Procedures & surgery prices at Jefferson County Hospital

Waurika, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $637.76 $1,817 0.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $586.52 $1,671 0.7×
Anoscopy diagnostic (46600) $77.92 $222 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $208.65 $321 1.3×
Application Cast Finger (29086) $69.55 $107 0.4×
Application finger splint static (29130)
range across 2 matching MRF lines
$38.35–$283.25 $59–$807 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$74.10–$283.25 $114–$807 varies
Application Long Leg Splint (29505) $283.25 $807 1.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$59.80–$283.25 $92–$807 varies
Application short leg splint calf foot (29515) $283.25 $807 1.8×
Apply Multlay Comprs Lwr Leg (29581) $208.65 $321 1.3×
Arterial puncture (36600)
range across 2 matching MRF lines
$73.71–$74.76 $210–$213 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $217.62 $620 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$303.96–$319.05 $866–$909 varies
Aspirate Pleura W/O Imaging (32554) $688.31 $1,961 1.1×
Aspirate/Inj Ganglion Cyst (20612) $655.31 $1,867 2.2×
Avulsion nail plate partial/complete simple 1 (11730) $219.72 $626 1.1×
Bladder Irrigation (51700) $354.51 $1,010 1.5×
Bladder Scan (51798) $148.12 $422 2.6×
Blepharotomy drainage abscess eyelid (67700) $608.98 $1,735 2.0×
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$666.19–$924.18 $1,898–$2,633 varies
Change Cystostomy Tube Simple (51705) $164.97 $470 0.7×
Change of Windpipe Airway (31502) $186.03 $530 0.8×
Chemical Cautery Tissue (17250) $178.65 $509 0.9×
Chest tube placement (32551)
range across 2 matching MRF lines
$688.31–$1,274.65 $1,961 varies
Cl Tx Tib Shft Fx W Manip (27752) $836.78 $2,384 0.5×
Clear outer ear canal (69200) $70.20 $200 0.5×
Closed rx talotarsal disloc,anesth (28575) $725.16 $2,066 0.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $175.50 $500 0.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $514.91 $1,467 0.3×
Closed tx ankle dislocation w/o anesthesia (27840) $610.74 $1,740 2.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $514.91 $1,467 0.3×
Closed tx knee dislocation w/o anesthesia (27550) $471.39 $1,343 2.0×
Closed tx metatarsal fracture w/o manipulation (28470) $610.74 $1,740 2.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $807.30 $2,300 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,130.92 $3,222 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $435.24 $1,240 1.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $435.24 $1,240 1.8×
Closed tx radial head/neck fx w/o manipulation (24650) $610.74 $1,740 2.6×
Closed tx radial shaft fracture w/manipulation (25505) $807.30 $2,300 0.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $610.74 $1,740 0.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $436.99 $1,245 1.8×
Closed Tx Talus Fracture W/Manipulation (28435) $526.50 $1,500 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $84.94 $242 0.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $610.74 $1,740 2.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $219.72 $626 1.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,130.92 $3,222 2.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $436.99 $1,245 1.8×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $289.92 $826 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $436.99 $1,245 1.8×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,383.29 $3,941 2.7×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $95.47 $272 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $436.99 $1,245 1.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $175.50 $500 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $610.74 $1,740 2.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $610.74 $1,740 2.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $436.99 $1,245 1.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $289.92 $826 1.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $610.74 $1,740 2.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $643.73 $1,834 0.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $731.83 $2,085 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $541.24 $1,542 2.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $436.99 $1,245 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $436.99 $1,245 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $84.94 $242 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $610.74 $1,740 2.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $436.99 $1,245 1.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $436.99 $1,245 1.8×
Cltx Med Ankle Fx W/Mnpj (27762) $1,037.20 $2,955 0.7×
Cltx metacarpal fx w/manipulation each bone (26605) $610.74 $1,740 2.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $289.92 $826 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $436.99 $1,245 1.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $289.92 $826 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $610.74 $1,740 2.6×
