $479.22 8.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$228.67–$473.16 $240.70–$498.06 varies
Tangential biopsy skin single lesion (11102) $584.19 $614.94 1.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $4,682.04 $4,928.46 3.2×
Treat Tail Bone Fracture (27200) $326.04 $343.20 1.4×
Trim skin lesion (11055) $584.19 $614.94 3.2×
Trim skin lesions 2 to 4 (11056) $584.19 $614.94 3.2×
Trim skin lesions over 4 (11057) $584.19 $614.94 3.2×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines
$159.60–$171.77 $168–$180.81 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,151.98 $2,265.24 3.2×
Tx superficial wound dehiscence w/packing (12021) $354.27 $372.92 0.9×
Wedge excision skin nail fold (11765) $370.50 $390 1.0×
Wound Prep F/N/Hf/G (15004) $2,151.98 $2,265.24 5.8×
Wound Prep Trk/Arm/Leg (15002) $2,151.98 $2,265.24 3.2×

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.