Procedures & surgery prices at Mercy Specialty Hospital Southeast Kansas

Galena, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $534.95 $823 0.6×
Ablate inf turbinate submuc (30802) $12,560.59 $19,323.99 8.3×
Application Finger Splint Dynamic (29131) $144.95 $223 2.5×
Application finger splint static (29130) $132.60 $204 1.0×
Application long arm splint shoulder hand (29105) $226.20 $348 1.4×
Application long leg splint thigh ankle/toes (29505) $250.25 $385 1.6×
Application Short Arm Splint Dynamic (29126) $219.05 $337 1.7×
Application short arm splint forearm-hand static (29125) $238.55 $367 1.8×
Application short leg splint calf foot (29515) $187.20 $288 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $339.95 $523 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $562.58 $865.50 1.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $610.35 $939 2.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $301.60 $464 1.0×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $25,881.88 $39,818.27 3.6×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $13,917.42 $21,411.42 4.3×
Arthroscopy of joint (29999) $25,223.83 $38,805.90 104.6×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) $22,157.38 $34,088.27 6.9×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $17,898.30 $27,535.84 5.6×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $10,442.65 $16,065.62 3.3×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $10,608.92 $16,321.41 3.3×
Arthroscopy, knee, surgical; with lateral release (29873) $14,615.43 $22,485.28 4.6×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $10,281.41 $15,817.55 3.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $22,153.72 $34,082.65 6.9×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $21,723.79 $33,421.22 3.1×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $18,754.08 $28,852.43 5.9×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $15,783.21 $24,281.86 4.9×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $17,378.81 $26,736.63 5.4×
Arthroscopy, shoulder, surgical; synovectomy, partial (29820) $17,099.51 $26,306.94 2.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $19,602.34 $30,157.45 2.8×
Avulsion nail plate partial/complete simple 1 (11730) $256.75 $395 1.3×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $5,182.44 $7,972.98 4.4×
Bladder Scan (51798) $18,238.90 $28,059.84 316.1×
Blood patch (62273) $939.25 $1,445 1.4×
Blood transfusion service (36430) $552.50 $850 1.3×
Chest tube placement (32551) $966.55 $1,487 0.6×
Chg Collect Blood From Catheter Venous Nos (36592) $91 $140 0.7×
Colonoscopy through stoma; with removal of foreign body(s) (44390) $5,364.51 $8,253.09 5.9×
Colonoscopy w/ablation (45388) $6,577.53 $10,119.28 5.6×
Colonoscopy w/endoscopic fnb (45392) $4,403.96 $6,775.32 3.8×
Colonoscopy w/resection (45390) $5,994.34 $9,222.06 2.2×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $6,503.15 $10,004.84 5.6×
Colsc flx with directed submucosal njx any sbst (45381) $4,404.76 $6,776.56 3.8×
Create eardrum opening (69436) $9,457.54 $14,550.06 6.2×
Declot vascular device (36593) $260 $400 0.8×
Destroy cerv/thor facet jnt (64633) $2,696.85 $4,149 1.4×
Destroy internal hemorrhoids (46930) $1,932.45 $2,973 1.7×
Destroy lumb/sac facet jnt (64635) $2,663.05 $4,097 1.4×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $2,501.20 $3,848 2.9×
Destruction neurolytic agt genicular nerve w/img (64624) $2,577.25 $3,965 1.3×
Diagnostic sigmoidoscopy (45330) $2,797.32 $4,303.56 3.1×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $1,223.30 $1,882 1.4×
Draw blood off venous device (36591) $99.45 $153 0.8×
Dry Needling 3+ Muscles (20561) $48.10 $74 1.7×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $5,584.08 $8,590.90 3.0×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,458.95 $3,783 1.3×
