Procedures & surgery prices at Hans P Peterson Memorial Hospital - Cah

Philip, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $170 $170 0.2×
Amputation metatarsal with toe single (28810) $1,044 $1,044 0.3×
Application cast elbow finger short arm (29075) $170 $170 0.6×
Application long arm splint shoulder hand (29105) $224 $224 1.3×
Application Long Leg Splint (29505) $130 $130 0.8×
Application short arm splint forearm-hand static (29125) $112 $112 0.8×
Application short leg splint calf foot (29515) $199 $199 1.2×
Apply long arm cast (29065) $315 $315 1.1×
Arterial puncture (36600) $250 $250 1.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $90 $90 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $467 $467 1.5×
Avulsion nail plate partial/complete simple 1 (11730) $158 $158 0.8×
Bladder Irrigation (51700) $80 $80 0.3×
Bladder Scan (51798) $204 $204 3.4×
Blood Transfusion Service (36430) $954 $954 2.1×
Catheter aspiration nasotracheal spx (31720) $25 $25 0.1×
Chest tube placement (32551) $479 $479 0.3×
Clear outer ear canal (69200) $134 $134 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,174 $1,174 4.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,113 $1,113 0.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,275 $1,275 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $784 $784 3.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $879 $879 0.5×
Cltx dstl fibular fx lat malls w/manj (27788) $976 $976 3.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $833 $833 3.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,319 $1,319 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $434 $434 1.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $419 $419 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $930 $930 3.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $210 $210 0.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,075 $1,075 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,139 $1,139 0.7×
Collect Blood From Catheter Venous Nos (36592) $333 $333 2.4×
Collection of venous blood by venipuncture (36415) $43 $43 4.6×
Control Nasal Hemorrhage Anterior Simple (30901) $335 $335 2.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,148 $1,148 0.7×
Drainage of hematoma/fluid (10140) $304 $304 0.2×
Draw Blood Off Venous Device (36591) $72 $72 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $249 $249 1.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $376 $376 1.2×
Evacuation of subungual hematoma (11740) $94 $94 0.7×
Excision of bartholin's gland or cyst (56740) $741 $741 0.2×
I&d abscess simple (10060) $313 $313 1.5×
I&d pilonidal cyst simple (10080) $244 $244 0.3×
Incise external hemorrhoid (46083) $300 $300 1.2×
Incision & drainage abscess complicated/multiple (10061) $423 $423 1.0×
Incision & removal foreign body subq tiss simple (10120) $256 $256 0.6×
Incision of lingual frenum (frenotomy) (41010) $245 $245 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $104 $104 0.1×
Insert Temp Bladder Cath (51702) $274 $274 2.0×
Insert,Non-Indwelling Bladder Catheter (51701) $218 $218 1.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $834 $834 2.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,060 $1,060 2.6×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $769–$807 $769–$807 varies
Late closure of wound (13160) $2,206 $2,206 0.6×
N Block Inj Plantar Digit (64455) $81 $81 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $27 $27 0.9×
Needle insertion w/o injection 3 or more muscles (20561) $39 $39 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $94 $94 1.6×
Remove drug implant device (11982) $183 $183 0.4×
Remove foreign body from eye (65205) $67 $67 0.5×
Remove/Insert Drug Implant (11983) $254 $254 0.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $799 $799 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $960 $960 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $697 $697 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $873 $873 2.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $660 $660 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $748 $748 1.8×
Repair complex trunk 1.1-2.5 cm (13100) $573 $573 0.8×
Repair complex trunk 2.6-7.5 cm (13101) $697 $697 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $474 $474 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $561 $561 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $597 $597 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $612 $612 1.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $748 $748 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $411 $411 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $549 $549 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $597 $597 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $660 $660 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $424 $424 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $536 $536 1.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $773 $773 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $573 $573 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $910 $910 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $109 $109 0.2×
Rplc Gtube No Revj Trc (43762) $298 $298 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $261 $261 1.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $860 $860 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $348 $348 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $151 $151 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $161 $161 0.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $424 $424 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $206 $206 1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $474 $474 2.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $447 $447 2.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $411 $411 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $199 $199 1.0×
Skin sub graft face/nk/hf/g (15275) $215 $215 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $517 $517 2.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $261 $261 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $323 $323 0.8×
Tangential biopsy skin single lesion (11102) $338 $338 0.8×
Treat Humerus Fracture (24505) $1,162 $1,162 0.7×
Treat Knuckle Dislocation (26700) $803 $803 3.2×
Treatment closed elbow dislocation w/o anes (24600) $899 $899 3.6×
Vaginal delivery only (59409) $1,376 $1,376 0.4×

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.