Procedures & surgery prices at Grover C. Dils Medical Center

Caliente, NV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $446.25 $595 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $325.50 $434 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $4,380.75 $5,841 1.3×
Anoscopy diagnostic (46600) $137.25 $183 1.0×
Anoscopy W/Rmvl Foreign Body (46608) $409.50 $546 0.4×
Application cast elbow finger short arm (29075) $117.75 $157 0.4×
Application Cast Finger (29086) $156 $208 0.9×
Application Finger Splint Dynamic (29131) $80.25 $107 1.3×
Application finger splint static (29130) $57.75 $77 0.4×
Application long arm splint shoulder hand (29105) $129 $172 0.8×
Application Long Leg Splint (29505) $137.25 $183 0.8×
Application of long leg cast (29345) $246.75 $329 0.8×
Application Short Arm Splint Dynamic (29126) $175.50 $234 1.2×
Application short arm splint forearm-hand static (29125) $98.25 $131 0.7×
Application short leg splint calf foot (29515) $117.75 $157 0.7×
Apply hand/wrist cast (29085) $117.75 $157 0.7×
Apply long arm cast (29065) $156 $208 0.5×
Apply Short Leg Cast (29405) $156 $208 0.5×
Apply short leg cast (29425) $359.25 $479 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $98.25 $131 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $117.75 $157 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $78 $104 0.2×
Aspirate/Inj Ganglion Cyst (20612) $93.75 $125 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $195.75 $261 0.9×
Biopsy external ear (69100) $156 $208 0.6×
Change Cystostomy Tube Simple (51705) $332.25 $443 1.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 3 matching MRF lines
$225–$337.50 $300–$450 varies
Circumcision 28 days or older (54161) $350.25 $467 0.2×
Circumcision Neonate (54160) $234 $312 0.3×
Circumcision w/clamp/oth dev w/block (54150) $246.75 $329 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $1,363.50 $1,818 0.8×
Clear outer ear canal (69200) $156 $208 1.1×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines
$536.25–$758.25 $715–$1,011 varies
Closed tx ankle dislocation w/o anesthesia (27840) $409.50 $546 1.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $585 $780 2.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $1,263 $1,684 4.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines
$225.75–$417 $301–$556 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,160.75 $2,881 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $222 $296 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,378.50 $5,838 1.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,045.50 $1,394 4.0×
Closed tx radial head/neck fx w/o manipulation (24650) $429.75 $573 1.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $467.25 $623 1.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,265.25 $1,687 0.7×
Closed tx radial&ulnar shaft fractures w/o man (25560) $623.25 $831 2.4×
Closed tx talotarsal joint dislc w/o anes (28570) $456 $608 1.8×
Closed tx talus fracture w/o manipulation (28430) $525.75 $701 2.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $447 $596 1.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $701.25 $935 2.7×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $195.75 $261 0.8×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $311.25 $415 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $565.50 $754 2.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines
$545.25–$569.25 $727–$759 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $525.75 $701 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $234 $312 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $175.50 $234 0.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $643.50 $858 2.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $876.75 $1,169 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $253.50 $338 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $234 $312 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $184.50 $246 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $156 $208 0.6×
Cltx Greater Trochanteric Fx W/O Manj (27246) $324 $432 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,160.75 $2,881 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $675 $900 2.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $246.75 $329 0.9×
Cltx Medial Ankle Fx (27760) $525.75 $701 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $349.50 $466 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $331.50 $442 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $467.25 $623 1.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $331.50 $442 1.3×
Cltx prox fibula/shft fx w/o manj (27780) $389.25 $519 1.5×
Cltx tibial fx proximal w/o manipulation (27530) $606.75 $809 2.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $585 $780 2.2×
Collection of venous blood by venipuncture (36415) $15.75 $21 1.7×
Complex drainage wound (10180) $382.50 $510 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $293.25 $391 2.1×
Control Nasal Hemorrhage Anterior Simple (30901) $253.50 $338 1.8×
Control oropharyngeal hemorrhage simple (42960) $687.75 $917 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $565.50 $754 4.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $156 $208 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,517.25 $2,023 2.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $267 $356 0.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $354.75 $473 0.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $154.50 $206 0.4×