Cltx prox fibula/shft fx w/manj (27781) $807.30 $2,300 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $610.74 $1,740 2.6×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $858.89 $2,447 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $514.91 $1,467 0.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $514.91 $1,467 0.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $128.46 $366 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $514.91 $1,467 0.3×
Collect Blood From Catheter Venous Nos (36592) $42.47 $121 0.3×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$9.12–$9.84 $26–$28.04 varies
Complex drainage wound (10180) $908.73 $2,589 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $73.35 $209 0.6×
Control Nasal Hemorrhage Anterior Simple (30901) $84.94 $242 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $219.72 $626 1.7×
Curette/treat cornea (65435) $485.43 $1,383 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $404.35 $1,152 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $462.61 $1,318 0.7×
Debride nail 1-5 (11720) $108.81 $310 1.9×
Debride nail 6 or more (11721) $117.93 $336 2.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $194.45 $554 0.5×
Declot vascular device (36593) $164.61 $469 0.5×
Destruct B9 Lesion 1-14 (17110) $566.51 $1,614 2.9×
Drainage Abscess/Hematoma Nasal Septum (30020) $421.20 $1,200 0.8×
Drainage external ear abscess/hematoma cmplx (69005) $533.16 $1,519 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $228.15 $650 0.3×
Drainage Finger Abscess Complicated (26011) $428.22 $1,220 0.3×
Drainage Mouth Roof Lesion (42000) $270.97 $772 1.2×
Drainage of finger abscess simple (26010) $270.97 $772 1.4×
Drainage of gum lesion (41800) $270.97 $772 2.1×
Drainage of hematoma/fluid (10140) $580.20 $1,653 0.4×
Drainage of nose lesion (30000) $270.27 $770 1.2×
Drainage of scrotal wall abscess (55100) $448.22 $1,277 0.3×
Draw Blood Off Venous Device (36591) $42.47 $121 0.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $228.15 $650 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $114.42 $326 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $85.64 $244 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $74.76 $213 0.4×
Egd Flexible Foreign Body Removal (43247) $848.01 $2,416 1.0×
Epidural Blood Patch (62273) $518.77 $1,478 0.8×
Evacuation of subungual hematoma (11740) $117.93 $336 0.9×
Foreskin manipulation (54450) $144.26 $411 0.6×
I&d abscess peritonsillar (42700) $220.42 $628 1.0×
I&d abscess simple (10060)
range across 2 matching MRF lines
$270.97–$298.70 $772–$851 varies
I&d perianal abscess superficial (46050) $1,392.06 $3,966 1.6×
I&d pilonidal cyst complicated (10081) $504.03 $1,436 0.7×
I&d pilonidal cyst simple (10080) $228.15 $650 0.3×
Incise external hemorrhoid (46083) $270.97 $772 1.1×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$328.18–$381.88 $935–$1,088 varies
Incision & removal foreign body subq tiss simple (10120) $582.66 $1,660 1.5×
Incision and drainage of bartholin's gland abscess (56420) $270.97 $772 1.4×
Incision and drainage of vulva or perineal abscess (56405) $386.45 $1,101 1.3×
Incision of rectal abscess (46040) $1,712.88 $4,880 1.5×
Initial Tx 1st Degree Burn Local Tx (16000) $74.76 $213 0.4×
Injection anesthetic agent suprascapular nerve (64418) $774.30 $2,206 1.1×
Injection single/mlt trigger point 1/2 muscles (20552) $303.96 $866 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $655.66 $1,868 1.0×
Insert Bladder Cath Complex (51703) $100.03 $285 0.8×
Insert non-tunnel cv cath (36556) $544.05 $1,550 0.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$92.66–$96.87 $264–$276 varies
Insert,Non-Indwelling Bladder Catheter (51701) $70.20 $200 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $906.63 $2,583 0.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $544.05 $1,550 0.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,440.14 $15,499 0.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $563 $1,604 1.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $563 $1,604 1.4×
Intubation endotracheal emergency procedure (31500) $507.89 $1,447 2.2×
Irrigation of corpora cavernosa for priapism (54220) $221.48 $631 0.9×
Late closure of wound (13160) $1,611.44 $4,591 0.5×
Nasal/Orogastric W/Tube Plmt (43752) $111.26 $317 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $27.95 $43 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $31.85 $49 1.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$655.66–$1,300 $1,868–$2,000 varies
Occipital Nerve Block (64405) $655.66 $1,868 2.2×
Partial Excision Distal Phalanx Finger (26236) $614.25 $1,750 0.4×
Pericardiocentesis W/Imaging (33016) $688.31 $1,961 0.5×
Placement of needle for intraosseous infusion (36680) $111.26 $317 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $270.97 $772 0.7×
