Procedures & surgery prices at Memorial Community Hospital & Health System

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $957.20 $1,196.50 1.0×
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) $1,343.20 $1,679 0.4×
Ankle arthroscopy/surgery (29892)
likely a partial charge, not the full procedure		 $834.40 $1,043 0.1×
Application cast elbow finger short arm (29075) $131.20 $164 0.5×
Application finger splint static (29130) $72 $90 0.5×
Application long arm splint shoulder hand (29105) $160.80 $201 1.0×
Application long leg splint thigh ankle/toes (29505) $187.20 $234 1.1×
Application short arm splint forearm-hand static (29125) $136 $170 1.0×
Application short leg splint calf foot (29515) $120.80 $151 0.7×
Arterial puncture (36600) $72.27 $90.34 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $101.89 $127.37 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $134.74 $168.43 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $252 $315 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $106.05 $132.56 0.3×
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
likely a partial charge, not the full procedure		 $1,936.80 $2,421 0.1×
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,448 $1,810 0.2×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $1,270 $1,587.50 0.0×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $2,005.60 $2,507 0.1×
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure		 $1,509.48 $1,886.85 0.1×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure		 $862.80 $1,078.50 0.1×
Arthroscopy ankle; ext debridem (29898) $741.60 $927 0.2×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $1,460.80 $1,826 0.4×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $856.40 $1,070.50 0.3×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $860 $1,075 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,230.40 $1,538 0.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $1,268.40 $1,585.50 0.2×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure		 $2,346.85 $2,933.56 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $564 $705 0.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure		 $903.20 $1,129 0.1×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $193.60 $242 0.2×
Biopsy intranasal (30100) $279.20 $349 0.2×
Biopsy of uterus lining (58100) $165.60 $207 0.8×
Biopsy Salivary Gland Incisional (42405) $644 $805 0.4×
Bladder Scan (51798) $157.75 $197.19 2.6×
Blood patch (62273) $612.80 $766 0.8×
Blood transfusion service (36430) $980 $1,225 2.1×
Bx breast 1st lesion us imag (19083) $1,219.25 $1,524.07 0.7×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,364.80 $1,706 0.4×
Chest tube placement (32551) $196 $245 0.1×
Circumcision (54150) $722.70 $903.38 0.3×
Closed Rx Gr Tuberosity Hum Fx (23620) $332 $415 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $357.60 $447 1.4×
Closed tx patellar dislocation w/o anesthesia (27560) $456 $570 1.8×
Closed tx patellar fracture w/o manipulation (27520) $702.56 $878.20 2.7×
Closed tx radial head/neck fx w/o manipulation (24650) $449.60 $562 1.8×
Closed tx radial shaft fracture w/manipulation (25505) $754.40 $943 0.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $509.20 $636.50 2.0×
Clsd tx clavicular fracture w/o manipulation (23500) $469.60 $587 1.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $634.40 $793 2.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $516.80 $646 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $527.20 $659 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,159.20 $1,449 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $223.20 $279 0.9×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $657.60 $822 2.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $256.80 $321 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $461.87 $577.33 1.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $374.20 $467.75 1.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,448.80 $1,811 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $216.80 $271 0.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $354.40 $443 1.1×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $235.20 $294 0.7×
Conization of cervix (57520) $703.20 $879 0.2×
Conization of cervix (57522) $554.40 $693 0.2×
Control Nasal Hemorrhage Anterior Simple (30901) $177.60 $222 1.3×
Correction hammertoe (28285) $1,217.60 $1,522 0.4×
Correction of bunion (28297)
likely a partial charge, not the full procedure		 $1,066 $1,332.50 0.1×
Create eardrum opening (69436) $570.40 $713 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $1,393.60 $1,742 0.6×
Cystourethroscopy (52000) $480 $600 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $177.60 $222 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $389.60 $487 0.5×
Declot vascular device (36593) $114.86 $143.57 0.3×
Destroy cerv/thor facet jnt (64633) $914.40 $1,143 0.5×
Destroy lumb/sac facet jnt (64635) $1,630.08 $2,037.60 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $884 $1,105 0.4×
Drain/inj small joint/bursa w/us (20604) $170.40 $213 0.5×
Drainage of hematoma/fluid (10140) $349.60 $437 0.2×
Draw blood off venous device (36591) $98.33 $122.91 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $184 $230 0.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $844 $1,055 0.5×
Exc arm/elbow les sc < 3 cm (24075) $820 $1,025 0.5×
