Procedures & surgery prices at Mahnomen Health

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

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

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ProcedurePosted cashPosted gross× Medicare
Anoscopy W/Rmvl Foreign Body (46608) $418.50 $465 0.4×
Application cast elbow finger short arm (29075) $1,218.60 $1,354 4.2×
Application finger splint static (29130) $162 $180 1.2×
Application long arm splint shoulder hand (29105) $198 $220 1.2×
Application Long Leg Splint (29505) $247.50 $275 1.5×
Application Short Arm Splint Dynamic (29126) $251.10 $279 1.8×
Application short arm splint forearm-hand static (29125) $318.60 $354 2.3×
Application short leg splint calf foot (29515) $279 $310 1.7×
Apply hand/wrist cast (29085) $1,218.60 $1,354 7.3×
Apply long arm cast (29065) $1,342.80 $1,492 4.7×
Apply Short Leg Cast (29405) $1,218.60 $1,354 4.2×
Apply short leg cast (29425) $1,688.40 $1,876 5.8×
Arterial puncture (36600) $170.10 $189 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $324.90 $361 1.0×
Aspirate Pleura W/O Imaging (32554) $1,125.90 $1,251 1.7×
Aspirate/Inj Ganglion Cyst (20612) $186.30 $207 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $501.30 $557 2.4×
Bladder Irrigation (51700) $315.90 $351 1.2×
Bladder Scan (51798) $264.60 $294 4.3×
Blood Transfusion Service (36430)
range across 9 matching MRF lines		 $1,225.80–$2,677.50 $1,362–$2,975 varies
Change Cystostomy Tube Simple (51705) $773.10 $859 3.0×
Chest tube placement (32551) $748.80 $832 0.5×
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $3,600 $4,000 4.7×
Cl Tx Tib Shft Fx W Manip (27752) $886.50 $985 0.5×
Clear outer ear canal (69200) $315 $350 2.3×
Closed Rx Spontaneous Hip Disloc (27256) $812.70 $903 3.2×
Closed Treat Vert Body Fract (22310) $886.50 $985 3.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $969.30 $1,077 3.8×
Closed Treatment Sternum Fracture (21820) $874.80 $972 3.4×
Closed tx ankle dislocation w/o anesthesia (27840) $886.50 $985 3.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,198.80 $1,332 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,193.40 $1,326 4.7×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $886.50 $985 3.5×
Closed tx carpal scaphoid fracture w/manj (25624) $886.50 $985 0.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $812.70 $903 3.2×
Closed tx knee dislocation w/o anesthesia (27550) $1,198.80 $1,332 4.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $882.90 $981 1.6×
Closed tx metatarsal fracture w/o manipulation (28470) $748.80 $832 2.9×
Closed tx patellar dislocation w/o anesthesia (27560) $1,198.80 $1,332 4.7×
Closed tx radial head/neck fx w/o manipulation (24650) $1,279.80 $1,422 5.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $969.30 $1,077 3.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $969.30 $1,077 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,125.90 $1,251 4.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $748.80 $832 2.9×
Closed Tx Talus Fracture W/Manipulation (28435) $886.50 $985 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,061.10 $1,179 4.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,125.90 $1,251 4.4×
Closed tx ulnar shaft fracture w/o manipulation (25530) $969.30 $1,077 3.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $402.30 $447 1.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $789.30 $877 1.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $886.50 $985 3.5×
Clsd tx clavicular fracture w/o manipulation (23500) $748.80 $832 2.9×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $812.70 $903 3.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,154.60 $2,394 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $932.40 $1,036 3.7×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $886.50 $985 0.5×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $886.50 $985 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $886.50 $985 3.5×
Cltx dstl fibular fx lat malls w/manj (27788) $886.50 $985 3.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $886.50 $985 3.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $886.50 $985 3.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $418.50 $465 1.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $501.30 $557 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $886.50 $985 3.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,354.50 $1,505 5.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $886.50 $985 3.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $573.30 $637 2.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $641.70 $713 2.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $747 $830 2.9×
Cltx Med Ankle Fx W/Mnpj (27762) $886.50 $985 0.5×
Cltx Medial Ankle Fx (27760) $886.50 $985 3.5×
