Procedures & surgery prices at ProMedica Memorial Hospital

Fremont, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,738.75 $2,675 2.0×
Application of rigid total contact leg cast (29445) $598 $920 2.3×
Apply Multlay Comprs Lwr Leg (29581) $361.40 $556 2.4×
Arterial puncture (36600) $37.70 $58 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $485.55 $747 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $573.95 $883 2.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $609.05 $937 2.1×
Aspirate pleura w/ imaging (32555) $1,115.40 $1,716 1.9×
Aspiration and/or injection thyroid cyst (60300) $1,301.95 $2,003 1.9×
Avulsion nail plate partial/complete simple 1 (11730) $445.90 $686 2.3×
Beta amyloid ab42/40 imprcip (0412U) $2,047.50 $3,150 2.7×
Biopsy Abdominal Mass (49180) $2,299.70 $3,538 1.5×
Biopsy bone open deep (20245) $6,378.45 $9,813 2.3×
Biopsy bone open superficial (20240) $6,169.15 $9,491 2.2×
Biopsy bone trocar/needle deep (20225) $2,897.70 $4,458 1.9×
Biopsy Bone Trocar/Needle Superficial (20220) $2,839.20 $4,368 1.8×
Biopsy muscle percutaneous needle (20206) $1,648.40 $2,536 1.1×
Biopsy of liver, needle; percutaneous (47000) $2,299.70 $3,538 1.5×
Biopsy Pleura Percutaneous Needle (32400) $1,909.05 $2,937 1.2×
Biopsy Salivary Gland Needle (42400) $1,301.95 $2,003 1.9×
Biopsy Vaginal Mucosa Simple (57100) $1,382.55 $2,127 1.6×
Bladder instillation anticarcinogenic agent (51720) $713.05 $1,097 1.1×
Blood Transfusion Service (36430) $910.65 $1,401 2.2×
Bx breast 1st lesion strtctc (19081) $2,550.60 $3,924 1.6×
Bx breast 1st lesion us imag (19083) $2,550.60 $3,924 1.6×
Catheter aspiration nasotracheal spx (31720) $102.70 $158 0.5×
Change of Windpipe Airway (31502) $354.25 $545 1.6×
Chemical Cautery Tissue (17250) $472.55 $727 2.5×
Chemodenerv Musc Migraine (64615) $611.65 $941 2.1×
Chemodenerv musc neck dyston (64616) $485.55 $747 1.7×
Chemodenerv trunk musc 1-5 (64646) $426.40 $656 0.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $485.55 $747 1.7×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,464.55 $8,407 1.6×
Circumcision w/clamp/oth dev w/block (54150) $1,076.40 $1,656 0.5×
Collect Blood From Catheter Venous Nos (36592) $187.20 $288 1.5×
Collection of venous blood by venipuncture (36415) $14.30 $22 1.5×
Colposcopy cervix upper/adjacent vagina (57452) $321.75 $495 1.7×
Colposcopy entire vagina w/cervix if present (57420) $254.15 $391 0.9×
Colposcopy of vulva (56820) $221.65 $341 1.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,895.75 $4,455 1.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,222.65 $1,881 1.7×
Debride nail 1-5 (11720) $149.50 $230 2.7×
Debride nail 6 or more (11721) $198.90 $306 3.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,481.40 $5,356 2.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $794.95 $1,223 2.1×
Declot vascular device (36593) $449.80 $692 1.4×
Delivery of placenta (59414) $5,496.40 $8,456 1.8×
Destroy cerv/thor facet jnt (64633) $565.50 $870 0.3×
Destroy lumb/sac facet jnt (64635) $559.65 $861 0.3×
Destruction by neurolytic agent; pudendal nerve (64630) $492.05 $757 0.6×
Drainage of hematoma/fluid (10140) $3,832.40 $5,896 2.5×
Draw Blood Off Venous Device (36591) $187.20 $288 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $445.90 $686 2.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,294.80 $1,992 1.5×
Dx Bone Marrow Bx & Aspir (38222) $2,145 $3,300 0.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,337.70 $2,058 2.0×
Epidural Blood Patch (62273) $548.60 $844 0.8×
External cephalic version (59412) $833.30 $1,282 0.3×
Fetal non-stress test (59025) $270.40 $416 1.4×
Fluoro exam of g/colon tube (49465) $471.90 $726 2.1×
Fna bx w/us gdn 1st les (10005) $2,183.35 $3,359 3.3×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $1,392.30 $2,142 38.1×
Guide Cathet Fluid Drainage (10030) $2,183.35 $3,359 3.3×
Hem inh thrombocytopenia 42 (0276U) $5,216.25 $8,025 2.1×
Hem vw factor&clgn iii bndg (0279U) $532.35 $819 46.2×
Hepcidin-25 elisa serum or plasma (0251U) $505.05 $777 29.2×
I&d abscess simple (10060) $445.90 $686 2.3×
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,840.80 $2,832 2.7×
Image Cath Fluid Peri/Retro (49406) $4,038.45 $6,213 2.6×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure
$2,542.80 $3,912 0.4×
Incision & drainage abscess complicated/multiple (10061) $842.40 $1,296 2.2×
Incision & removal foreign body subq tiss simple (10120) $865.80 $1,332 2.3×
