Procedures & surgery prices at Mercy Walworth Hospital & Medical Center

Lake Geneva, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,672.02 $2,229.36 1.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,107.76 $1,477.02 1.2×
Anoscopy diagnostic (46600) $36.58 $48.77 0.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines
$330.62–$440.82 $440.82–$587.76 varies
Application Finger Splint Dynamic (29131) $31.08 $41.44 0.5×
Application finger splint static (29130) $190.84 $254.46 1.5×
Application long arm splint shoulder hand (29105) $168.03 $224.04 1.0×
Application Long Leg Splint (29505) $168.03 $224.04 1.0×
Application of long leg cast (29345) $104.38 $139.17 0.4×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines
$44.12–$270.69 $58.83–$360.92 varies
Application short arm splint forearm-hand static (29125) $286.28 $381.70 2.2×
Application short leg splint calf foot (29515) $168.03 $224.04 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$330.62–$440.82 $440.82–$587.76 varies
Apply Short Leg Cast (29405) $57.47 $76.63 0.2×
Arterial puncture (36600) $40.46 $53.94 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$463.05–$617.40 $617.40–$823.20 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$481.95–$642.60 $642.60–$856.80 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,366.80 $1,822.40 4.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $619.90 $826.53 2.0×
Aspirate pleura w/ imaging (32555) $1,890.87 $2,521.16 3.0×
Aspirate/Inj Ganglion Cyst (20612) $760.25 $1,013.67 2.5×
Avulsion nail plate partial/complete simple 1 (11730) $180.02 $240.02 0.9×
Biopsy muscle percutaneous needle (20206) $1,792.34 $2,389.78 1.1×
Biopsy of liver, needle; percutaneous (47000) $1,959.52 $2,612.69 1.2×
Biopsy Salivary Gland Needle (42400) $1,017.54 $1,356.72 1.5×
Bladder Irrigation (51700) $233.30 $311.07 0.9×
Bladder Scan (51798) $64.31 $85.75 1.1×
Blepharotomy drainage abscess eyelid (67700) $785.56 $1,047.42 2.5×
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$724–$1,534.06 $965.33–$2,045.42 varies
Bone Marrow Biopsy (38221) $2,166.83 $2,889.11 1.3×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $3,335.14 $4,446.85 0.9×
Bx breast 1st lesion us imag (19083) $3,293.21 $4,390.95 2.0×
Canthotomy Separate Procedure (67715) $3,142.94 $4,190.59 1.3×
Catheter aspiration nasotracheal spx (31720) $190.84 $254.46 0.9×
Change Cystostomy Tube Simple (51705) $66.88 $89.17 0.3×
Change of Windpipe Airway (31502) $53.64 $71.52 0.2×
Chemical Cautery Tissue (17250) $822.52 $1,096.69 4.1×
Chemodenerv Musc Migraine (64615) $641.74 $855.65 2.1×
Chest tube placement (32551) $986.42 $1,315.22 0.6×
Cl Tx Tib Shft Fx W Manip (27752) $433.11 $577.48 0.3×
Clear outer ear canal (69200) $405.56 $540.75 3.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $216.51 $288.68 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $503.74 $671.66 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $226.12 $301.49 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $452.23 $602.97 0.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,043.74 $5,391.65 2.5×
Closed tx patellar dislocation w/o anesthesia (27560) $347.48 $463.30 1.4×
Closed tx radial shaft fracture w/manipulation (25505) $1,682.44 $2,243.26 1.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $772.73 $1,030.31 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $154.13 $205.51 0.6×
Clsd tx acromioclavicular dislc w/manipulation (23545) $239.60 $319.47 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $490.61 $654.15 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $328.80 $438.40 1.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $354.20 $472.27 0.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $105.35 $140.47 0.4×
Cltx dstl fibular fx lat malls w/manj (27788) $626.27 $835.03 2.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,934.44 $2,579.25 1.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $563.86 $751.81 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $498.91 $665.21 2.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $432.33 $576.44 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $564.20 $752.26 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $211.60 $282.13 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $301.40 $401.86 1.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,251.19 $1,668.25 0.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $270.71 $360.95 1.1×
Cltx post hip arthrp dislc req anes (27266) $535.65 $714.20 0.3×
Cltx post hip arthrp dislc w/o anes (27265) $398.30 $531.06 1.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,936.38 $5,248.51 2.5×
Cltx prox tibfib jt dislc w/o anes (27830) $626.27 $835.03 2.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $164.92 $219.90 0.7×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $4,043.74 $5,391.65 2.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $270.79 $361.05 0.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $231.69 $308.92 0.9×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $153.81 $205.08 0.6×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $719.85 $959.80 3.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $540.40 $720.53 0.3×
Collect Blood From Catheter Venous Nos (36592) $261.38 $348.51 2.0×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines
