Procedures & surgery prices at Jewell County Hospital

Mankato, KS · 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
Acne Surgery (10040) $92.06 $122.75 0.5×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $337.50 $450 0.2×
Amputation Finger/Thumb (26951) $468.75 $625 0.2×
Application cast elbow finger short arm (29075) $266.25 $355 1.0×
Application Cast Finger (29086) $60 $80 0.4×
Application Cast Hand & Lower Forearm Gauntlet (29085) $427.50 $570 2.9×
Application cast shoulder hand long arm (29065) $223.12 $297.50 0.9×
Application finger splint static (29130) $118.12 $157.50 1.0×
Application long arm splint shoulder hand (29105) $166.88 $222.50 1.1×
Application long leg splint thigh ankle/toes (29505) $148.12 $197.50 1.0×
Application of long leg cast (29345) $330 $440 1.3×
Application Short Arm Splint Dynamic (29126) $161.25 $215 1.3×
Application short arm splint forearm-hand static (29125) $170.62 $227.50 1.4×
Application short leg splint calf foot (29515) $123.38 $164.50 0.8×
Apply of clubfoot cast (29450) $330 $440 2.2×
Apply short leg cast (29405) $288.75 $385 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $193.12 $257.50 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $307.50 $410 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $103.12 $137.50 0.4×
Aspirat/Injection Ganglion Cyst(S) (20612) $108.75 $145 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $101.25 $135 0.5×
Biopsy external ear (69100) $112.50 $150 0.5×
Biopsy of nail unit (11755) $56.25 $75 0.1×
Biopsy or excision of lymph node(s); open, superficial (38500) $187.50 $250 0.1×
Biopsy soft tissue of back (21920) $82.50 $110 0.1×
Bladder Irrigation Simple (51700) $243.75 $325 1.1×
Bladder Scan (51798) $75 $100 1.4×
Blood transfusion service (36430) $543.75 $725 1.3×
Bone marrow aspiration only (38220) $347.62 $463.50 0.2×
Bone Marrow Biopsy (38221) $347.62 $463.50 0.2×
Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) $1,703.90 $2,271.88 0.5×
Change Cystostomy Tube Simple (51705) $87 $116 0.4×
Chest tube placement (32551) $150 $200 0.1×
Chg Collect Blood From Catheter Venous Nos (36592) $90.75 $121 0.7×
Circum 28 days or older (54161) $135 $180 0.1×
Closed Rx Med Malleolus Fx (27760) $236.25 $315 1.0×
Closed Rx Radial Shaft Fx (25500) $157.13 $209.50 0.7×
Closed Rx Tibia Shaft Fx (27750) $243.75 $325 1.1×
Closed Rx Tibial Plateau Fx (27530) $262.50 $350 1.2×
Closed Rx Trimalleolar Fx (27816) $322.50 $430 1.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $239.81 $319.75 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $339.04 $452.05 1.5×
Closed tx metatarsal fracture w/o manipulation (28470) $120 $160 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $228.75 $305 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $198.75 $265 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $214.99 $286.65 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $157.13 $209.50 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $272.89 $363.85 1.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $169.50 $226 0.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $404.62 $539.50 1.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $165 $220 0.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $240 $320 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $356.25 $475 0.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $123.75 $165 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $66.15 $88.20 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $75 $100 0.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $652.50 $870 2.9×
Cltx metacarpal fx w/manipulation each bone (26605) $210 $280 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $412.50 $550 1.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $221.25 $295 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $142.50 $190 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $169.50 $226 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $62.25 $83 0.5×
Cryotherapy of skin (17340) $63.75 $85 1.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $71.25 $95 0.2×
Debride nail 1-5 (11720) $41.25 $55 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $150 $200 0.4×
Declot vascular device (36593) $328.50 $438 1.1×
Destruc Benign/Premal,15+ Lesions (17004) $195 $260 0.5×
Destruction benign lesions 15 or more (17111) $153.75 $205 0.8×
Destruction Benign Lesions Up To 14 (17110) $225.38 $300.50 1.2×
Destruction premalignant lesion 1st (17000) $78.75 $105 0.4×
Drainage of hematoma/fluid (10140) $105 $140 0.1×
Drainage of hydrocele (55000) $135 $180 0.2×
Draw blood off venous device (36591) $96 $128 0.8×
Dx bone marrow bx & aspir (38222) $429.38 $572.50 0.2×
Evacuation of subungual hematoma (11740) $54.75 $73 0.4×
