Procedures & surgery prices at PeaceHealth Peace Island Medical Center

Friday Harbor, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,348.10 $2,074 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $918.12 $1,412.50 0.9×
Anoscopy diagnostic (46600) $286 $440 1.9×
Application Finger Splint Dynamic (29131) $149.50 $230 2.3×
Application finger splint static (29130) $150.80 $232 1.0×
Application long arm splint shoulder hand (29105) $288.28 $443.50 1.6×
Application short arm splint forearm-hand static (29125) $148.20 $228 1.0×
Apply long leg splint (29505) $476.45 $733 2.6×
Apply short leg splint (29515) $145.60 $224 0.8×
Arterial puncture (36600) $85.15 $131 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $33.15 $51 0.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $102.05 $157 0.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $406.25 $625 1.2×
Arthrodesis interphalangeal jt w/wo int fixj (26860) $5,682.30 $8,742 1.6×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) $4,226.30 $6,502 1.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,464.23 $2,252.66 0.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,138.30 $10,982 0.9×
Aspirate pleura w/ imaging (32555) $1,570.40 $2,416 2.2×
Aspirate/Inj Ganglion Cyst (20612) $85.15 $131 0.2×
Aspiration bladder insert suprapubic catheter (51102) $3,663.40 $5,636 1.6×
Avulsion nail plate partial/complete simple 1 (11730) $307.12 $472.50 1.4×
Bladder Irrigation Simple (51700) $423.15 $651 1.5×
Blood transfusion service (36430) $459.22 $706.50 0.9×
Change of cystostomy tube simple (51705) $533 $820 1.9×
Close Rx Prox/Mid Fing Shft Fx (26720) $503.75 $775 1.8×
Closed Treatment Nasal Fracture W/Stabilization (21320) $4,157.40 $6,396 1.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $624 $960 2.3×
Closed treatment of fracture of orbit, except blowout; without manipulation (21400) $1,158.95 $1,783 1.9×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $2,344.55 $3,607 1.3×
Closed treatment of patellar fracture, without manipulation (27520) $484.58 $745.50 1.8×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $2,505.10 $3,854 1.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,270.75 $1,955 4.6×
Closed Treatment Ulnar Styloid Fracture (25650) $599.30 $922 2.2×
Closed tx ankle dislocation w/o anesthesia (27840) $1,004.90 $1,546 3.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,687.40 $2,596 0.9×
Closed tx femoral fracture prox head w manip (27268) $6,325.15 $9,731 3.5×
Closed tx knee dislocation w/o anesthesia (27550) $1,207.70 $1,858 4.4×
Closed tx metatarsal fracture w/o manipulation (28470) $508.95 $783 1.9×
Closed tx patellar dislocation w/anesthesia (27562) $826.80 $1,272 3.0×
Closed tx patellar dislocation w/o anesthesia (27560) $598 $920 2.2×
Closed tx radial head/neck fx w/manipulation (24655) $1,820 $2,800 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,805.05 $2,777 1.0×
Closed tx radial&ulnar shaft fractures w/manj (25565) $2,155.40 $3,316 1.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $503.75 $775 1.8×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,927.90 $2,966 1.1×
Clsd tx clavicular fracture w/o manipulation (23500) $336.05 $517 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,414.75 $3,715 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $906.10 $1,394 3.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,432.30 $3,742 1.4×
Cltx dstl fibular fx lat malls w/manj (27788) $698.10 $1,074 2.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $533.32 $820.50 1.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $546.65 $841 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $528.45 $813 1.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $518.70 $798 1.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,056.25 $1,625 0.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $670.15 $1,031 2.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,805.05 $2,777 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $570.05 $877 2.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $815.75 $1,255 3.0×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $2,079.35 $3,199 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $520.65 $801 1.9×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $2,423.20 $3,728 1.4×
Cltx metacarpal fx w/manipulation each bone (26605) $741.65 $1,141 2.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $377.65 $581 1.4×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,767.35 $2,719 1.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $572.65 $881 2.1×
Cltx metatarsophlngl jt dislc w/o anes (28630) $565.50 $870 2.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $785.20 $1,208 2.9×
Cltx post hip arthrp dislc w/o anes (27265) $636.35 $979 2.3×
Cltx prox fibula/shft fx w/manj (27781) $2,270.45 $3,493 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,887.95 $4,443 1.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $467.35 $719 1.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,241.85 $3,449 1.3×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $2,403.70 $3,698 1.3×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $530.40 $816 1.9×
