Procedures & surgery prices at Holzer Medical Center - Jackson

Jackson, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $649.50 $1,299 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,103 $2,206 1.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,970.50 $5,941 1.5×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,970 $5,940 1.5×
Amniocentesis diagnostic (59000) $342.50 $685 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,924 $7,848 1.3×
Amputation metatarsal with toe single (28810) $2,933 $5,866 0.9×
Application finger splint static (29130) $133 $266 1.1×
Application long arm splint shoulder hand (29105) $143 $286 0.9×
Application Long Leg Splint (29505) $151 $302 1.0×
Application of rigid total contact leg cast (29445) $470.50 $941 1.8×
Application short arm splint forearm-hand static (29125) $151 $302 1.2×
Application short leg splint calf foot (29515) $193.50 $387 1.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$269–$537.50 $538–$1,075 varies
Arterial puncture (36600) $48 $96 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $355.50 $711 1.2×
Aspirate pleura w/ imaging (32555) $732.50 $1,465 1.2×
Aspirate Pleura W/O Imaging (32554) $1,202.50 $2,405 2.0×
Aspirate/Inj Ganglion Cyst (20612) $362 $724 1.2×
Aspiration bladder insert suprapubic catheter (51102) $2,290 $4,580 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $307.50 $615 1.6×
Biopsy Abdominal Mass (49180) $562.50 $1,125 0.4×
Biopsy of liver, needle; percutaneous (47000) $950.50 $1,901 0.6×
Biopsy Salivary Gland Needle (42400) $410.50 $821 0.6×
Biopsy Soft Tissue Shoulder Superficial (23065) $410.50 $821 0.3×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $307 $614 0.1×
Bladder instillation anticarcinogenic agent (51720) $794 $1,588 1.2×
Bladder Scan (51798) $153 $306 2.7×
Blood Transfusion Service (36430) $627 $1,254 1.5×
Bone Marrow Biopsy (38221) $562.50 $1,125 0.4×
Breast Reduction (19318)
likely a partial charge, not the full procedure
$1,471 $2,942 0.2×
Bx breast 1st lesion us imag (19083) $410.50 $821 0.3×
Canthotomy Separate Procedure (67715) $2,783.50 $5,567 1.2×
Change Cystostomy Tube Simple (51705) $245 $490 1.0×
Chemical Cautery Tissue (17250) $307.50 $615 1.6×
Chest tube placement (32551) $820.50 $1,641 0.6×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $469.50 $939 0.1×
Closed Treatment Ulnar Styloid Fracture (25650) $294 $588 1.3×
Closed tx talotarsal joint dislc w/o anes (28570) $325.50 $651 1.4×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,902 $3,804 1.3×
Clsd tx fx orbit except blowout w/o manipulation (21400) $705 $1,410 1.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,902 $3,804 1.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,902 $3,804 1.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,902 $3,804 1.3×
Cltx hip dislocation traumatic req anesthesia (27252) $1,902 $3,804 1.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $287 $574 1.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,902 $3,804 1.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $233.50 $467 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $275.50 $551 1.2×
Cltx Med Ankle Fx W/Mnpj (27762) $1,902 $3,804 1.3×
Cltx post hip arthrp dislc req anes (27266) $1,902 $3,804 1.3×
Cltx prox fibula/shft fx w/manj (27781) $1,902 $3,804 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,902 $3,804 1.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,902 $3,804 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,902 $3,804 1.3×
Collect Blood From Catheter Venous Nos (36592) $82.50 $165 0.7×
Collection of venous blood by venipuncture (36415) $16 $32 1.7×
Colporrhaphy (57200) $3,405.50 $6,811 1.1×
Constj tracheoesophgl fstl&insj sp prosth (31611) $3,231 $6,462 1.0×
Conversion ext bil drg cath (47535) $2,585 $5,170 0.8×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $316 $632 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,404.50 $6,809 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $892.50 $1,785 1.3×