Exc arm/elbow les sc 3 cm/> (24071) $450 $600 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $240 $320 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,427.25 $1,903 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $168.75 $225 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $200.62 $267.50 0.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $675 $900 0.5×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $187.50 $250 0.3×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $183.75 $245 0.5×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $202.50 $270 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $232.50 $310 0.4×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $262.50 $350 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $382.50 $510 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $374.62 $499.50 0.2×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $367.50 $490 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $533.25 $711 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $517.50 $690 0.3×
Exc tr-ext b9+marg 0.5 cm or less (11400) $150 $200 0.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $5,981.25 $7,975 2.2×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $708.75 $945 0.5×
Excision Chalazion Single (67800) $62.03 $82.70 0.2×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $231 $308 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $266.25 $355 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $285 $380 0.8×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $326.25 $435 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $360 $480 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $236.25 $315 0.4×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $277.50 $370 0.4×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $311.25 $415 0.5×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $247.50 $330 0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $232.50 $310 0.2×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $276.38 $368.50 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $296.25 $395 0.5×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $345 $460 0.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $390 $520 0.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $202.50 $270 0.3×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $225 $300 0.3×
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) $322.50 $430 0.4×
Excision of lesion of tongue without closure (41110) $266.25 $355 0.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $210 $280 0.1×
Excision of lesion other than skin tag </= 0.5 cm (11420) $819.38 $1,092.50 0.5×
Excision of nail fold toe (11765) $159.38 $212.50 0.4×
Explore/Treat Interphalangeal Jt,Ea (26080) $292.50 $390 0.2×
Gastric Intubation/Aspiration, Therapeutic (43753) $618.75 $825 3.1×
I&d abscess simple (10060) $135 $180 0.7×
I&D Upper Arm/Elbow Bursa (23931) $168.75 $225 0.1×
Incise finger tendon sheath (26055) $1,098.75 $1,465 0.7×
Incision & drainage abscess complicated/multiple (10061) $251.25 $335 0.7×
Incision & removal foreign body subq tiss compl (10121) $165 $220 0.1×
Incision & removal foreign body subq tiss simple (10120) $133.12 $177.50 0.4×
Incision and drainage of vulva or perineal abscess (56405) $146.25 $195 0.5×
Incision of lingual frenum (41010) $251.25 $335 0.2×
Incision thrombosed hemorrhoid external (46083) $240 $320 1.0×
Initial tx 1st degree burn local tx (16000) $93.75 $125 0.5×
Inj tendon sheath/ligament (20550) $67.50 $90 0.2×
Injection aa&/strd sciatic nerve w/img gdn (64445) $165 $220 0.3×
Injection anes other peripheral nerve/branch (64450) $876.75 $1,169 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $103.12 $137.50 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $142.50 $190 0.5×
Injection therapeutic carpal tunnel (20526) $142.50 $190 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $37.20 $49.60 0.2×
Insert Drug Implant Device (11981) $206.62 $275.50 1.7×
Insert non-tunnel cv cath (36556) $2,662.50 $3,550 0.9×
Insert Temp Bladder Cath (51702) $150 $200 1.2×
Intubation endotracheal emergency procedure (31500) $135 $180 0.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $312.38 $416.50 0.8×
Partical Excision Bone Phalanx Toe (28124) $472.88 $630.50 0.2×
Perq replacement gtube not req revj gstrst trc (43762) $411 $548 1.8×
Placement of needle for intraosseous infusion (36680) $342 $456 0.8×
Punch biopsy skin single lesion (11104) $146.25 $195 0.4×
Puncture Aspiration (10160) $230.62 $307.50 0.6×
Puncture Aspiration Cyst Breast (19000) $116.25 $155 0.2×
Removal fb intranasal (30300) $161.25 $215 1.3×
Removal Foreign Body Foot Complicated (28193) $300 $400 0.2×
Removal foreign body foot subcutaneous (28190) $281.25 $375 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $58.50 $78 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $67.50 $90 1.2×
