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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ProcedureCash priceGross charge× 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 Mlt-Layer Venous Wound Compress Below Knee (29581) $208.65 $321 1.3×
Application Cast Finger (29086) $69.55 $107 0.4×
Application finger splint static (29130) $160.80 $433 1.3×
Application long arm splint shoulder hand (29105) $178.68 $460.50 1.1×
Application long leg splint thigh ankle/toes (29505) $283.25 $807 1.8×
Application short arm splint forearm-hand static (29125) $171.52 $449.50 1.3×
Application short leg splint calf foot (29515) $283.25 $807 1.8×
Apply multlay comprs arm/hand (29584) $208.65 $321 1.3×
Arterial puncture (36600) $74.24 $211.50 0.6×
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) $311.50 $887.50 1.1×
Aspirat/Injection Ganglion Cyst(S) (20612) $655.31 $1,867 2.2×
Avulsion nail plate partial/complete simple 1 (11730) $219.72 $626 1.1×
Bladder Irrigation Simple (51700) $354.51 $1,010 1.5×
Bladder Scan (51798) $148.12 $422 2.6×
Blood patch (62273) $518.77 $1,478 0.8×
Blood transfusion service (36430) $795.18 $2,265.50 1.9×
Change Cystostomy Tube Simple (51705) $164.97 $470 0.7×
Chemical Cautery Tissue (17250) $178.65 $509 0.9×
Chest tube placement (32551) $981.48 $1,961 0.6×
Chg Collect Blood From Catheter Venous Nos (36592) $42.47 $121 0.3×
Closed Rx Med Malleolus Fx,Manip (27762) $1,037.20 $2,955 0.7×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $514.91 $1,467 0.3×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $610.74 $1,740 0.4×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $858.89 $2,447 0.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $175.50 $500 0.7×
Closed treatment pst malleolus fracture w/manj (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 fracture 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 scapular fracture w/o manipulation (23570) $436.99 $1,245 1.8×
Closed Tx Talotarsal Joint Dislocation W/Anes (28575) $725.16 $2,066 0.2×
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 of laceration, vestibule of mouth; 2.5 cm or less (40830) $219.72 $626 1.0×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (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 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 metacarpophalangeal dislc w/manj w/o anes (26700) $436.99 $1,245 1.8×
Cltx metatarsophlngl jt dislc w/o anes (28630) $445.77 $1,270 1.9×
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 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 tibial shaft fx w/manj w/wo skel tracj (27752) $836.78 $2,384 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $514.91 $1,467 0.3×
Complete replacement picc rs&i (36584) $449.28 $1,280 0.3×
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×
Debride Assoc Open Fx/Disloc Skin/Subq (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×
Destruction Benign Lesions Up To 14 (17110) $566.51 $1,614 2.9×
Drain Ext Ear Absc/Blood,Complic (69005) $533.16 $1,519 0.3×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $228.15 $650 0.3×
Drainage abscess/hematoma nasal int approach (30000) $270.27 $770 1.2×
Drainage Abscess/Hematoma Nasal Septum (30020) $421.20 $1,200 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $228.15 $650 0.3×
Drainage Finger Abscess Complicated (26011) $428.22 $1,220 0.3×
Drainage Finger Abscess Simple (26010) $270.97 $772 1.4×
Drainage mouth roof lesion (42000) $270.97 $772 1.2×
Drainage of eyelid abscess (67700) $608.98 $1,735 2.0×
Drainage of gum lesion (41800) $270.97 $772 2.1×
Drainage of hematoma/fluid (10140) $580.20 $1,653 0.4×
Drainage of scrotal wall abscess (55100) $448.22 $1,277 0.3×
Draw blood off venous device (36591) $42.47 $121 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×
Dry Needling 3+ Muscles (20561) $31.85 $49 1.1×