Exc forearm les sc < 3 cm (25075) $1,112.80 $1,391 0.6×
Exc hand les sc < 1.5 cm (26115) $1,178.40 $1,473 0.7×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $188.20 $235.25 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $389.60 $487 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $673.60 $842 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $596.80 $746 0.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $533.60 $667 0.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,024 $1,280 0.6×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,304.80 $1,631 0.8×
Excision Distal Ulna Partial/Complete (25240) $880 $1,100 0.3×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $412 $515 0.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $611.20 $764 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $424 $530 0.6×
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $856.80 $1,071 0.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $287.20 $359 0.2×
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $832 $1,040 0.5×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) $1,026.40 $1,283 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $668.80 $836 0.4×
Explore/treat ankle joint (27620) $548.80 $686 0.2×
External Cephalic Version (59412) $2,748.80 $3,436 0.8×
Fasciotomy foot and/or toe (28008) $728.80 $911 0.2×
Fasciotomy palmar percutaneous (26040) $575.20 $719 0.3×
Fetal non-stress test (59025) $228.28 $285.35 1.1×
Fixation of knee joint (27570) $316.80 $396 0.2×
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure		 $725.60 $907 0.1×
Fusion Finger Joint (26860) $1,298.40 $1,623 0.4×
Fusion of foot bones (28735)
likely a partial charge, not the full procedure		 $982.80 $1,228.50 0.1×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,841.67 $2,302.08 0.2×
Fusion of toes (28280) $1,103.20 $1,379 0.3×
Hysteroscopy ablation (58563)
unusually low: confirm this is the full procedure		 $2,480.80 $3,101 0.5×
Hysteroscopy biopsy (58558) $1,700.80 $2,126 0.5×
I&d abscess simple (10060) $211.20 $264 1.0×
Incise finger tendon sheath (26055) $703.20 $879 0.4×
Incision & drainage abscess complicated/multiple (10061) $324.80 $406 0.8×
Incision and drainage of vulva or perineal abscess (56405) $200 $250 0.6×
Incision extensor tendon sheath wrist (25000) $751.20 $939 0.4×
Incision of heel bone (28300)
likely a partial charge, not the full procedure		 $832.40 $1,040.50 0.1×
Incision of metatarsal (28308) $732.80 $916 0.2×
Inj paravert f jnt c/t 1 lev (64490) $395.20 $494 0.4×
Inj tendon sheath/ligament (20550) $117.46 $146.82 0.4×
Inj,Anes Agent,Femoral Nerve,Single (64447) $152 $190 0.2×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $75.20 $94 0.2×
Inject Nerv Blck,Axillary Nerv (64417) $294.40 $368 0.3×
Inject Nerv Blck,Intercostal,One (64420) $203.20 $254 0.3×
Inject Nerv Blck,Paravert Sympath (64520) $496 $620 0.5×
Inject Tendon Origin/Insert (20551) $120.80 $151 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $1,907.20 $2,384 2.6×
Injection aa&/strd sciatic nerve w/img gdn (64445) $275.20 $344 0.4×
Injection aa&/strd suprascapular nerve (64418) $188.80 $236 0.3×
Injection anes other peripheral nerve/branch (64450) $131.20 $164 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $95.20 $119 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $108 $135 0.3×
Injection, anesthetic agent; greater occipital nerve (64405) $230.40 $288 0.7×
Insert cervical dilator (59200) $265.60 $332 0.8×
Insert picc cath (36569) $1,687.10 $2,108.88 1.0×
Insert Temp Bladder Cath (51702) $130.40 $163 0.9×
Insert tunneled cv cath (36561) $651.47 $814.33 0.2×
Intubation endotracheal emergency procedure (31500) $444.18 $555.22 1.8×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure		 $1,040 $1,300 0.2×
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure		 $1,241.16 $1,551.44 0.2×
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure		 $620 $775 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,274.40 $1,593 0.2×
Laryngoscopy Flexible Diagnostic (31575) $276 $345 1.3×
Laryngoscopy,Direct,Diagnostic (31525) $517.60 $647 0.3×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure		 $888.80 $1,111 0.1×
Ligation of hemorrhoid(s) (46221) $279.20 $349 0.3×
Muscle transfer shoulder/arm (23395)
likely a partial charge, not the full procedure		 $1,594 $1,992.50 0.2×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $391.90 $489.88 1.9×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,129.60 $1,412 0.7×
Nerve repair w/allograft (64910)
likely a partial charge, not the full procedure		 $1,010 $1,262.50 0.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $288 $360 0.7×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,556 $4,445 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $635.12 $793.90 0.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $559.60 $699.50 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $552.74 $690.92 0.8×
Open biopsy/excision inguinofemoral nodes (38531) $892.80 $1,116 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $633.60 $792 0.1×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,192.80 $1,491 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $942 $1,177.50 0.1×
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure		 $818.40 $1,023 0.1×