Egd balloon dilation esophagus <30 mm diam (43249) $4,990.93 $7,678.36 2.7×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $4,887.50 $7,519.23 2.6×
Egd Endo Mucosal Resection (43254) $7,026.29 $10,809.68 3.7×
Egd flexible foreign body removal (43247) $3,908.89 $6,013.67 4.4×
Egd guide wire insertion (43248) $3,885.64 $5,977.91 4.4×
Egd intrmural us needle aspirate/biopsy esophags (43238) $5,989.46 $9,214.56 3.2×
Egd remove lesion snare (43251) $5,475.44 $8,423.76 2.9×
Egd us exam duodenum/jejunum (43259) $4,933.78 $7,590.43 2.6×
Egd us transmural injxn/mark (43253) $5,700.97 $8,770.72 3.0×
Egd Varices Ligation (43244) $6,414.45 $9,868.39 3.4×
Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) $30,595.45 $47,069.92 4.3×
Endoscopic us exam esoph (43237) $4,633.38 $7,128.27 2.5×
Endoscopy Upper Small Intestine - Enteroscopy (44360) $3,849.30 $5,922 2.1×
Esophagogastroduodenoscopy submucosal injection (43236) $5,675.15 $8,731 6.4×
Esophagoscopy flexible transoral diagnostic (43200) $3,668.11 $5,643.25 4.1×
Exc frenum labial/buccal (40819) $15,296.30 $23,532.77 10.1×
Exc neuroma major peripheral nrv xcp sciatic (64784) $11,448.22 $17,612.64 6.0×
Excision Lingual Frenum Frenectomy (41115) $14,876.76 $22,887.32 9.8×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $496.60 $764 0.7×
Fixation of knee joint (27570) $642.85 $989 0.4×
Fixation of shoulder (23700) $2,185.30 $3,362 1.4×
Fluid pressure muscle (20950) $675.35 $1,039 1.0×
Fna bx w/fluor gdn 1st les (10007) $133.90 $206 0.2×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $1,603.55 $2,467 1.8×
Implant neuroelectrodes (63650) $15,153.59 $23,313.22 2.4×
Incision of lingual frenum (41010) $8,270.61 $12,724.01 5.4×
Inj paravert f jnt c/t 1 lev (64490) $1,335.75 $2,055 1.5×
Inj tendon sheath/ligament (20550) $500.50 $770 1.7×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,236.30 $1,902 1.4×
Inj,Anes Agent,Femoral Nerve,Single (64447) $17,503.06 $26,927.80 25.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,232.75 $3,435 2.6×
Inject Nerv Blck,Axillary Nerv (64417) $7,393.23 $11,374.20 8.5×
Inject Nerv Blck,Celiac Plexus (64530) $845.65 $1,301 1.0×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $447.20 $688 0.6×
Inject Nerv Blck,Intercost,Multpl (64421) $1,068.60 $1,644 1.2×
Inject Nerv Blck,Intercostal,One (64420) $1,225.12 $1,884.79 1.8×
Inject Nerv Blck,Paravert Sympath (64520) $1,846.65 $2,841 2.1×
Inject Tendon Origin/Insert (20551) $294.45 $453 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $18,748.82 $28,844.34 27.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,569.75 $2,415 2.3×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,390.02 $2,138.50 2.0×
Injection aa&/strd trigeminal nerve each branch (64400) $574.92 $884.50 1.9×
Injection anes other peripheral nerve/branch (64450) $15,925.73 $24,501.12 23.1×
Injection single/mlt trigger point 1/2 muscles (20552) $302.25 $465 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $365.95 $563 1.2×
Injection, anesthetic agent; greater occipital nerve (64405) $617.18 $949.50 2.1×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $605.15 $931 2.0×
Insert Bladder Cath Complex (51703) $323.70 $498 2.6×
Insert Temp Bladder Cath (51702) $19,405.94 $29,855.30 149.1×
Insert,Non-Indwelling Bladder Catheter (51701) $17,494 $26,913.86 134.4×
Insrt/redo spine n generator (63685) $54,220.09 $83,415.53 1.8×
Intubation endotracheal emergency procedure (31500) $634.40 $976 2.7×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) $21,934.75 $33,745.77 3.1×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) $29,722.82 $45,727.42 4.2×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) $33,045.43 $50,839.12 4.7×
Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) $35,384.66 $54,437.94 5.0×
Late closure of wound (13160) $13,842.63 $21,296.36 4.0×
Liver Biopsy (47000) $2,686.49 $4,133.06 1.7×
Myelography Lumbar Injection (62305) $4,161.95 $6,403 5.4×