Incisional biopsy skin single lesion (11106) $795.60 $1,224 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $591.50 $910 0.7×
Inj W/Fluor Eval Cv Device (36598) $655.20 $1,008 3.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $736.45 $1,133 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $485.55 $747 1.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $473.20 $728 0.6×
Injection Anes Agent Sphenopalatine Ganglion (64505) $40.30 $62 0.1×
Injection anesthetic agent suprascapular nerve (64418) $1,647.10 $2,534 2.5×
Injection single tendon origin/insertion (20551) $580.45 $893 2.0×
Injection single/mlt trigger point 1/2 muscles (20552) $485.55 $747 1.7×
Injection single/mlt trigger point 3/> muscles (20553) $608.40 $936 2.1×
Injection, anesthetic agent; brachial plexus, single (64415) $117 $180 0.1×
Injection, anesthetic agent; femoral nerve, single (64447) $485.55 $747 0.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,256.45 $1,933 1.9×
Insert cath pleura w/ image (32557) $2,824.90 $4,346 1.9×
Insert cervical dilator (59200) $584.35 $899 2.0×
Insert Temp Bladder Cath (51702) $198.25 $305 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $135.85 $209 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,190.20 $4,908 2.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,017.90 $1,566 0.7×
Instlj ther agent renal pelvis&/ureter via tub (50391) $425.75 $655 1.8×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,540.55 $5,447 2.7×
Intubation endotracheal emergency procedure (31500) $488.80 $752 2.2×
Klhl11 antb serum/csf cell binding assay qual (0432U) $99.45 $153 2.7×
Laryngoscopy diagnostic (31505) $390.65 $601 2.1×
Laryngoscopy flexible diagnostic (31575) $390.65 $601 2.1×
Myelography Lumbar Injection (62305) $3,459.95 $5,323 4.7×
Myelography Lumbar Injection (62304) $3,459.95 $5,323 4.7×
Myelography via lumbar injection rs&i cervical (62302) $3,459.95 $5,323 4.7×
N Block Inj Celiac Pelus (64530) $219.05 $337 0.3×
N Block Inj Ilio-Ing/Hypogi (64425) $1,331.20 $2,048 2.0×
N block inj intercost sng (64420) $349.70 $538 0.5×
N Block Inj Pudendal (64430) $1,222.65 $1,881 1.5×
N Block Lumbar/Thoracic (64520) $230.10 $354 0.3×
Needle Biopsy Lymph Nodes (38505) $2,575.30 $3,962 1.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $85.15 $131 3.1×
Needle insertion w/o injection 3 or more muscles (20561) $85.15 $131 3.1×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $2,436.85 $3,749 3.2×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $2,059.20 $3,168 2.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,847.30 $2,842 4.4×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $2,902.25 $4,465 1.4×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,289 $5,060 1.5×
Njx anes stellate ganglion crv sympathetic (64510) $117 $180 0.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,263.70 $8,098 1.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $533.65 $821 0.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,096.55 $1,687 1.6×
Occipital Nerve Block (64405) $508.30 $782 1.8×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $2,416.70 $3,718 1.4×
Penile Plethysmography (54240) $338 $520 1.7×
Perq dev breast 1st us imag (19285) $413.40 $636 0.6×
Perq device breast 1st imag (19281) $413.40 $636 0.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,243.45 $1,913 1.9×
Punch biopsy skin single lesion (11104) $545.35 $839 1.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $521.30 $802 1.4×
Puncture Aspiration Cyst Breast (19000) $1,058.85 $1,629 1.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $362.05 $557 1.9×
Remove cerclage suture (59871) $2,602.60 $4,004 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,762.80 $2,712 3.0×
Sclerotx Fluid Collection (49185) $2,183.35 $3,359 1.4×
Skin sub graft face/nk/hf/g (15275) $3,372.20 $5,188 4.8×
Skin sub graft trnk/arm/leg (15271) $3,095.30 $4,762 4.4×
Skin sub grft t/arm/lg child (15273) $5,653.05 $8,697 2.9×
Strapping Unna Boot (29580) $371.15 $571 2.4×
Tangential biopsy skin single lesion (11102) $445.90 $686 1.2×
Thyroid biopsy (60100) $1,281.15 $1,971 1.9×
Tma/tmao profile ms/ms urine alg alys&report (0256U) $445.90 $686 2.8×
Trim skin lesion (11055) $348.40 $536 1.8×
Trim skin lesions 2 to 4 (11056) $314.60 $484 1.7×
Unlisted procedure nervous system (64999) $649.35 $999 2.2×
Vw factor type 2n eval plsm (0284U) $1,370.85 $2,109 79.4×