$20.87–$37.21 $27.83–$49.61 varies
Colporrhaphy (57200) $538.94 $718.58 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $768.40 $1,024.53 5.8×
Control Nasal Hemorrhage Anterior Simple (30901) $513 $684 3.9×
Control oropharyngeal hemorrhage simple (42960) $134.10 $178.80 0.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,086.28 $5,448.37 2.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $212.62 $283.49 1.6×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,212.06 $2,949.42 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,553.44 $2,071.26 2.1×
Debride nail 1-5 (11720) $51.58 $68.78 0.9×
Declot vascular device (36593) $331.92 $442.56 1.0×
Destroy cerv/thor facet jnt (64633) $2,375.26 $3,167.02 1.2×
Destroy lumb/sac facet jnt (64635) $2,697.29 $3,596.39 1.4×
Drain Cerebro Spinal Fluid (62272) $624.82 $833.10 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $107.20 $142.93 0.2×
Drainage of finger abscess simple (26010) $165.96 $221.28 0.8×
Drainage of gum lesion (41800) $325.13 $433.51 2.5×
Drainage of hematoma/fluid (10140) $2,698.89 $3,598.52 1.7×
Drainage of scrotal wall abscess (55100) $1,695.88 $2,261.17 1.0×
Drainage of scrotum (54700) $289.52 $386.03 0.1×
Draw Blood Off Venous Device (36591) $129.65 $172.87 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $71.56 $95.42 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $108.91 $145.21 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$1,389.80–$2,779.23 $1,853.07–$3,705.64 varies
Dx Bone Marrow Bx & Aspir (38222) $3,042.20 $4,056.27 1.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,682.39 $2,243.19 2.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $7,143.05 $9,524.07 2.3×
Endoven ther chem adhes 1st (36482) $12,314.89 $16,419.85 2.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$114.87–$116.96 $153.16–$155.94 varies
Expl penetrating wound spx abdomen/flank/back (20102) $167.06 $222.75 0.1×
Fetal non-stress test (59025) $954.26 $1,272.34 4.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,147.32 $4,196.43 4.5×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $4,979.12 $6,638.82 7.1×
Fine needle aspiration without imaging guidance (10021) $468.86 $625.14 1.2×
Fluoro exam of g/colon tube (49465) $345.40 $460.53 1.5×
Fna Bx W/Fluor Gdn 1St Les (10007) $2,407.08 $3,209.44 3.4×
Fna bx w/us gdn 1st les (10005) $1,666.84 $2,222.45 2.4×
Guide Cathet Fluid Drainage (10030) $644.12 $858.83 0.9×
I&d abscess peritonsillar (42700) $200.66 $267.55 0.9×
I&d abscess simple (10060) $267.61 $356.81 1.3×
I&d perianal abscess superficial (46050) $162.84 $217.12 0.2×
I&d pilonidal cyst simple (10080) $632.66 $843.55 0.9×
Image Cath Fluid Peri/Retro (49406) $2,973.76 $3,965.01 1.8×
Implant neuroelectrodes (63650) $9,873.57 $13,164.76 1.6×
Incision & drainage abscess complicated/multiple (10061) $307.75 $410.33 0.8×
Incision & removal foreign body subq tiss simple (10120) $459.50 $612.66 1.1×
Incision and drainage of bartholin's gland abscess (56420) $198.11 $264.15 1.0×
Incision and drainage of vulva or perineal abscess (56405) $161.90 $215.86 0.5×
Incision of rectal abscess (46040) $300.52 $400.69 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $42.32 $56.43 0.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,161.59 $2,882.12 2.5×
Inj W/Fluor Eval Cv Device (36598) $163.61 $218.15 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $535.22 $713.62 1.8×
Injection Into Brain Canal (61055) $428.70 $571.60 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $821.40 $1,095.20 2.7×
Injection single/mlt trigger point 3/> muscles (20553) $776.16 $1,034.88 2.6×
Injection therapeutic carpal tunnel (20526) $619.90 $826.53 2.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $821.40 $1,095.20 1.2×
Insert Bladder Cath Complex (51703) $154.13 $205.51 1.2×
Insert cath pleura w/ image (32557) $2,212.42 $2,949.89 1.4×
Insert non-tunnel cv cath (36556) $3,062.37 $4,083.16 1.0×
Insert Temp Bladder Cath (51702) $141.06 $188.08 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $72.61 $96.81 0.6×
Insertion of cannula (36800) $8,835.68 $11,780.91 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,042.20 $4,056.27 2.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,423.40 $1,897.87 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,407.37 $4,543.16 1.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure
$7,473.02 $9,964.02 0.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$425.84 $567.78 0.1×
Insrt heart pm atrial & vent (33208) $16,262.32 $21,683.09 1.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,004.41 $1,339.21 2.5×
Intro Gastrointestinal Tube (44500) $690.52 $920.70 0.8×
Intubation endotracheal emergency procedure (31500) $438.96 $585.28 1.9×
Irrigation of corpora cavernosa for priapism (54220) $126.55 $168.73 0.5×
Klhl11 antb serum/csf cell binding assay qual (0432U) $191.62 $255.50 5.2×
Laryngoscopy flexible diagnostic (31575) $430.80 $574.40 2.2×
Myelography Lumbar Injection (62304) $1,509.40 $2,012.54 1.9×
Nasal/Orogastric W/Tube Plmt (43752) $85.95 $114.60 0.2×
Needle Biopsy Lymph Nodes (38505) $1,667.87 $2,223.83 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $129.65 $172.87 4.5×
Needle insertion w/o injection 3 or more muscles (20561) $135.88 $181.17 4.7×
