Procedures & surgery prices at Jennie M Melham Memorial Medical Center

Broken Bow, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,450 $1,450 1.5×
Amputation Toe Metatarsophalangeal Joint (28820) $6,152.92 $6,152.92 1.8×
Application short arm splint forearm-hand static (29125) $2,030.70 $2,030.70 14.7×
Arterial puncture (36600) $127.81 $127.81 0.9×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $6,708.07 $6,708.07 2.0×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $7,757.09 $7,757.09 2.3×
Bladder Scan (51798) $203.08 $203.08 3.3×
Blood patch (62273) $1,913.46 $1,913.46 2.6×
Blood transfusion service (36430) $1,128.24 $1,128.24 2.5×
Bx anorectal wall anal approach (45100) $6,173.23 $6,173.23 2.1×
Cataract surgery complex (66982) $5,683.22 $5,683.23 2.4×
Chg Collect Blood From Catheter Venous Nos (36592) $180 $180 1.3×
Colonoscopy flex w/rem forcep (45384) $4,587.62 $4,587.62 3.7×
Colonoscopy thru stoma (44388) $3,931.31 $3,931.31 4.1×
Colporrhaphy suture injury vagina (57200) $8,472.17 $8,472.17 2.5×
Correction of bunion (28292) $120 $120 0.0×
Create eardrum opening (69436) $7,929.64 $7,929.64 4.9×
Cysto w/removal of tumors small (52234) $1,646.74 $1,646.74 0.4×
Cystoscopy,insert ureteral stent (52332) $5,728.75 $5,728.75 1.6×
Cystourethroscopy (52000) $1,451.10 $1,451.10 2.0×
Declot vascular device (36593) $437.50 $437.50 1.3×
Diagnostic sigmoidoscopy (45330) $3,696.02 $3,696.02 3.8×
Draw blood off venous device (36591) $179.73 $179.73 1.3×
Egd balloon dilation esophagus <30 mm diam (43249) $3,527.31 $3,527.31 1.8×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $4,363.61 $4,363.61 2.2×
Egd flexible foreign body removal (43247) $3,640.43 $3,640.43 3.9×
Endoscopic Plantar Fasciotomy (29893) $11,315.45 $11,315.45 3.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,676.07 $1,676.07 1.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $6,496.94 $6,496.94 3.9×
Exc shoulder tum deep 5 cm/> (23073) $5,437.13 $5,437.13 1.8×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $5,501.56 $5,501.56 13.0×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $1,717.67 $1,717.67 1.0×
Exc Skin Malig >4 Cm Face,Facial (11646) $1,722.25 $1,722.25 0.6×
Exc thigh/knee les sc 3 cm/> (27337) $4,343.66 $4,343.66 1.4×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,776.86 $1,776.86 1.0×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $4,536.14 $4,536.14 2.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $5,492.96 $5,492.96 3.2×
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) $7,912.80 $7,912.80 1.4×
Fracture nasal inferior turbinate(s), therapeutic (30930) $11,325.10 $11,325.10 3.3×
Hysteroscopy ablation (58563) $8,272.45 $8,272.45 1.6×
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) $23,092.90 $23,092.90 1.2×
Incise finger tendon sheath (26055) $5,733.06 $5,733.06 3.4×
Incision & drainage abscess complicated/multiple (10061) $4,584.35 $4,584.35 10.9×
Inj paravert f jnt c/t 1 lev (64490) $1,922.77 $1,922.77 2.1×
Injection anes other peripheral nerve/branch (64450) $1,818.95 $1,818.95 2.5×
Knee arthroscopy/surgery (29876) $6,708.07 $6,708.07 2.0×
Laparoscopy Remove Adnexa (58661) $10,331.15 $10,331.15 1.6×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $5,953.19 $5,953.19 3.6×
Neuro alz ds bamyl&tau prtn (0503U) $1,640 $1,640 2.2×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $2,587.84 $2,587.84 3.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $320 $320 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,958.26 $2,958.26 3.2×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,784.40 $1,784.40 2.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $300 $300 0.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,797 $1,797 2.5×
Placement of needle for intraosseous infusion (36680) $95 $95 0.2×
Placement of seton (46020) $2,822.08 $2,822.08 1.0×
Removal of adenoids (42830) $4,945.36 $4,945.36 1.4×
Removal of heel bone (28118) $11,315.45 $11,315.45 3.3×
Remove in/ex hem groups 2+ (46260) $7,477.74 $7,477.74 2.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $3,537.78 $3,537.78 4.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,614.75 $1,614.75 2.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,717.67 $1,717.67 4.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,757.12 $1,757.13 4.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,722.25 $1,722.25 4.1×
Repair rectum & vagina (57250) $8,896.18 $8,896.18 1.7×
Repair secondary achilles tendon w/wo graft (27654) $11,315.45 $11,315.45 1.5×
Rerepair ing hernia reduce (49520) $7,087.39 $7,087.39 1.9×
Revise median n/carpal tunnel surg (64721) $5,944.32 $5,944.32 2.9×
Revise ulnar nerve at elbow (64718) $7,374.09 $7,374.09 3.6×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $3,925.83 $3,925.83 4.1×
Sphincterotomy (46080) $5,059.42 $5,059.42 1.8×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,822.08 $2,822.08 1.0×
Tenolysis extensor foot single tendon (28225) $445 $445 0.1×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,400 $1,400 2.1×
Thoracentesis needle/cath pleura w/o imaging (32554) $254.46 $254.46 0.4×
Total knee arthroplasty (27447) $32,722.34 $32,722.34 2.5×
Treat toe fracture (28525) $1,875 $1,875 0.6×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $8,983.94 $8,983.95 1.7×
Venipuncture (36415) $32.21 $32.21 3.4×