Destruct B9 Lesion 1-14 (17110) $156 $208 0.7×
Destruction Benign Lesions 15/> (17111) $253.50 $338 1.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $487.50 $650 2.3×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $565.50 $754 2.7×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $222.75 $297 1.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $177 $236 0.8×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $294 $392 1.4×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $315.75 $421 0.7×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $356.25 $475 0.8×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $585 $780 1.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $105.75 $141 0.5×
Destruction Premalignant Lesion 15/> (17004) $431.25 $575 1.0×
Destruction premalignant lesion 1st (17000) $234 $312 1.1×
Drainage Finger Abscess Complicated (26011) $409.50 $546 0.2×
Drainage of finger abscess simple (26010) $195.75 $261 0.9×
Drainage of gum lesion (41800) $370.50 $494 2.6×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$250.50–$1,823.25 $334–$2,431 varies
Drainage of hydrocele (55000)
range across 2 matching MRF lines
$156–$950.25 $208–$1,267 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $117.75 $157 0.6×
Evacuation of subungual hematoma (11740) $117.75 $157 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $191.25 $255 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $447.75 $597 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $720.75 $961 1.0×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $916.50 $1,222 1.2×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $615.75 $821 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $293.25 $391 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $303 $404 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $429.75 $573 0.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $369 $492 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $623.25 $831 0.4×
Exc Frenum Labial/Buccal (40819) $326.25 $435 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
$190.50–$1,823.25 $254–$2,431 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $243 $324 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $351.75 $469 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $294.75 $393 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $545.25 $727 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $477.75 $637 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $798.75 $1,065 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $311.25 $415 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $229.50 $306 0.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $255.75 $341 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $334.50 $446 0.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $429.75 $573 0.6×
Excision Lingual Frenum Frenectomy (41115) $315.75 $421 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $234 $312 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $311.25 $415 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $389.25 $519 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $525.75 $701 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $525.75 $701 0.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,110 $1,480 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines
$1,499.25–$3,220.50 $1,999–$4,294 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $331.50 $442 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $487.50 $650 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $643.50 $858 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $954 $1,272 0.5×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,051.50 $1,402 0.6×
I&d abscess simple (10060) $176.25 $235 0.8×
I&d perianal abscess superficial (46050) $195.75 $261 0.2×
I&d pilonidal cyst complicated (10081) $422.25 $563 0.6×
I&d pilonidal cyst simple (10080) $280.50 $374 0.4×
Incise external hemorrhoid (46083) $328.50 $438 1.2×
Incision & drainage abscess complicated/multiple (10061) $271.50 $362 0.6×
Incision & removal foreign body subq tiss compl (10121) $423.75 $565 0.2×
Incision & removal foreign body subq tiss simple (10120) $235.50 $314 0.5×
Incision and drainage of bartholin's gland abscess (56420) $507.75 $677 2.4×
Incision and drainage of vulva or perineal abscess (56405) $507.75 $677 1.6×
Incision of urethra (53020) $2,766 $3,688 1.3×
Incisional biopsy skin single lesion (11106) $86.25 $115 0.1×
Initial Tx 1st Degree Burn Local Tx (16000) $98.25 $131 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$78–$399 $104–$532 varies
Injection single tendon origin/insertion (20551) $102.75 $137 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $117.75 $157 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $166.50 $222 0.5×
Injection Sinus Tract Therapeutic Separate Proc (20500) $121.50 $162 0.1×
Injection therapeutic carpal tunnel (20526) $117.75 $157 0.4×
Insert cath pleura w/ image (32557) $2,097.75 $2,797 1.3×
Insert Temp Bladder Cath (51702) $59.25 $79 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $818.25 $1,091 1.9×
Irrigation of corpora cavernosa for priapism (54220) $328.50 $438 1.2×