Egd flexible foreign body removal (43247) $848.01 $2,416 1.0×
Evacuation of subungual hematoma (11740) $117.93 $336 0.9×
Excision of nail fold toe (11765) $178.65 $509 0.5×
Gastric Intubation/Aspiration, Therapeutic (43753) $433.48 $1,235 2.1×
I&D Abscess Peritonsillar (42700) $220.42 $628 1.0×
I&d abscess simple (10060) $284.84 $811.50 1.5×
I&d perianal abscess superficial (46050) $1,392.06 $3,966 1.6×
I&d pilonidal cyst simple (10080) $228.15 $650 0.3×
Incision & drainage abscess complicated/multiple (10061) $355.03 $1,011.50 0.9×
Incision & drainage pilonidal cyst complicated (10081) $504.03 $1,436 0.7×
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×
Incision thrombosed hemorrhoid external (46083) $270.97 $772 1.1×
Initial tx 1st degree burn local tx (16000) $74.76 $213 0.4×
Injection aa&/strd suprascapular nerve (64418) $774.30 $2,206 1.1×
Injection aa&/strd trigeminal nerve each branch (64400) $977.83 $1,934 3.3×
Injection anes other peripheral nerve/branch (64450) $655.66 $1,868 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $303.96 $866 1.0×
Injection, anesthetic agent; greater occipital nerve (64405) $655.66 $1,868 2.2×
Insert Bladder Cath Complex (51703) $100.03 $285 0.8×
Insert non-tunnel cv cath (36556) $544.05 $1,550 0.2×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $544.05 $1,550 0.2×
Insert Temp Bladder Cath (51702) $94.76 $270 0.7×
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/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,440.14 $15,499 0.7×
Intubation endotracheal emergency procedure (31500) $507.89 $1,447 2.2×
Irrigate corpora cavernosa for priapism (54220) $221.48 $631 0.9×
Late closure of wound (13160) $1,611.44 $4,591 0.5×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $111.26 $317 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $27.95 $43 1.0×
Partial Excision Distal Phalanx Finger (26236) $614.25 $1,750 0.4×
Pericardiocentesis W/Imaging (33016) $688.31 $1,961 0.5×
Perq replacement gtube not req revj gstrst trc (43762) $153.03 $436 0.6×
Placement of needle for intraosseous infusion (36680) $111.26 $317 0.3×
Preputial Stretching (54450) $144.26 $411 0.6×
Puncture Aspiration (10160) $270.97 $772 0.7×
Removal fb intranasal (30300) $70.20 $200 0.5×
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 foreign body pharynx (42809) $213.75 $609 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $77.78 $144.50 1.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $39.31 $112 0.7×
Removal of nail bed (11750) $964.19 $2,747 2.5×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $778.16 $2,217 4.0×
Removal/bivalving full arm/full leg cast (29705) $283.25 $807 1.1×
Remove foreign body from eye (65210) $111.26 $317 0.3×
Remv Ext Canal Foreign Body (69200) $70.20 $200 0.5×
Remv F.B.,Eye,Superf Conjunc (65205) $61.77 $176 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 12.6-20.0cm (12055) $563 $1,604 1.4×
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 20.1-30.0cm (12056) $563 $1,604 1.4×
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×
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 7.6cm-12.5 cm (12015) $219.72 $626 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/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) $207.20 $414 1.3×
Thoracentesis needle/cath pleura w/o imaging (32554) $688.31 $1,961 1.1×
Thrombolytic Therapy, Stroke (37195) $287.11 $818 0.9×
Trach Tube Change (31502) $186.03 $530 0.8×
Tracheostomy emergency cricothyroid membrane (31605) $617.40 $1,759 2.7×
Treat humerus fracture (23600) $610.74 $1,740 2.6×
Treat Metatarsal Fracture (28475) $103.54 $295 0.4×
Treatment closed elbow dislocation w/o anes (24600) $610.74 $1,740 2.6×
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) $934.60 $1,867.50 3.2×
Venipuncture (36415) $9.12 $26 1.0×