Collect Blood From Catheter Venous Nos (36592) $207.35 $319 1.4×
Colonoscopy flex w/inj submuc (45381) $542.50 $834.62 0.4×
Colonoscopy, flexible; with control of bleeding, any method (45382) $353.76 $544.25 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $540.80 $832 3.6×
Control Nasal Hemorrhage Anterior Simple (30901) $242.12 $372.50 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $344.50 $530 2.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $6,156.15 $9,471 1.9×
Declot vascular device (36593) $193.70 $298 0.5×
Destruction Benign Lesions Up To 14 (17110) $74.75 $115 0.3×
Destruction premalignant lesion 1st (17000) $57.20 $88 0.3×
Diagnostic sigmoidoscopy (45330) $1,381.90 $2,126 1.3×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $716.30 $1,102 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $895.70 $1,378 1.1×
Drainage Finger Abscess Complicated (26011) $2,066.35 $3,179 1.1×
Drainage Finger Abscess Simple (26010) $375.70 $578 1.7×
Drainage Mouth Roof Lesion (42000) $488.80 $752 1.9×
Drainage of gum lesion (41800) $776.75 $1,195 5.2×
Drainage of hematoma/fluid (10140) $2,921.10 $4,494 1.6×
Drainage of scrotal wall abscess (55100) $2,161.25 $3,325 1.2×
Draw blood off venous device (36591) $207.35 $319 1.4×
Dressing change under anesthesia (15852) $1,246.70 $1,918 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $393.90 $606 1.8×
Dx gastr intub w/asp spec (43754) $468.65 $721 1.9×
Egd balloon dilation esophagus <30 mm diam (43249) $643.18 $989.50 0.3×
Egd control bleeding any (43255) $617.50 $950 0.3×
Egd remove lesion snare (43251) $1,235 $1,900 0.6×
Evacuation of subungual hematoma (11740) $221 $340 1.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,464.24 $2,252.67 1.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $870.78 $1,339.66 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,295.45 $1,993 1.6×
Exc forearm les sc 3 cm/> (25071) $732.11 $1,126.33 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,222.98 $1,881.50 1.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,487.55 $3,827 1.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,113.15 $3,251 0.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,362.75 $3,635 0.7×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,697.15 $2,611 0.9×
Excision of single external papilla or tag, anus (46220) $1,655.55 $2,547 1.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,362.75 $3,635 1.3×
Explo/Drain Breast Abscess (19020) $4,107.35 $6,319 2.2×
Fine needle aspiration without imaging guidance (10021) $508.95 $783 1.1×
Fit/Insert Intravag Support Device (57160) $72.80 $112 0.3×
Hemorrhoidectomy (46255) $1,572.35 $2,419 0.5×
I&D Abscess Peritonsillar (42700) $674.70 $1,038 2.6×
I&d abscess simple (10060) $229.45 $353 1.0×
I&d epididymis tstis&/scrotal space (54700) $3,173.95 $4,883 1.4×
I&d pilonidal cyst simple (10080) $1,237.28 $1,903.50 1.6×
I&D Upper Arm/Elbow Bursa (23931) $3,173.95 $4,883 1.7×
I&d vulva/perineal abscess (56405) $730.60 $1,124 2.2×
Incise external hemorrhoid (46083) $621.40 $956 2.2×
Incise finger tendon sheath (26055) $1,686.10 $2,594 0.9×
Incision & drainage abscess complicated/multiple (10061) $481.98 $741.50 1.1×
Incision & removal foreign body subq tiss simple (10120) $477.75 $735 1.1×
Incision and drainage of bartholin's gland abscess (56420) $555.75 $855 2.5×
Incision and drainage perianal abscess superficial (46050) $2,015 $3,100 1.9×
Incision and drainage, complex, postoperative wound infection (10180) $4,232.15 $6,511 1.3×
Incision of eyelid fold (67715) $3,719.95 $5,723 1.4×
Initial tx 1st degree burn local tx (16000) $313.30 $482 1.4×
Inj tendon sheath/ligament (20550) $648.91 $998.33 1.9×
Inject Nerv Blck,Intercostal,One (64420) $1,072.50 $1,650 1.4×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $1,152.45 $1,773 1.5×
Injection aa&/strd trigeminal nerve each branch (64400) $584.35 $899 1.7×
Injection anesthetic agent femoral nerve single (64447) $1,498.90 $2,306 1.9×
Injection single/mlt trigger point 1/2 muscles (20552) $313.95 $483 0.9×
Insert Bladder Cath Complex (51703) $312 $480 2.2×
Insert non-tunnel cv cath (36556) $638.95 $983 0.2×
Insert Temp Bladder Cath (51702) $231.40 $356 1.6×
Insert tunneled cv cath (36561) $2,978.30 $4,582 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $173.22 $266.50 1.2×
Intubation endotracheal emergency procedure (31500) $116.35 $179 0.4×
Lap ing hernia repair init (49650) $4,223.05 $6,497 0.6×
Laparoscopy appendectomy (44970) $4,102.15 $6,311 0.6×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,734.30 $8,822 0.9×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure
$2,986.64 $4,594.83 0.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure
$3,014.05 $4,637 0.4×
Lyse chest fibrin init day (32561) $2,367.95 $3,643 3.4×
Lyse Chest Fibrin Subq Day (32562) $2,367.95 $3,643 3.4×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $511.55 $787 1.0×
Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) $2,445.95 $3,763 1.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $620.75 $955 1.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,119 $3,260 0.5×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,299.45 $8,153 1.3×
Occipital Nerve Block (64405) $663 $1,020 1.9×
Placement of needle for intraosseous infusion (36680) $484.90 $746 1.0×
Punch biopsy skin single lesion (11104) $353.92 $544.50 0.8×
Puncture Aspiration Cyst Breast (19000) $870.35 $1,339 1.1×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $1,215.40 $1,869.84 2.7×
Removal foreign body foot subcutaneous (28190) $1,413.75 $2,175 1.8×
Removal foreign body intranasal (30300) $289.90 $446 2.0×
Removal foreign body pharynx (42809) $592.15 $911 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $39.98 $61.50 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $143 $220 2.2×
Removal implant deep (20680) $4,059.90 $6,246 1.3×
Removal of arm foreign body (24200) $3,409.25 $5,245 1.9×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $453.05 $697 0.9×
Removal of nail bed (11750) $771.22 $1,186.50 1.7×
Removal of salivary stone (42330) $2,359.50 $3,630 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $81.25 $125 0.4×
Remove Tendon Sheath Lesion (26160) $3,236.35 $4,979 1.8×
Remv Ext Canal Foreign Body (69200) $272.02 $418.50 1.8×
Remv F.B.,Eye,Superf Conjunc (65205) $276.25 $425 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,414.40 $2,176 3.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $5,371.60 $8,264 1.3×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,105.65 $1,701 2.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $689 $1,060 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,084.52 $1,668.50 2.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $795.60 $1,224 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $920.40 $1,416 2.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,049.10 $1,614 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $575.25 $885 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $693.55 $1,067 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $961.35 $1,479 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $843.05 $1,297 1.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $633.75 $975 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $702.65 $1,081 1.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $770.90 $1,186 1.7×
Repair of nail bed (11760) $976.95 $1,503 1.2×
Repeat control of nosebleed (30906) $609.70 $938 2.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $887.25 $1,365 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $343.20 $528 2.3×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $2,612.35 $4,019 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,063.10 $3,174 1.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $4,283.50 $6,590 0.6×
Rpr aa hernia 1st < 3 cm reducible (49591) $4,525.30 $6,962 1.1×
Rpr aa hrn 1st < 3 ncr/strn (49592) $3,920.80 $6,032 0.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,814.15 $2,791 3.0×
Rpr Lip Full Thickness Vermilion Only (40650) $1,177.48 $1,811.50 2.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $460.63 $708.66 0.4×
Sigmoidoscopy w/biopsy (45331) $1,381.90 $2,126 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $768.30 $1,182 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $223.60 $344 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $238.55 $367 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $697.45 $1,073 3.1×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $722.15 $1,111 3.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $187.20 $288 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $705.90 $1,086 3.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $384.80 $592 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $215.15 $331 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $723.45 $1,113 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $859.95 $1,323 1.9×
Spinal puncture lumbar diagnostic (62270) $872.30 $1,342 1.1×
Strapping shoulder (29240) $296.40 $456 2.0×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,204.45 $1,853 1.7×
Thrombolytic Therapy Stroke (37195) $664.95 $1,023 1.8×
Treat humerus fracture (24500) $538.85 $829 2.0×
Treat humerus fracture (23600) $403.65 $621 1.5×
Treat Metatarsal Fracture (28475) $678.60 $1,044 2.5×
Treat Thumb Fx/Disloc,Manip (26645) $1,767.35 $2,719 1.0×
Treat wrist bone fracture (25622) $389.35 $599 1.4×
Treat Wrist Bone Fracture (25630) $443.30 $682 1.6×
Treatment closed elbow dislocation w/o anes (24600) $650 $1,000 2.4×
Tube thoracostomy includes water seal (32551) $1,075.75 $1,655 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,235 $1,900 1.5×
Unlisted procedure anus (46999) $1,572.35 $2,419 1.5×
Unlisted procedure nervous system (64999) $1,235 $1,900 3.6×
Us urine capacity measure (51798) $52.32 $80.50 0.8×
Vaginal delivery only (59409) $3,177.85 $4,889 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,023.75 $1,575 0.4×
Venipuncture (36415) $52 $80 5.6×
Wedge excision skin nail fold (11765) $406.90 $626 0.9×