Procedures & surgery prices at Humboldt County Memorial Hospital

Humboldt, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $526.50 $585 0.6×
Application Finger Splint Dynamic (29131) $114.75 $127.50 2.0×
Application finger splint static (29130)
range across 3 matching MRF lines		 $31.50–$110.25 $35–$122.50 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $31.50–$99 $35–$110 varies
Application Long Leg Splint (29505) $117 $130 0.7×
Application Short Arm Splint Dynamic (29126) $73.35 $81.50 0.6×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $31.50–$91.80 $35–$102 varies
Application short leg splint calf foot (29515) $31.50 $35 0.2×
Arterial puncture (36600) $25.65 $28.50 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $90–$1,075.50 $100–$1,195 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,075.50 $1,195 3.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $102.15–$1,075.50 $113.50–$1,195 varies
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $1,840.50 $2,045 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $45 $50 0.2×
Biopsy of liver, needle; percutaneous (47000) $1,345.95 $1,495.50 0.8×
Bladder Scan (51798) $90 $100 1.6×
Blood Transfusion Service (36430) $459 $510 1.1×
Bx breast 1st lesion us imag (19083) $1,266.58 $1,407.32 0.8×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,391.40 $1,546 0.9×
Catheter aspiration nasotracheal spx (31720) $62.55 $69.50 0.3×
Chemodenerv 1 extremity 1-4 (64642) $607.50 $675 0.9×
Chemodenerv Musc Migraine (64615) $616.50 $685 2.1×
Chemodenerv musc neck dyston (64616) $616.50 $685 2.1×
Clear outer ear canal (69200) $36.90 $41 0.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $31.50 $35 0.1×
Cltx post hip arthrp dislc w/o anes (27265) $1,161 $1,290 4.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,054.80 $1,172 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,145.70 $1,273 0.7×
Collect Blood From Catheter Venous Nos (36592) $69.75 $77.50 0.5×
Collection of venous blood by venipuncture (36415) $15.30 $17 1.6×
Colonoscopy W/Band Ligation (45398) $1,761.30 $1,957 1.5×
Colonoscopy W/Resection (45390) $1,659.60 $1,844 0.6×
Colonoscopy w/submucosal inj (45381) $1,546.20 $1,718 1.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,706.30 $3,007 2.4×
Control Nasal Hemorrhage Anterior Simple (30901) $102.15 $113.50 0.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $99 $110 0.8×
Declot vascular device (36593) $69.75 $77.50 0.2×
Destroy cerv/thor facet jnt (64633) $3,010.50 $3,345 1.6×
Destroy lumb/sac facet jnt (64635) $3,010.50 $3,345 1.6×
Draw Blood Off Venous Device (36591) $69.75 $77.50 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $3,010.50 $3,345 3.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,819.80 $2,022 1.0×
Egd cautery tumor polyp (43250) $1,901.70 $2,113 1.0×
Egd control bleeding any (43255) $1,975.50 $2,195 1.1×
Egd remove lesion snare (43251) $2,126.70 $2,363 1.2×
Egd Varices Ligation (43244) $2,194.20 $2,438 1.2×
Epidural Blood Patch (62273) $1,030.50 $1,145 1.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,894.50 $2,105 2.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,241.90 $2,491 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $608.40 $676 0.4×
Excision lesion meniscus/capsule knee (27347) $3,257.10 $3,619 1.0×
I&d abscess simple (10060) $88.20 $98 0.5×
Incision & drainage abscess complicated/multiple (10061) $166.95 $185.50 0.4×
Incision & removal foreign body subq tiss simple (10120) $36.90 $41 0.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,043 $2,270 2.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,075.50 $1,195 3.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $949.50 $1,055 1.1×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $949.50 $1,055 1.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $949.50 $1,055 3.2×
Injection anesthetic agent suprascapular nerve (64418) $1,087.20 $1,208 1.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $95.40–$616.50 $106–$685 varies
Injection single/mlt trigger point 3/> muscles (20553) $616.50 $685 2.1×
Injection therapeutic carpal tunnel (20526) $1,075.50 $1,195 3.6×
Injection, anesthetic agent; femoral nerve, single (64447) $693 $770 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $36.90–$562.50 $41–$625 varies
Injection, intralesional; up to and including 7 lesions (11900) $1,075.50 $1,195 5.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,080 $1,200 0.7×
Insert Temp Bladder Cath (51702) $339.30 $377 2.7×
Insert,Non-Indwelling Bladder Catheter (51701) $339.30 $377 2.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,080 $1,200 0.7×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $137.70–$203.85 $153–$226.50 varies
N Block Inj Ilio-Ing/Hypogi (64425) $949.50 $1,055 1.4×
N block inj intercost sng (64420) $949.50 $1,055 1.4×
N Block Lumbar/Thoracic (64520) $1,247.40 $1,386 1.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $36 $40 0.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,043 $2,270 2.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,075.50 $1,195 1.6×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,075.50 $1,195 1.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,075.50 $1,195 1.6×
Occipital Nerve Block (64405) $616.50 $685 2.1×
Open tx interphalangeal joint dislocation (26785) $80.10 $89 0.0×
Ostc prtl exostc/condylc metar head (28288) $1,085.40 $1,206 0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,433.70 $1,593 0.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,083.60 $1,204 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $69.75 $77.50 1.2×
Removal/bivalving gauntlet boot/body cast (29700) $578.70 $643 2.2×
Remove foreign body from eye (65205) $36.90 $41 0.3×
Remove Nasal Foreign Body (30300) $76.50 $85 0.6×
Remove Skin Nerve Lesion (64774) $3,744 $4,160 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $108 $120 0.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $547.20 $608 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $162 $180 0.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $108 $120 0.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $611.10 $679 1.6×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,726.20 $1,918 1.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $108–$172.80 $120–$192 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $108–$192.60 $120–$214 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $108–$158.40 $120–$176 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $108 $120 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $108–$192.60 $120–$214 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $108 $120 0.3×
Spinal puncture lumbar diagnostic (62270) $324.45 $360.50 0.5×
Strapping ankle (29540) $31.50 $35 0.2×
Strapping shoulder (29240) $31.50 $35 0.2×
Treat Thumb Dislocation (26641) $45 $50 0.2×
Tx Gastro Intub W/Asp (43753) $92.70 $103 0.4×
Vaginal delivery only (59409) $2,014.87 $2,238.75 0.6×

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.