Debride nail 1-5 (11720) $110.50 $221 2.0×
Debride nail 6 or more (11721) $110.50 $221 2.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,962 $3,924 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $598.50 $1,197 1.6×
Declot vascular device (36593) $282.50 $565 0.9×
Destruct B9 Lesion 1-14 (17110) $207.50 $415 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $2,149 $4,298 1.2×
Dilat Xst Trc New Access Rcs (50437) $4,239 $8,478 1.3×
Drainage of finger abscess simple (26010) $236.50 $473 1.2×
Drainage of hematoma/fluid (10140) $1,827 $3,654 1.2×
Draw Blood Off Venous Device (36591) $71.50 $143 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $858.50 $1,717 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $597.50 $1,195 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $308.50 $617 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $307.50 $615 1.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $393.50 $787 1.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,991.50 $3,983 1.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,367.50 $2,735 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $852.50 $1,705 0.3×
Excise excessive skin arm (15836) $504.50 $1,009 0.2×
Excision Excessive Skin & Subq Tissue Buttock (15835) $829 $1,658 0.3×
Excision of single external papilla or tag, anus (46220) $1,982 $3,964 1.8×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
likely a partial charge, not the full procedure
$652 $1,304 0.1×
Explo/Drain Breast Abscess (19020) $342.50 $685 0.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines
$682–$838.50 $1,364–$1,677 varies
Fluoro exam of g/colon tube (49465) $166.50 $333 0.7×
Fna bx w/us gdn 1st les (10005) $838.50 $1,677 1.3×
Guide Cathet Fluid Drainage (10030) $179 $358 0.3×
I&d abscess peritonsillar (42700) $276 $552 1.2×
I&d abscess simple (10060) $342.50 $685 1.8×
Icd Pocket Revision (33223) $4,090.50 $8,181 2.1×
Image Cath Fluid Peri/Retro (49406) $1,899 $3,798 1.2×
Implant neuroelectrodes (63650) $8,910.50 $17,821 1.5×
Implant Spine Infusion Pump (62362) $24,330 $48,660 1.4×
Incision & drainage abscess complicated/multiple (10061) $342.50 $685 0.9×
Incision & removal foreign body subq tiss compl (10121) $1,991.50 $3,983 1.3×
Incision & removal foreign body subq tiss simple (10120) $597.50 $1,195 1.6×
Incisional biopsy skin single lesion (11106) $455.50 $911 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $99.50 $199 0.5×
Injection aa&/strd genicular nrv branches w/img (64454) $933 $1,866 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $933 $1,866 1.4×
Injection for identification of sentinel node (38792) $494 $988 1.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $629.50 $1,259 0.9×
Ins cath ren art 1st bilat (36252) $3,690.50 $7,381 1.2×
Ins cath ren art 1st unilat (36251) $1,917 $3,834 0.6×
Ins cath ren art 2nd+ bilat (36254) $3,690.50 $7,381 1.2×
Insert 1 Electrode Pm-Defib (33216) $5,780.50 $11,561 0.7×
Insert cath pleura w/ image (32557) $375 $750 0.3×
Insert Gastrostomy Tube Percutaneous (49440) $289.50 $579 0.2×
Insert Heart Pm Atrial (33206) $8,636 $17,272 0.9×
Insert Heart Pm Ventricular (33207) $9,823.50 $19,647 1.0×
Insert non-tunnel cv cath (36556) $798.50 $1,597 0.3×
Insert Pacing Lead & Connect (33224) $7,707.50 $15,415 0.8×
Insert pulse gen dual leads (33213) $8,359.50 $16,719 0.8×
Insert Pulse Gen Sngl Lead (33212) $6,709 $13,418 0.9×
Insert Temp Bladder Cath (51702) $86 $172 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $68.50 $137 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,584 $3,168 1.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $10,723 $21,446 1.4×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,707.50 $13,415 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,584 $3,168 0.5×
