Procedures & surgery prices at CHI LakeWood Health

Baudette, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $426.36 $646 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $722.70 $1,095 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,574.76 $2,386 0.5×
Anoscopy diagnostic (46600) $39.93 $60.50 0.3×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $277.20 $420 1.7×
Appl Multlay Comprs Arm/Hand (29584) $257.40 $390 1.5×
Application cast elbow finger short arm (29075) $213.51 $323.50 0.7×
Application cast shoulder hand long arm (29065) $238.92 $362 0.8×
Application finger splint static (29130) $151.80 $230 1.1×
Application long arm splint shoulder hand (29105) $243.54 $369 1.5×
Application of rigid total contact leg cast (29445) $260.04 $394 0.9×
Application short arm splint forearm-hand static (29125) $235.62 $357 1.7×
Apply long leg splint (29505) $204.93 $310.50 1.2×
Apply short leg cast (29405) $172.26 $261 0.6×
Apply short leg splint (29515) $195.69 $296.50 1.2×
Arterial puncture (36600) $145.86 $221 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $202.62 $307 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $695.64 $1,054 2.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $149.16 $226 0.5×
Aspirate pleura w/ imaging (32555) $446.16 $676 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $222.75 $337.50 1.1×
Bladder instillation anticarcinogenic agent (51720) $550.44 $834 0.8×
Bladder Irrigation Simple (51700) $70.29 $106.50 0.3×
Blood transfusion service (36430) $427.35 $647.50 0.9×
Bx breast needle core w/o imaging guidance spx (19100) $208.56 $316 0.1×
Change of cystostomy tube simple (51705) $232.32 $352 0.9×
Chemical cautery tissue (17250) $169.95 $257.50 0.8×
Circumcision (54150) $253.44 $384 0.1×
Close Rx Prox/Mid Fing Shft Fx (26720) $392.70 $595 1.5×
Closed Rx Tibia Shaft Fx (27750) $727.98 $1,103 2.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,339.80 $2,030 5.3×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $456.06 $691 0.3×
Closed tx ankle dislocation w/o anesthesia (27840) $547.14 $829 2.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $546.81 $828.50 0.3×
Closed tx patellar dislocation w/o anesthesia (27560) $356.40 $540 1.4×
Closed tx radial head/neck fx w/manipulation (24655) $1,172.16 $1,776 0.7×
Closed tx radial shaft fracture w/manipulation (25505) $528.66 $801 0.3×
Closed tx radial&ulnar shaft fractures w/manj (25565) $482.56 $731.15 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $442.86 $671 1.7×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $434 $657.57 0.3×
Clsd tx clavicular fracture w/o manipulation (23500) $594 $900 2.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,668.48 $2,528 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $542.19 $821.50 2.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $799.92 $1,212 0.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $148.17 $224.50 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $582.12 $882 2.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $212.52 $322 0.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $734.58 $1,113 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $118.80 $180 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $206.58 $313 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $483.78 $733 1.9×
Cltx metacarpal fx w/manipulation each bone (26605) $380.49 $576.50 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $564.30 $855 2.2×
Cltx post hip arthrp dislc req anes (27266) $549.45 $832.50 0.3×
Cltx post hip arthrp dislc w/o anes (27265) $377.85 $572.50 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $259.71 $393.50 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $786.06 $1,191 0.5×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $561.66 $851 0.3×
Collect Blood From Catheter Venous Nos (36592) $124.41 $188.50 0.9×
Colonoscopy flex w/rem forcep (45384) $2,132.46 $3,231 1.7×
Control Nasal Hemorrhage Anterior Complex (30903) $320.43 $485.50 2.3×
Control Nasal Hemorrhage Anterior Simple (30901) $237.27 $359.50 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $383.79 $581.50 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $520.08 $788 1.2×
Declot vascular device (36593) $16.50 $25 0.0×
Destruction premalignant lesion 1st (17000) $57.75 $87.50 0.3×
Diagnostic sigmoidoscopy (45330) $1,403.16 $2,126 1.5×
Drainage Finger Abscess Simple (26010) $323.40 $490 1.6×
Drainage of gum lesion (41800) $286.44 $434 2.1×
Drainage of hematoma/fluid (10140) $749.10 $1,135 0.4×
Drainage of scrotal wall abscess (55100) $215.61 $326.68 0.1×
Draw blood off venous device (36591) $124.41 $188.50 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $216.48 $328 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $272.58 $413 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $204.60 $310 1.0×
Egd balloon dilation esophagus <30 mm diam (43249) $1,566.18 $2,373 0.8×
Egd place gastrostomy tube (43246) $1,465.20 $2,220 0.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,690.26 $2,561 1.8×
Evacuation of subungual hematoma (11740) $80.52 $122 0.6×
Fetal non-stress test (59025) $92.40 $140 0.4×
Gastric Intubation/Aspiration, Therapeutic (43753) $44.88 $68 0.2×
I&d abscess simple (10060) $304.92 $462 1.5×
I&d pilonidal cyst simple (10080) $256.41 $388.50 0.4×
I&d vulva/perineal abscess (56405) $139.92 $212 0.4×
Incise external hemorrhoid (46083) $365.97 $554.50 1.4×
Incision & drainage abscess complicated/multiple (10061) $203.94 $309 0.5×
Incision & removal foreign body subq tiss simple (10120) $398.64 $604 1.0×
Incision and drainage of bartholin's gland abscess (56420) $164.34 $249 0.8×
Incision and drainage perianal abscess superficial (46050) $226.38 $343 0.2×
Incision and drainage, complex, postoperative wound infection (10180) $1,341.78 $2,033 0.4×
Initial tx 1st degree burn local tx (16000) $72.93 $110.50 0.4×
Inj paravert f jnt c/t 1 lev (64490) $1,582.68 $2,398 1.7×
Inj tendon sheath/ligament (20550) $291.72 $442 0.9×