Laryngoscopy diagnostic (31505) $360.75 $481 1.7×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $397.50 $530 1.9×
N Block Inj Plantar Digit (64455) $116.25 $155 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $52.50 $70 1.7×
Needle insertion w/o injection 3 or more muscles (20561) $52.50 $70 1.7×
Occipital Nerve Block (64405) $102 $136 0.3×
Placement of needle for intraosseous infusion (36680) $539.25 $719 1.1×
Punch biopsy skin single lesion (11104) $70.50 $94 0.2×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$199.50–$450 $266–$600 varies
Removal Embedded Foreign Body Eyelid (67938) $175.50 $234 0.5×
Removal foreign body foot deep (28192) $389.25 $519 0.2×
Removal Foreign Body Foot Subcutaneous (28190) $331.50 $442 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines
$429.75–$2,187.75 $573–$2,917 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $117.75 $157 1.9×
Removal implantable contraceptive capsules (11976) $225.75 $301 0.3×
Removal of nail bed (11750)
range across 2 matching MRF lines
$534–$1,188.75 $712–$1,585 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $175.50 $234 0.8×
Remove drug implant device (11982) $229.50 $306 0.5×
Remove foreign body from eye (65205) $137.25 $183 1.0×
Remove Intrauterine Device (58301) $98.25 $131 0.3×
Remove Nasal Foreign Body (30300) $295.50 $394 2.1×
Repair Blood Vessel Direct Hand Finger (35207) $4,249.50 $5,666 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $720.75 $961 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,207.50 $1,610 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $595.50 $794 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $954 $1,272 2.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $429.75 $573 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $720.75 $961 1.7×
Repair Finger/Hand Tendon (26350) $4,380.75 $5,841 1.3×
Repair incomplete circumcision (54163) $279 $372 0.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $447.75 $597 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $467.25 $623 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $585 $780 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $701.25 $935 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $429.75 $573 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $332.25 $443 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $565.50 $754 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $351.75 $469 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $429.75 $573 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $507.75 $677 1.2×
Repair of nail bed (11760) $623.25 $831 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $156 $208 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $234 $312 1.7×
Rmvl fecal impaction/fb spx under anes (45915) $643.50 $858 0.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $447.75 $597 2.1×
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines
$701.25–$1,296 $935–$1,728 varies
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $5,091 $6,788 1.2×
Shave skin lesion 0.5 cm/< (11300) $54 $72 0.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $71.25 $95 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $545.25 $727 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $57 $76 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $331.50 $442 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $389.25 $519 1.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $467.25 $623 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $351.75 $469 1.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $409.50 $546 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $293.25 $391 1.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $429.75 $573 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $351.75 $469 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $525.75 $701 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $273.75 $365 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $331.50 $442 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $389.25 $519 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $253.50 $338 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $409.50 $546 1.9×
Skin Pinch Graft (15050) $689.25 $919 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $351.75 $469 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $467.25 $623 1.1×
Strapping Unna Boot (29580) $87.75 $117 0.5×
Tangential biopsy skin single lesion (11102) $114.75 $153 0.3×
Treat humerus fracture (23600) $389.25 $519 1.5×
Treat Tail Bone Fracture (27200) $351.75 $469 1.4×
Treat toe dislocation (28630) $447.75 $597 1.7×
Treatment closed elbow dislocation w/o anes (24600) $545.25 $727 2.1×
Treatment mouth roof lesion (42160) $4,378.50 $5,838 1.3×
Trim skin lesion (11055) $102.75 $137 0.5×
Trim skin lesions 2 to 4 (11056) $86.25 $115 0.4×
Trimming Nondystrophic Nails Any Number (11719) $24.75 $33 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,026.75 $1,369 1.3×
Tx superficial wound dehiscence w/packing (12021) $1,180.50 $1,574 2.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines
$507.75–$936.75 $677–$1,249 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $1,051.50 $1,402 0.5×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines
$175.50–$450 $234–$600 varies

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.