Njx anes stellate ganglion crv sympathetic (64510) $1,069.88 $1,426.50 1.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $271.16 $361.54 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,267.09 $3,022.79 3.2×
Occipital Nerve Block (64405) $504.07 $672.09 1.7×
Open Tx Distal Phalangeal Fracture Each (26765) $7,841.24 $10,454.99 2.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $475.32 $633.76 0.1×
Perq dev breast 1st mr guide (19287) $2,844.20 $3,792.26 4.1×
Perq dev breast 1st strtctc (19283) $908.97 $1,211.96 1.3×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines
$89.14–$1,735.29 $118.85–$2,313.72 varies
Perq device breast 1st imag (19281) $900.32 $1,200.43 0.6×
Placement of needle for intraosseous infusion (36680) $98.54 $131.39 0.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $751.94 $1,002.58 1.9×
Puncture Aspiration Cyst Breast (19000) $1,805.32 $2,407.09 2.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $5,095.18 $6,793.58 2.6×
Removal Foreign Body Foot Subcutaneous (28190) $106.96 $142.61 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $119.28 $159.04 2.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $206.71 $275.61 3.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $80.45 $107.27 0.4×
Removal/bivalving gauntlet boot/body cast (29700) $41.68 $55.57 0.2×
Remove foreign body from eye (65205) $90.13 $120.17 0.7×
Remove Intrauterine Device (58301) $44.60 $59.46 0.1×
Renal Biopsy Perq (50200) $2,004.97 $2,673.29 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $360.94 $481.25 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $561.74 $748.99 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $290.17 $386.89 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $577.91 $770.55 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $537.29 $716.39 1.3×
Repair complex trunk 2.6-7.5 cm (13101) $1,443.47 $1,924.63 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $369.17 $492.23 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $411.16 $548.22 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $629.21 $838.95 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $797.21 $1,062.95 2.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $591.78 $789.04 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $549.56 $732.74 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $549.56 $732.74 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $564.75 $753 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $376.52 $502.03 0.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $341.49 $455.32 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $358.56 $478.08 0.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $549.56 $732.74 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $366.96 $489.28 0.9×
Repair of nail bed (11760) $361.99 $482.65 0.5×
Repair tongue laceration (41252) $390.65 $520.87 1.7×
Repair tongue laceration (41250) $150.39 $200.52 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $90.13 $120.17 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $243.93 $325.24 1.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $99.14 $132.19 0.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $305.68 $407.58 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,940.56 $3,920.74 1.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,843.78 $2,458.38 3.0×
Rplc Gtube No Revj Trc (43762) $784.15 $1,045.53 3.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,725.17 $2,300.23 1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $549.56 $732.74 2.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $549.56 $732.74 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $541.16 $721.54 2.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $549.56 $732.74 2.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $549.56 $732.74 1.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $549.56 $732.74 2.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $484.88 $646.50 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $657.45 $876.60 3.3×
Skin sub graft trnk/arm/leg (15271) $3,646.99 $4,862.65 5.0×
Skin Tissue Procedure (17999)
range across 2 matching MRF lines
$417.27–$467.34 $556.36–$623.12 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $582.47 $776.63 2.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $692.46 $923.28 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $853.12 $1,137.49 2.1×
Spinal puncture lumbar diagnostic (62270) $1,316.43 $1,755.24 1.9×
Strapping ankle (29540) $32.32 $43.10 0.2×
Strapping hand/finger (29280) $30.68 $40.91 0.5×
Strapping toes (29550) $24.22 $32.30 0.4×
Strapping Unna Boot (29580) $245.57 $327.43 1.5×
Thrombolytic Venous Therapy (37212) $2,850.02 $3,800.03 0.9×
Thyroid biopsy (60100) $869.20 $1,158.94 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $441.40 $588.53 1.9×
Treat Humerus Fracture (24505) $1,471.40 $1,961.86 0.9×
Treat humerus fracture (23600) $184.85 $246.47 0.8×
Treat Knuckle Dislocation (26700) $286.28 $381.70 1.2×
Treat Thumb Dislocation (26641) $250.43 $333.91 1.0×
Treat toe dislocation (28630) $150.39 $200.52 0.6×
Treatment closed elbow dislocation w/o anes (24600) $328.80 $438.40 1.3×
Tx Gastro Intub W/Asp (43753) $126.55 $168.73 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $574.98 $766.64 0.8×
Wedge excision skin nail fold (11765) $269.48 $359.31 0.7×

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.