Cltx metacarpal fx w/manipulation each bone (26605) $810.90 $901 3.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $886.50 $985 3.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $380.70 $423 1.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $886.50 $985 3.5×
Cltx prox tibfib jt dislc w/o anes (27830) $886.50 $985 3.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $886.50 $985 3.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $198.90 $221 0.8×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $969.30 $1,077 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,105.20 $1,228 0.7×
Cltx tibial shaft fx w/o manipulation (27750) $886.50 $985 3.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $825.30 $917 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $279 $310 1.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $27.90–$30.60 $31–$34 varies
Control Nasal Hemorrhage Anterior Complex (30903) $501.30 $557 3.7×
Control Nasal Hemorrhage Anterior Simple (30901) $441 $490 3.2×
Control oropharyngeal hemorrhage simple (42960) $535.50 $595 1.0×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $479.70 $533 2.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $479.70 $533 3.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $333.90 $371 0.8×
Delivery of placenta (59414) $605.70 $673 0.2×
Dilate Urethra Stricture (53620) $421.20 $468 0.6×
Drainage external auditory canal abscess (69020) $349.20 $388 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $349.20 $388 0.5×
Drainage Finger Abscess Complicated (26011) $252 $280 0.1×
Drainage of finger abscess simple (26010) $252 $280 1.2×
Drainage of hematoma/fluid (10140) $501.30 $557 0.3×
Drainage of scrotal wall abscess (55100) $485.10 $539 0.3×
Draw Blood Off Venous Device (36591) $200.70 $223 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $349.20 $388 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $649.80 $722 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $602.10 $669 2.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $281.70–$356.40 $313–$396 varies
Evacuation of subungual hematoma (11740) $451.80 $502 3.3×
Expl penetrating wound spx abdomen/flank/back (20102) $656.10 $729 0.3×
Exploration penetrating wound spx chest (20101) $656.10 $729 0.3×
Exploration penetrating wound spx extremity (20103) $656.10 $729 0.4×
Exploration Penetrating Wound Spx Neck (20100) $656.10 $729 1.2×
I&d abscess peritonsillar (42700) $252 $280 1.0×
I&d abscess simple (10060) $252 $280 1.2×
I&d perianal abscess superficial (46050) $349.20 $388 0.4×
I&d pilonidal cyst complicated (10081) $509.40 $566 0.7×
I&d pilonidal cyst simple (10080) $501.30 $557 0.7×
Incise external hemorrhoid (46083) $734.40 $816 2.8×
Incision & drainage abscess complicated/multiple (10061) $349.20 $388 0.8×
Incision & removal foreign body subq tiss compl (10121) $344.70 $383 0.2×
Incision & removal foreign body subq tiss simple (10120) $293.40 $326 0.7×
Incision and drainage of bartholin's gland abscess (56420) $252 $280 1.2×
Incision and drainage of vulva or perineal abscess (56405) $349.20 $388 1.1×
Incision of rectal abscess (46040) $593.10 $659 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $262.80 $292 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $383.40 $426 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $251.10 $279 0.3×
Insert Bladder Cath Complex (51703) $575.10 $639 4.3×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $400.50–$421.20 $445–$468 varies
Insert,Non-Indwelling Bladder Catheter (51701) $271.80 $302 2.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $340.20 $378 0.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $315.90 $351 0.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,384.20 $1,538 3.3×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,429.20 $1,588 3.4×
Intubation endotracheal emergency procedure (31500) $616.50 $685 2.5×
Laryngoscopy diagnostic (31505) $1,037.70 $1,153 5.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $418.50 $465 2.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $40.50 $45 1.4×
Needle insertion w/o injection 3 or more muscles (20561) $40.50 $45 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,926 $2,140 4.6×
Pericardiocentesis W/Imaging (33016) $732.60 $814 0.5×
Placement of needle for intraosseous infusion (36680) $423.90 $471 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $485.10 $539 1.2×
Removal Embedded Foreign Body Eyelid (67938) $684 $760 2.1×
Removal Foreign Body Deep Thigh/Knee (27372) $501.30 $557 0.2×
Removal Foreign Body Foot Complicated (28193) $562.50 $625 0.3×
Removal foreign body foot deep (28192) $501.30 $557 0.3×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $501.30 $557 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $317.70 $353 5.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $279 $310 4.6×
Removal of foreign body from pharynx (42809) $603 $670 1.3×
Removal of nail bed (11750) $422.10 $469 1.0×