Insj Picc Rs&I <5 Yr (36572) $897.50 $1,795 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $683.50 $1,367 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $358 $716 0.1×
Insj/Rplcmt Defib W/Lead(S) (33249)
unusually low: confirm this is the full procedure
$11,743 $23,486 0.4×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $44,061 $88,122 1.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,525 $9,050 0.6×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $4,525 $9,050 0.6×
Insrt heart pm atrial & vent (33208) $11,329.50 $22,659 1.1×
Insrt Pulse Gen W/Singl Lead (33240)
likely a partial charge, not the full procedure
$1,894 $3,788 0.1×
Intro cath dialysis circuit (36901) $1,064 $2,128 0.7×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $15,182 $30,364 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,511 $15,022 1.4×
Intro Gastrointestinal Tube (44500) $49.50 $99 0.1×
Intubation endotracheal emergency procedure (31500) $340 $680 1.5×
Irrigation of corpora cavernosa for priapism (54220) $325 $650 1.4×
Laryngoscopy W/Foreign Body Removal (31530) $1,984 $3,968 1.2×
Myelography Lumbar Injection (62305) $1,001.50 $2,003 1.4×
Myelography Lumbar Injection (62304) $1,001.50 $2,003 1.4×
Myelography via lumbar injection rs&i cervical (62302) $1,001.50 $2,003 1.4×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,001.50 $2,003 1.4×
N Block Inj Plantar Digit (64455) $445 $890 1.5×
Nasal/Orogastric W/Tube Plmt (43752) $49.50 $99 0.1×
Needle Biopsy Pancreas (48102) $562.50 $1,125 0.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $359 $718 0.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $227 $454 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $657.50 $1,315 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,132 $2,264 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,132 $2,264 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,132 $2,264 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $790 $1,580 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,132 $2,264 1.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $350 $700 0.5×
Occipital Nerve Block (64405) $629.50 $1,259 2.2×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,027 $6,054 1.0×
Percut Drain/Inject Renal Cyst (50390) $760.50 $1,521 1.1×
Perq dilation xst trc endourologic px w/img (50436) $2,519 $5,038 0.8×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $15,182 $30,364 1.4×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,511 $15,022 1.4×
Place Cath Subclavian Art (36225) $507 $1,014 0.2×
Place Duod/Jej Tube Perc (49441) $316 $632 0.2×
Placement of needle for intraosseous infusion (36680) $102.50 $205 0.2×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $4,430 $8,860 0.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
unusually low: confirm this is the full procedure
$2,585 $5,170 0.5×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $7,004.50 $14,009 1.2×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $1,028 $2,056 0.3×
Pseudoaneurysm Injection Trt (36002) $267 $534 0.4×
Punch biopsy skin single lesion (11104) $255.50 $511 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $462 $924 1.2×
Puncture Aspiration Cyst Breast (19000) $275 $550 0.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines
$2,149–$2,566 $4,298–$5,132 varies
Relocation Pocket Pacemaker (33222) $4,090.50 $8,181 2.1×
Removal foreign body foot deep (28192) $2,121 $4,242 1.4×
Removal Foreign Body Foot Subcutaneous (28190) $1,351 $2,702 2.0×
Removal foreign body upper arm/elbow deep (24201) $3,444.50 $6,889 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $71.50 $143 1.3×
Removal Implant Superficial Separate Procedure (20670) $1,910.50 $3,821 1.2×
Removal of nail bed (11750) $542 $1,084 1.4×
Removal of sesamoid bone (28315) $2,933 $5,866 0.9×
Removal or bivalving full arm or full leg cast (29705) $120.50 $241 0.5×
Removal Pacemaker Electrode (33235) $3,539.50 $7,079 1.0×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure
$2,492.50 $4,985 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $231 $462 1.2×
Removal subcutaneous cardiac rhythm monitor (33286) $3,183 $6,366 4.8×
Remove drug implant device (11982) $506 $1,012 1.2×
Remove Elctrd Transvenously (33244) $3,355 $6,710 0.9×
Remove foreign body from eye (65205) $154 $308 1.2×
Remove Pulse Generator (33241) $4,256 $8,512 1.2×
Remove&replace pm gen singl (33227) $9,201 $18,402 1.2×
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure
$1,894 $3,788 0.1×
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure
$2,178 $4,356 0.1×
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure
$1,610.50 $3,221 0.1×
Remv&replc pm gen dual lead (33228) $10,851 $21,702 1.1×
Remv&replc pm gen mult leads (33229) $10,851 $21,702 0.6×
Renal Biopsy Perq (50200) $469.50 $939 0.3×
Repair lead pace-defib dual (33220) $6,566.50 $13,133 1.9×
Repair Lead Pace-Defib One (33218) $5,766 $11,532 1.6×
Replace g/c tube perc (49450) $316 $632 0.4×
Reposition Gastrostomy Tube (43761) $189.50 $379 0.8×
Reposition L Ventric Lead (33226) $1,966.50 $3,933 0.7×
Reposition Pacing-Defib Lead (33215) $4,292 $8,584 1.4×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $8,910.50 $17,821 1.5×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,585.50 $7,171 1.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,562 $5,124 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $494.50 $989 1.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,263 $4,526 1.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,007.50 $6,015 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $723 $1,446 1.2×
Rplc Gtube No Revj Trc (43762) $335 $670 1.4×
Rplcmt cath ctr vad subq port/pmp (36578) $3,549 $7,098 1.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,322 $2,644 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $135 $270 0.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $243.50 $487 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $208 $416 1.1×
Skin sub graft face/nk/hf/g (15275) $2,970 $5,940 4.2×
Skin sub graft trnk/arm/leg (15271) $2,970 $5,940 4.2×
Skin sub grft t/arm/lg child (15273) $4,856 $9,712 2.5×
Skn sub grft f/n/hf/g child (15277) $2,970 $5,940 1.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $6,149.50 $12,299 1.2×
Spinal puncture lumbar diagnostic (62270) $273 $546 0.4×
Strapping ankle (29540) $120.50 $241 0.8×
Strapping elbow or wrist (29260) $120.50 $241 2.2×
Strapping hand/finger (29280) $120.50 $241 2.2×
Strapping knee (29530) $119.50 $239 0.9×
Strapping shoulder (29240) $127.50 $255 1.0×
Strapping toes (29550) $120.50 $241 2.2×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$269–$537.50 $538–$1,075 varies
Tangential biopsy skin single lesion (11102) $255.50 $511 0.7×
Tcat Insj/Rpl Perm Ldls Pm (33274) $23,021.50 $46,043 1.3×
Tcat Rmvl Perm Ldls Pm (33275) $3,676 $7,352 1.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $3,677.50 $7,355 2.4×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,681 $5,362 1.8×
Thrmbc/Nfs Dialysis Circuit (36906) $23,011.50 $46,023 1.3×
Thyroid biopsy (60100) $431 $862 0.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,852.50 $3,705 1.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,902 $3,804 1.3×
Trim skin lesion (11055) $207.50 $415 1.1×
Trim skin lesions 2 to 4 (11056) $308.50 $617 1.6×
Trim skin lesions over 4 (11057) $308.50 $617 1.6×
Trimming Nondystrophic Nails Any Number (11719) $48 $96 0.9×
Trluml Balo Angiop 1St Art (37246) $7,511 $15,022 1.4×
Trluml Balo Angiop 1St Vein (37248) $7,511 $15,022 1.4×
Tx Gastro Intub W/Asp (43753) $157 $314 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $908.50 $1,817 1.3×
Upgrade of pacemaker system (33214) $16,616.50 $33,233 1.7×
Vaginal delivery only (59409) $3,320 $6,640 1.1×
Vasc Embolize/Occlude Organ (37243) $11,867.50 $23,735 1.1×
Windowing of cast (29730) $120.50 $241 0.8×

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.