Myelography Lumbar Injection (62304) $3,155.16 $4,854.10 4.1×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $2,937.08 $4,518.60 3.8×
Myelography via lumbar injection rs&i thoracic (62303) $1,832.35 $2,819 2.4×
Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) $26,087.78 $40,135.04 4.5×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $9,983.71 $15,359.55 6.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $42.25 $65 1.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $902.20 $1,388 2.2×
Njx anes stellate ganglion crv sympathetic (64510) $4,647.52 $7,150.04 5.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,469 $2,260 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,426.93 $2,195.28 2.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,460.16 $2,246.41 2.1×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $6,126.90 $9,426 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $6,137.30 $9,442 0.9×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $1,932.45 $2,973 2.1×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $3,051.75 $4,695 4.4×
Pvb thoracic single inj site (64461) $1,897.35 $2,919 2.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,330.60 $5,124 1.7×
Removal of adenoids (42835) $13,258.97 $20,398.42 4.1×
Removal of adenoids (42830) $12,825.19 $19,731.06 4.0×
Removal of nail bed (11750) $633.75 $975 1.6×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $13,011.33 $20,017.43 6.8×
Removal of tonsils (42825) $9,123.66 $14,036.40 1.6×
Removal of tonsils (42826) $9,246.65 $14,225.61 2.9×
Removal/bivalving full arm/full leg cast (29705) $180.70 $278 0.7×
Repair arm/leg nerve (64857) $17,491.05 $26,909.31 5.2×
Repair Blood Vessel Direct Upper Extremity (35206) $13,754.70 $21,161.07 4.5×
Repair elbow perc (24357) $3,975.40 $6,116 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $15,070.65 $23,185.62 37.9×
Repair of nasal septum (30520) $22,565.98 $34,716.89 7.0×
Repair tympanic membrane (69610) $9,372.27 $14,418.87 6.2×
Revise arm/leg nerve (64708) $17,465.79 $26,870.44 9.1×
Revise median n/carpal tunnel surg (64721) $13,074.16 $20,114.10 6.8×
Revise ulnar nerve at elbow (64718) $13,789.72 $21,214.96 7.2×
Revise ulnar nerve at wrist (64719) $13,754.70 $21,161.07 7.2×
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $13,011.33 $20,017.43 3.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $4,101.73 $6,310.36 4.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $4,793.45 $7,374.54 4.1×
Sgmdsc Flx With Endoscopic Mucosal Resection (45349) $6,197.23 $9,534.20 2.3×
Shldr arthroscop,lyse adhesns (29825) $14,435.05 $22,207.77 4.5×
Sigmoidoscopy Flx Ndsc Us Xm (45341) $4,101.73 $6,310.36 4.5×
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $6,197.23 $9,534.20 5.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $4,436.35 $6,825.16 4.9×
Sigmoidoscopy w/us guide bx (45342) $4,793.45 $7,374.54 4.1×
Small bowel endoscopy (44364) $6,428.92 $9,890.64 3.4×
Spinal puncture lumbar diagnostic (62270) $760.50 $1,170 1.1×
Suture Digital Nerve Hand/Foot 1 Nerve (64831) $13,489.18 $20,752.58 7.1×
Suture of 1 nerve; median motor thenar (64835) $18,064.44 $27,791.44 5.4×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $28,841.26 $44,371.17 2.3×
Thyroid biopsy (60100) $514.15 $791 0.7×
Transection or avulsion of other spinal nerve, extradural (64772) $21,868.74 $33,644.22 11.5×
Transection or avulsion of; supraorbital nerve Other Surgical Services (64732) $43,745.01 $67,300.02 22.9×
Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) $33,536.78 $51,595.04 4.7×
Unlisted Procedure Dentoalveolar Structures (41899) $11,856.90 $18,241.39 51.2×
Unlisted Procedure Nervous System (64999) $1,470.30 $2,262 4.9×
Unlisted Procedure Small Intestine (44799) $7,974.03 $12,267.74 9.0×
Venipuncture (36415) $15.60 $24 1.7×
Wrist arthroscop,excis triang cart (29846) $15,331.54 $23,586.99 4.8×
Wrist arthroscop,part synovect (29844) $18,185.50 $27,977.69 5.7×