Removal or bivalving full arm or full leg cast (29705) $1,282.50 $1,425 4.4×
Remove foreign body from eye (65205) $204.30 $227 1.5×
Remove Intrauterine Device (58301) $418.50 $465 1.3×
Remove Nasal Foreign Body (30300) $437.40 $486 3.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $666 $740 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $789.30 $877 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $666 $740 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $789.30 $877 1.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $666 $740 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $789.30 $877 1.9×
Repair complex trunk 1.1-2.5 cm (13100) $666 $740 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $782.10 $869 1.0×
Repair Hand Tendon (26410) $582.30 $647 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $664.20 $738 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $789.30 $877 1.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,131.30 $1,257 2.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,273.50 $1,415 3.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,593 $1,770 3.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $789.30 $877 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $292.50 $325 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $582.30 $647 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $666 $740 0.9×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,012.50 $1,125 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $985.50 $1,095 2.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $702 $780 1.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $662.40 $736 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,131.30 $1,257 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $837 $930 2.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,155.60 $1,284 0.5×
Repair of nail bed (11760) $278.10 $309 0.4×
Repair tongue laceration (41252) $445.50 $495 1.8×
Repair tongue laceration (41250) $666 $740 1.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $465.30 $517 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $344.70 $383 2.5×
Rplc Gtube No Revj Trc (43762) $773.10 $859 3.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $396 $440 1.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $985.50 $1,095 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $435.60 $484 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $466.20 $518 2.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $582.30 $647 2.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $476.10 $529 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $358.20 $398 1.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $513.90 $571 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $544.50 $605 2.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $730.80 $812 3.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $513.90 $571 2.5×
Skin sub graft trnk/arm/leg (15271) $432.90 $481 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $572.40 $636 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,164.60 $1,294 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $720 $800 1.7×
Spinal puncture lumbar diagnostic (62270) $573.30 $637 0.8×
Strapping hand/finger (29280) $157.50 $175 2.6×
Thrombolytic Therapy Stroke (37195) $2,058.30 $2,287 6.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,165.50 $1,295 4.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,125.90 $1,251 0.7×
Tracheostomy Fenestration W/Skin Flaps (31610)
likely a partial charge, not the full procedure		 $1,803.60 $2,004 0.3×
Treat Humerus Fracture (24505) $730.80 $812 0.4×
Treat Knuckle Dislocation (26700) $886.50 $985 3.5×
Treat Metatarsal Fracture (28475) $886.50 $985 3.5×
Treat Thumb Dislocation (26641) $886.50 $985 3.5×
Treat Thumb Fracture (26645) $886.50 $985 0.5×
Treat toe dislocation (28630) $733.50 $815 2.9×
Treat Vaginal Bleeding (57180) $573.30 $637 2.7×
Treatment closed elbow dislocation w/o anes (24600) $748.80 $832 2.9×
Tx Gastro Intub W/Asp (43753) $454.50 $505 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $402.30 $447 0.5×
Tx superficial wound dehiscence w/packing (12021) $656.10 $729 1.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $730.80 $812 0.4×
Unlisted procedure eyelids (67999) $753.30 $837 2.3×
Unlisted procedure femur or knee (27599) $812.70 $903 3.2×
Unlisted Procedure Leg/Ankle (27899) $886.50 $985 3.5×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $864–$1,139.40 $960–$1,266 varies
Vaginal Delivery After Cesarean Delivery (59612) $5,261.40 $5,846 1.6×
Vaginal delivery only (59409) $5,244.30 $5,827 1.6×
Vein Access Cutdown < 1 Yr (36420) $423.90 $471 3.1×
Venous Cutdown >1 Y/O (36425) $423.90 $471 0.9×
Wedge excision skin nail fold (11765) $348.30 $387 0.8×
Windowing of cast (29730) $1,873.80 $2,082 11.2×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.