Inject Nerv Blck,Intercostal,One (64420) $128.70 $195 0.2×
Inject Tendon Origin/Insert (20551) $69.96 $106 0.2×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $91.08 $138 0.1×
Injection aa&/strd trigeminal nerve each branch (64400) $281.16 $426 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $271.26 $411 0.9×
Injection single/mlt trigger point 3/> muscles (20553) $282.15 $427.50 0.9×
Insert Bladder Cath Complex (51703) $191.07 $289.50 1.4×
Insert non-tunnel cv cath (36556) $60.72 $92 0.0×
Insert Temp Bladder Cath (51702) $149.82 $227 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $129.36 $196 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $285.78 $433 0.1×
Intubation endotracheal emergency procedure (31500) $482.79 $731.50 2.0×
Nasal endoscopy dx (31231) $428.34 $649 2.1×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $310.86 $471 0.7×
Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) $841.50 $1,275 0.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $588.72 $892 0.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,635.94 $5,509 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,582.68 $2,398 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,701.48 $2,578 2.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,099.56 $1,666 1.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,718.64 $2,604 2.4×
Occipital Nerve Block (64405) $365.64 $554 1.2×
Pericardiocentesis W/Imaging (33016) $225.06 $341 0.1×
Picc line placement (36569) $856.35 $1,297.50 0.5×
Placement of needle for intraosseous infusion (36680) $120.12 $182 0.3×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $250.80 $380 0.6×
Removal foreign body intranasal (30300) $208.56 $316 1.5×
Removal foreign body muscle/tendon sheath simple (20520) $737.88 $1,118 0.4×
Removal foreign body pharynx (42809) $190.20 $288.18 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $65.34 $99 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $113.52 $172 1.9×
Removal of embedded foreign body, eyelid (67938) $363 $550 1.1×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $200.31 $303.50 0.4×
Removal of infusion pump (36262) $636.24 $964 0.2×
Remv Ext Canal Foreign Body (69200) $132 $200 1.0×
Remv F.B.,Eye,Superf Conjunc (65205) $172.26 $261 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $988.68 $1,498 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $579.15 $877.50 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $624.69 $946.50 1.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $444.84 $674 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $462.66 $701 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $345.51 $523.50 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $383.46 $581 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $419.10 $635 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $462.99 $701.50 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $490.38 $743 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $602.91 $913.50 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $381.81 $578.50 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $330.33 $500.50 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $561.66 $851 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $486.09 $736.50 1.2×
Repair of nail bed (11760) $403.26 $611 0.5×
Repair of rectum (45505) $1,114.74 $1,689 0.4×
Repair tongue laceration (41252) $514.80 $780 2.1×
Repair Tongue Laceration (41250) $539.22 $817 1.2×
Repeat control of nosebleed (30906) $297 $450 1.2×
Reposition gastric feeding tube thru duodenum (43761) $149.82 $227 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $198.99 $301.50 1.4×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $186.78 $283 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $664.95 $1,007.50 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $304.92 $462 0.5×
Rpr aa hernia 1st < 3 cm reducible (49591) $606.54 $919 0.2×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure
$1,129.26 $1,711 0.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $746.46 $1,131 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure
$1,012.44 $1,534 0.2×
Rpr Lip Full Thickness Vermilion Only (40650) $667.59 $1,011.50 1.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $606.87 $919.50 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $142.23 $215.50 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $418.11 $633.50 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $611.82 $927 3.0×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $604.89 $916.50 2.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $387.75 $587.50 1.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $336.60 $510 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $479.82 $727 2.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $414.81 $628.50 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $526.68 $798 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $301.62 $457 0.7×
Spinal puncture lumbar diagnostic (62270) $557.04 $844 0.8×
Strapping hand/finger (29280) $123.75 $187.50 2.0×
Strapping knee (29530) $112.86 $171 0.8×
Strapping shoulder (29240) $153.78 $233 1.1×
Strapping unna boot (29580) $214.50 $325 1.3×
Thoracentesis needle/cath pleura w/o imaging (32554) $877.80 $1,330 1.4×
Thrombolytic Therapy Stroke (37195) $613.14 $929 1.8×
Tracheotomy tube change (31502) $213.18 $323 0.9×
Treat Metatarsal Fracture (28475) $293.70 $445 1.2×
Treatment closed elbow dislocation w/o anes (24600) $504.24 $764 2.0×
Trim skin lesion (11055) $59.07 $89.50 0.3×
Trimming Of Nondystrophic Nails, Any Number (11719) $13.53 $20.50 0.2×
Tube thoracostomy includes water seal (32551) $425.70 $645 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $556.71 $843.50 0.7×
Unlisted procedure, stomach (43999) $364.32 $552 0.4×
Us urine capacity measure (51798) $100.98 $153 1.7×
Venipuncture (36415) $25.74 $39 2.8×
Venipuncture, cutdown; age 1 or over (36425) $875.82 $1,327 1.9×