Procedures & surgery prices at Johnson Memorial Hospital

Stafford Springs, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,710.50 $3,110 1.6×
Amputation Toe Metatarsophalangeal Joint (28820) $5,427.62 1.4×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $283.80 $516 1.5×
Application Of Rigid Total Contact Leg Cast (29445) $442.75 $805 1.3×
Arterial puncture (36600) $129.25 $235 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $781 $1,420 2.1×
Arthrodesis, great toe; metatarsophalangeal joint (28750) $17,161.40 2.0×
Biopsy bone open superficial (20240) $6,278.25 $11,415 1.8×
Biopsy/removal lymph nodes (38525) $8,006.35 $14,557 1.7×
Bladder Scan (51798) $113.30 1.6×
Blood transfusion service (36430) $10,555.35 20.0×
Bx breast 1st lesion strtctc (19081) $3,266.45 $5,939 1.6×
Bx breast 1st lesion us imag (19083) $2,805.55 $5,101 1.4×
Bx vulva/perineum 1 lesion (56605) $6,688.16 6.1×
Chemical Cautery Tissue (17250) $248.60 $452 1.0×
Chg Collect Blood From Catheter Venous Nos (36592) $145.20 $264 0.9×
Correction hammertoe (28285) $10,141.57 2.6×
Correction of bunion (28299) $9,044.19 1.0×
Correction of bunion (28297) $18,754.45 1.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $8,909.89 2.3×
Debride nail 1-5 (11720) $117.15 $213 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $882.75 1.8×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,282.60 $2,332 1.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $3,429.25 1.7×
Declot vascular device (36593) $531.85 $967 1.3×
Decompression of tibia nerve (28035) $6,337.15 2.7×
Delivery placenta separate procedure (59414) $6,384.95 $11,609 1.6×
Dilation & curettage dx&/ther nonobstetric (58120) $5,039.92 1.3×
Drainage of hematoma/fluid (10140) $3,556.24 1.8×
Draw blood off venous device (36591) $231 $420 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $392.15 $713 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $416.35 1.7×
Dry Needling 3+ Muscles (20561) $56.38 $102.50 1.6×
Egd remove lesion snare (43251) $2,444.20 1.1×
Endoscopic Plantar Fasciotomy (29893) $6,842.82 1.7×
Epidural lysis on single day (62264) $1,861.75 $3,385 1.8×
Exc abd les sc 3 cm/> (22903) $11,832.33 3.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $10,055.91 5.1×
Exc hand les sc < 1.5 cm (26115) $4,754.25 2.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $10,055.91 11.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $6,570.87 3.3×
Exc tr-ext b9+marg 0.5 cm or less (11400) $5,531.90 6.5×
Excision hidradenitis axillary complex repair (11451) $4,972.80 1.4×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $7,190.20 8.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $4,646.12 5.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $10,055.91 5.1×
Excision pilonidal cyst/sinus complicated (11772) $8,743.50 2.5×
Excision, interdigital (Morton) neuroma, single, each (28080) $10,141.57 5.3×
Fasciotomy foot and/or toe (28008) $4,782.17 1.2×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $724.90 $1,318 0.9×
Fluoro exam of g/colon tube (49465) $351.45 $639 1.2×
Guide Cathet Fluid Drainage (10030) $1,068.10 $1,942 1.3×
Hysteroscopy ablation (58563) $6,054.17 1.0×
I&d abscess simple (10060) $313.50 $570 1.3×
I&d perianal abscess superficial (46050) $7,729.26 6.9×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $13,604.80 $24,736 1.3×
Incise finger tendon sheath (26055) $4,495.75 2.3×
Incision extensor tendon sheath wrist (25000) $4,601.08 2.4×
Incision of metatarsal (28308) $10,141.57 2.6×
Incisional biopsy skin single lesion (11106) $1,207.25 $2,195 1.4×
Inj paravert f jnt c/t 1 lev (64490) $3,997.37 3.8×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,861.75 $3,385 1.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,861.75 $3,385 1.8×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,412.40 $2,568 1.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $688.05 $1,251 0.6×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $604.45 $1,099 1.6×
Inject Nerv Blck,Axillary Nerv (64417) $1,861.75 $3,385 1.8×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $2,338.14 2.8×
Inject Nerv Blck,Intercost,Multpl (64421) $1,861.75 $3,385 1.8×
Inject Nerv Blck,Intercostal,One (64420) $1,963.50 $3,570 2.3×
Inject Nerv Blck,Paravert Sympath (64520) $3,556.85 $6,467 3.4×
Injection aa&/strd brach plex cont nfs cath img (64416) $1,861.75 $3,385 1.8×
Injection aa&/strd genicular nrv branches w/img (64454) $1,412.40 $2,568 1.7×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,412.40 $2,568 1.7×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,412.40 $2,568 1.7×
Injection aa&/strd sciatic nrv cont nfs cath img (64446) $1,861.75 $3,385 1.8×
Injection aa&/strd suprascapular nerve (64418) $2,751.65 $5,003 3.3×
Injection aa&/strd trigeminal nerve each branch (64400) $804.10 $1,462 2.2×
Injection anes other peripheral nerve/branch (64450) $1,959.10 $3,562 2.3×