Removal foreign body foot deep (28192) $1,402.94 $3,997 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $964.19 $2,747 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$37.90–$117.65 $108–$181 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $39.31 $112 0.7×
Removal of foreign body from pharynx (42809) $213.75 $609 0.5×
Removal of nail bed (11750) $964.19 $2,747 2.5×
Removal or bivalving full arm or full leg cast (29705) $283.25 $807 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $778.16 $2,217 4.0×
Remove foreign body from eye (65205) $61.77 $176 0.5×
Remove Nasal Foreign Body (30300) $70.20 $200 0.5×
Repair Blood Vessel Direct Upper Extremity (35206) $1,017.90 $2,900 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $563 $1,604 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,155.49 $3,292 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $219.72 $626 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $219.72 $626 0.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $191.29 $545 0.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $564.05 $1,607 1.4×
Repair complex trunk 1.1-2.5 cm (13100) $494.91 $1,410 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $563 $1,604 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $199.71 $569 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $219.72 $626 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $219.72 $626 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $563 $1,604 1.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,155.49 $3,292 3.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $563 $1,604 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $199.71 $569 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $219.72 $626 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $563 $1,604 0.8×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $603.72 $1,720 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $563 $1,604 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $199.71 $569 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $219.72 $626 0.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $563 $1,604 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $563 $1,604 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,059.31 $3,018 0.5×
Repair of nail bed (11760) $191.29 $545 0.3×
Repair tongue laceration (41250) $111.26 $317 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $111.26 $317 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $61.77 $176 0.5×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $111.26 $317 0.3×
Rplc Gtube No Revj Trc (43762) $153.03 $436 0.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $449.28 $1,280 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $219.72 $626 1.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $563 $1,604 0.8×
Rpr Lip Full Thickness Vermilion Only (40650) $1,130.92 $3,222 2.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $219.72 $626 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $165.32 $471 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $181.46 $517 0.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $563 $1,604 1.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $208.49 $594 1.1×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,155.84 $3,293 6.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $181.11 $516 0.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,155.84 $3,293 6.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $208.49 $594 1.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $181.46 $517 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $219.72 $626 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $563 $1,604 1.4×
Spinal puncture lumbar diagnostic (62270) $538.08 $1,533 0.8×
Strapping ankle (29540) $283.25 $807 1.8×
Strapping elbow or wrist (29260) $283.25 $807 5.0×
Strapping hand/finger (29280) $283.25 $807 5.0×
Strapping Hip (29520) $283.25 $807 2.2×
Strapping knee (29530) $283.25 $807 2.2×
Strapping shoulder (29240) $283.25 $807 2.2×
Strapping thorax (29200) $283.25 $807 1.8×
Strapping toes (29550) $283.25 $807 5.0×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$145.31–$269.10 $414 varies
Thrombolytic Therapy Stroke (37195) $287.11 $818 0.9×
Tracheostomy Emergency Cricothyroid Membrane (31605) $617.40 $1,759 2.7×
Treat Humerus Fracture (24505) $514.91 $1,467 0.3×
Treat humerus fracture (23600) $610.74 $1,740 2.6×
Treat Knuckle Dislocation (26700) $436.99 $1,245 1.8×
Treat Metatarsal Fracture (28475) $103.54 $295 0.4×
Treat toe dislocation (28630) $445.77 $1,270 1.9×
Treatment closed elbow dislocation w/o anes (24600) $610.74 $1,740 2.6×
Tx Gastro Intub W/Asp (43753) $433.48 $1,235 2.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $563 $1,604 0.8×
Tx superficial wound dehiscence w/packing (12021) $219.72 $626 0.6×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$655.66–$1,213.55 $1,867–$1,868 varies
Wedge excision skin nail fold (11765) $178.65 $509 0.5×

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.