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure		 $934.80 $1,168.50 0.1×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,212.80 $1,516 0.4×
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure		 $970.40 $1,213 0.1×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $700 $875 0.1×
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
likely a partial charge, not the full procedure		 $778.40 $973 0.1×
Partial excision bone talus/calcaneus (28120) $1,346.40 $1,683 0.4×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $662 $827.50 0.2×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $1,061.60 $1,327 0.3×
Puncture Aspiration (10160) $236.80 $296 0.6×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure		 $1,031.60 $1,289.50 0.1×
Release i-p jt contracture (26525) $1,412.80 $1,766 0.8×
Release Intrinsic Muscles Hand Each Muscle (26593) $1,297.60 $1,622 0.4×
Release palm contracture (26121) $1,325.60 $1,657 0.4×
Removal fb intranasal (30300) $234 $292.50 1.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $84 $105 1.4×
Removal Implant Deep (20680) $1,402.50 $1,753.13 0.5×
Removal of adenoids (42830) $459.20 $574 0.1×
Removal of heel bone (28118) $650 $812.50 0.2×
Removal of heel spur (28119) $1,060 $1,325 0.3×
Removal of intrauterine device (iud) (58301) $147.20 $184 0.5×
Removal of nail bed (11750) $335.20 $419 0.8×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $563.20 $704 0.1×
Removal of wrist bone (25210) $878.40 $1,098 0.3×
Remove anal fist subq (46270) $1,144.80 $1,431 0.4×
Remove digit nerve lesion (64776) $669.60 $837 0.3×
Remove drug implant device (11982) $244.80 $306 0.5×
Remove wrist tendon lesion (25111) $462.40 $578 0.3×
Remv F.B.,Eye,Superf Conjunc (65205) $86.40 $108 0.6×
Repair achilles tendon (27650)
likely a partial charge, not the full procedure		 $1,469.60 $1,837 0.2×
Repair collat ankle ligmnt,secondary (27698)
likely a partial charge, not the full procedure		 $840 $1,050 0.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $928.80 $1,161 2.2×
Repair finger tendon (26432) $1,016 $1,270 0.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $347.20 $434 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $272 $340 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $291.20 $364 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $337.60 $422 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $465.60 $582 1.1×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $766 $957.50 0.1×
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $1,020.80 $1,276 0.3×
Revise median n/carpal tunnel surg (64721) $596 $745 0.3×
Revise ulnar nerve at elbow (64718) $919.20 $1,149 0.5×
Revise ulnar nerve at wrist (64719) $892 $1,115 0.4×
Revise wrist/forearm tendon (25280) $1,254.40 $1,568 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $210.40 $263 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $356 $445 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,196.80 $1,496 1.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,500 $1,875 0.2×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure		 $931.20 $1,164 0.1×
Rpr aa hernia 1st < 3 cm reducible (49591) $694.40 $868 0.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $1,089.60 $1,362 0.2×
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $1,100 $1,375 0.3×
Shldr arthroscop,lyse adhesns (29825) $764 $955 0.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $211.16 $263.94 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $236 $295 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $270.40 $338 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $201.32 $251.65 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $235.20 $294 1.1×
Skin sub graft face/nk/hf/g (15275) $328.80 $411 0.4×
Skin sub graft trnk/arm/leg (15271) $547.20 $684 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $216.93 $271.16 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $212.80 $266 0.5×
Spinal puncture lumbar diagnostic (62270) $359.20 $449 0.5×
Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) $811.20 $1,014 0.5×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $1,582.40 $1,978 0.2×
Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) $1,022.40 $1,278 0.3×
Tenotomy Open Extensor Foot/Toe Each Tendon (28234) $848.80 $1,061 0.5×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $978.40 $1,223 1.5×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $655.20 $819 0.2×
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure		 $1,868.42 $2,335.53 0.1×
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure		 $1,427.43 $1,784.29 0.1×
Transection or avulsion of other spinal nerve, extradural (64772) $1,376 $1,720 0.7×
Treat Fracture Radius & Ulna (25560) $349.60 $437 1.4×
Treat heel fracture (28415)
likely a partial charge, not the full procedure		 $1,348.40 $1,685.50 0.2×
Treat humerus fracture (24500) $757.60 $947 3.0×
Treat humerus fracture (23600) $749.60 $937 2.9×
Treat wrist bone fracture (25622) $674.40 $843 2.6×
Treat Wrist Bone Fracture (25630) $529.60 $662 2.1×
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure		 $917.60 $1,147 0.1×
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
likely a partial charge, not the full procedure		 $1,594 $1,992.50 0.2×
Venipuncture (36415) $25 $31.25 2.7×
Xfer single deep low leg tendon (27691)
likely a partial charge, not the full procedure		 $874 $1,092.50 0.1×