Removal Implant Superficial Separate Procedure (20670) $311.25 $415 0.2×
Removal of intrauterine device (iud) (58301) $127.50 $170 0.5×
Removal of nail bed (11750) $166.88 $222.50 0.4×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $108.75 $145 0.6×
Removal/bivalving full arm/full leg cast (29705) $166.88 $222.50 0.6×
Remove drug implant device (11982) $206.62 $275.50 0.5×
Remove foreign body from eye (65210) $84.52 $112.70 0.2×
Remove wrist tendon lesion (25111) $386.25 $515 0.3×
Remv Ext Canal Foreign Body (69200) $93.75 $125 0.8×
Remv F.B.,Eye,Superf Conjunc (65205) $42.38 $56.50 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $309.75 $413 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $567 $756 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $213.75 $285 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $247.50 $330 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $217.50 $290 0.6×
Repair complex trunk 1.1-2.5 cm (13100) $258 $344 0.4×
Repair extensor tendon finger w/o graft each (26418) $618.75 $825 0.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $773.25 $1,031 2.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $271.88 $362.50 0.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $286.88 $382.50 0.8×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $270 $360 0.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $316.88 $422.50 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $442.50 $590 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $225 $300 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $210 $280 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $286.88 $382.50 0.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $303.75 $405 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $195 $260 0.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $258.75 $345 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $288.75 $385 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,237.50 $1,650 1.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $294.42 $392.55 0.8×
Revise median n/carpal tunnel surg (64721) $1,012.50 $1,350 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $48.75 $65 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $86.25 $115 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,078.88 $1,438.50 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $93.75 $125 0.2×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $337.12 $449.50 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $123.75 $165 0.7×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $116.25 $155 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $142.50 $190 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $161.25 $215 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $153.75 $205 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $165 $220 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $174.38 $232.50 0.9×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $180 $240 0.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $120 $160 0.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $135 $180 0.7×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $232.50 $310 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $153.75 $205 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $243.75 $325 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $183.75 $245 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $172.50 $230 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $215.62 $287.50 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $168.75 $225 0.5×
Spinal puncture lumbar diagnostic (62270) $112.50 $150 0.2×
Strapping elbow/wrist (29260) $21.75 $29 0.4×
Strapping shoulder (29240) $300 $400 2.5×
Strapping unna boot (29580) $175.50 $234 1.2×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $277.88 $370.50 0.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $849.38 $1,132.50 1.5×
Thrombolytic Therapy, Stroke (37195) $422.25 $563 1.4×
Treat finger dislocation (26775) $470.62 $627.50 1.8×
Treat Fracture Radius & Ulna (25560) $172.50 $230 0.8×
Treat humerus fracture (24500) $231.53 $308.70 1.0×
Treat humerus fracture (23600) $210.86 $281.15 0.9×
Treat Thumb Fx/Disloc,Manip (26645) $228.75 $305 0.2×
Treat wrist bone fracture (25622) $161.25 $215 0.7×
Treat Wrist Bone Fracture (25630) $187.50 $250 0.8×
Treatment closed elbow dislocation w/o anes (24600) $231.53 $308.70 1.0×
Trim skin lesion (11055) $99 $132 0.5×
Trim skin lesions 2 to 4 (11056) $97.50 $130 0.5×
Trim skin lesions over 4 (11057) $105 $140 0.6×
Trimming Of Nondystrophic Nails, Any Number (11719) $26.25 $35 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $90 $120 0.1×
Tx superficial wound dehiscence w/packing (12021) $175.50 $234 0.5×
Venipuncture (36415) $13.50 $18 1.4×