Injection for identification of sentinel node (38792) $783.20 $1,424 1.6×
Injection single/mlt trigger point 1/2 muscles (20552) $2,338.14 6.4×
Injection single/mlt trigger point 3/> muscles (20553) $617.65 $1,123 1.7×
Injection therapeutic carpal tunnel (20526) $594.63 1.6×
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) $1,861.75 $3,385 1.8×
Injection, anesthetic agent; greater occipital nerve (64405) $804.10 $1,462 2.2×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $804.10 $1,462 2.2×
Insert Gastrostomy Tube Percutaneous (49440) $3,886.30 $7,066 1.7×
Insert picc cath (36569) $1,766.60 $3,212 0.9×
Insert Temp Bladder Cath (51702) $121 $220 0.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,064.05 $5,571 1.6×
Intubation endotracheal emergency procedure (31500) $326.15 $593 1.1×
Lap ing hernia repair init (49650) $11,199.68 1.5×
Laparoscopy appendectomy (44970) $9,615.79 1.3×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $8,815.88 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $46.48 $84.50 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $695.20 $1,264 1.7×
Njx anes stellate ganglion crv sympathetic (64510) $3,556.85 $6,467 3.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,386.50 4.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $2,535.39 3.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,412.40 $2,568 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $1,861.75 $3,385 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $1,861.75 $3,385 1.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $2,605.81 3.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $1,861.75 $3,385 1.8×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) $19,542.34 5.0×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $7,972.08 2.0×
Perq dev breast 1st us imag (19285) $764.50 $1,390 0.9×
Perq device breast 1st imag (19281) $600.60 $1,092 0.3×
Punch biopsy skin single lesion (11104) $256.85 $467 0.5×
Puncture Aspiration (10160) $787.60 $1,432 1.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $10,055.91 41.8×
Repair complex trunk 2.6-7.5 cm (13101) $8,163.46 9.2×
Repair extensor tendon finger w/o graft each (26418) $7,177.99 3.7×
Repair hallux rigidus (28289) $7,506.29 1.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $6,570.87 13.5×
Revise median n/carpal tunnel surg (64721) $4,601.08 2.0×
Revise ulnar nerve at elbow (64718) $6,674.28 2.9×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $11,257.95 $20,469 1.6×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $11,257.95 $20,469 1.6×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $36,260.40 $65,928 1.6×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $36,260.40 $65,928 1.6×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $36,260.40 $65,928 1.6×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $22,834.90 $41,518 1.6×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $22,834.90 $41,518 1.6×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $11,257.95 $20,469 1.6×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $11,257.95 $20,469 1.6×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $22,834.90 $41,518 1.6×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $22,834.90 $41,518 1.6×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $22,834.90 $41,518 1.6×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $22,834.90 $41,518 1.6×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $36,260.40 $65,928 1.6×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $36,260.40 $65,928 1.6×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $36,260.40 $65,928 1.6×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $36,260.40 $65,928 1.6×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $36,260.40 $65,928 1.6×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $36,260.40 $65,928 1.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $8,223.02 1.1×
Rpr aa hernia 1st 3-10 cm reducible (49593) $8,453.99 1.1×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $7,438.30 1.0×
Rpr aa hernia 1st < 3 cm reducible (49591) $7,556.75 1.8×
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) $10,051.46 1.3×
Rvsc evsc fpvt st athrc sf 1 (37275) $36,260.40 $65,928 1.6×
Skin sub graft face/nk/hf/g (15275) $1,579.60 $2,872 1.8×
Skin sub graft trnk/arm/leg (15271) $1,506.45 $2,739 1.7×
Skin Sub Grft T/Arm/Lg Child (15273) $3,300 $6,000 1.3×
Skin tissue rearrangement (14040) $4,754.25 1.9×
Skn sub grft f/n/hf/g child (15277) $3,608 $6,560 1.5×
Strapping unna boot (29580) $197.45 $359 1.0×
Tangential biopsy skin single lesion (11102) $256.85 $467 0.5×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,219.35 $2,217 1.6×
Trim skin lesion (11055) $415.25 $755 1.7×
Trim skin lesions 2 to 4 (11056) $392.15 $713 1.6×
Trimming Of Nondystrophic Nails, Any Number (11719) $117.15 $213 1.7×
Vasc Embolize/Occlude Bleed (37244) $16,671.60 $30,312 1.2×
Venipuncture (36415) $4,561.37 488.4×