Procedures & surgery prices at Perry County Memorial Hospital
Tell City, IN · every code in this section with a posted price and a Medicare benchmark.
113 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Amniocentesis diagnostic (59000) | $278.60 | $398 | 0.3× |
| Application Finger Splint Dynamic (29131) | $119 | $170 | 1.9× |
| Application finger splint static (29130) | $95.90 | $137 | 0.7× |
| Application long arm splint shoulder hand (29105) | $202.30 | $289 | 1.2× |
| Application of rigid total contact leg cast (29445) | $219.10 | $313 | 0.7× |
| Application Short Arm Splint Dynamic (29126) | $179.20 | $256 | 1.3× |
| Application short arm splint forearm-hand static (29125) | $147.70 | $211 | 1.0× |
| Arterial puncture (36600) range across 6 matching MRF lines |
$17.50–$60.20 | $25–$86 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$541.80–$562.80 | $774–$804 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$550.20–$562.80 | $786–$804 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$541.80–$562.80 | $774–$804 | varies |
| Aspirate Pleura W/O Imaging (32554) | $184.80 | $264 | 0.3× |
| Aspirate/Inj Ganglion Cyst (20612) | $541.80 | $774 | 1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 6 matching MRF lines |
$105–$218.40 | $150–$312 | varies |
| Biopsy bone open deep (20245) | $1,085 | $1,550 | 0.4× |
| Biopsy bone open superficial (20240) | $468.30 | $669 | 0.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $221.20 | $316 | 0.1× |
| Bladder instillation anticarcinogenic agent (51720) | $131.60 | $188 | 0.2× |
| Bladder Scan (51798) | $154.70 | $221 | 2.5× |
| Blood Transfusion Service (36430) range across 10 matching MRF lines |
$280–$1,438.50 | $400–$2,055 | varies |
| Bone Marrow; Aspiration Only (38220) | $339.50 | $485 | 0.2× |
| Bx breast 1st lesion us imag (19083) | $274.40 | $392 | 0.2× |
| Cataract surgery complex (66982) | $1,742.30 | $2,489 | 0.7× |
| Catheter aspiration nasotracheal spx (31720) | $108.50 | $155 | 0.5× |
| Chemical Cautery Tissue (17250) | $118.30 | $169 | 0.6× |
| Chemodenerv Musc Migraine (64615) | $1,591.80 | $2,274 | 4.9× |
| Circumcision Neonate (54160) | $305.20 | $436 | 0.4× |
| Closed tx radial head/neck fx w/manipulation (24655) | $858.90 | $1,227 | 0.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $934.50 | $1,335 | 0.5× |
| Collect Blood From Catheter Venous Nos (36592) | $65.80 | $94 | 0.5× |
| Collection of venous blood by venipuncture (36415) range across 7 matching MRF lines |
$14–$17.50 | $20–$25 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $494.20 | $706 | 0.6× |
| Debride nail 1-5 (11720) | $46.20 | $66 | 0.7× |
| Debride nail 6 or more (11721) | $79.80 | $114 | 1.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $737.80 | $1,054 | 0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $195.30 | $279 | 0.5× |
| Drain Cerebro Spinal Fluid (62272) | $756 | $1,080 | 1.0× |
| Drain/inj small joint/bursa w/us (20604) | $537.60 | $768 | 1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $172.90 | $247 | 0.8× |
| Dx Bone Marrow Bx & Aspir (38222) | $741.30 | $1,059 | 0.2× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $550.20 | $786 | 1.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $550.20 | $786 | 1.7× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,277.80 | $3,254 | 1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $2,210.60 | $3,158 | 1.0× |
| Evacuation of subungual hematoma (11740) | $103.60 | $148 | 0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $1,039.50 | $1,485 | 0.6× |
| Exc Frenum Labial/Buccal (40819) | $474.60 | $678 | 0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $235.90 | $337 | 0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $415.80 | $594 | 1.0× |
| External cephalic version (59412) | $221.20 | $316 | 0.1× |
| Fetal non-stress test (59025) | $242.90 | $347 | 1.1× |
| I&d abscess simple (10060) | $305.90 | $437 | 1.4× |
| Incision & drainage abscess complicated/multiple (10061) | $566.30 | $809 | 1.3× |
| Incision & removal foreign body subq tiss simple (10120) | $240.10 | $343 | 0.6× |
| Incisional biopsy skin single lesion (11106) range across 4 matching MRF lines |
$128.80–$672.70 | $184–$961 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$537.60–$541.80 | $768–$774 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $284.90 | $407 | 0.3× |
| Injection for identification of sentinel node (38792) range across 4 matching MRF lines |
$118.30–$142.10 | $169–$203 | varies |
| Injection single tendon origin/insertion (20551) range across 4 matching MRF lines |
$537.60–$541.80 | $768–$774 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 6 matching MRF lines |
$81.20–$562.80 | $116–$804 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 6 matching MRF lines |
$87.50–$562.80 | $125–$804 | varies |
| Injection therapeutic carpal tunnel (20526) | $537.60 | $768 | 1.7× |
| Ins cath ren art 1st bilat (36252) | $718.20 | $1,026 | 0.2× |
| Insert cath pleura w/o image (32556) | $284.90 | $407 | 0.1× |
| Insert non-tunnel cv cath (36556) | $176.40 | $252 | 0.1× |
| Insert Pacing Lead & Connect (33224) likely a partial charge, not the full procedure |
$1,040.90 | $1,487 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$63.70–$119.70 | $91–$171 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $177.10 | $253 | 0.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$328.30 | $469 | 0.0× |
| Insrt heart pm atrial & vent (33208) likely a partial charge, not the full procedure |
$1,054.90 | $1,507 | 0.1× |
| Intubation endotracheal emergency procedure (31500) | $267.40 | $382 | 1.1× |
| N Block Inj Plantar Digit (64455) range across 4 matching MRF lines |
$70–$103.60 | $100–$148 | varies |
| Occipital Nerve Block (64405) | $537.60 | $768 | 1.7× |
| Open/Perq Place Stent 1St (37236) likely a partial charge, not the full procedure |
$887.60 | $1,268 | 0.1× |
| Place Cath Subclavian Art (36225) | $647.50 | $925 | 0.2× |
| Punch biopsy skin single lesion (11104) | $88.90 | $127 | 0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $226.80 | $324 | 0.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $995.40 | $1,422 | 1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) | $426.30 | $609 | 0.6× |
| Removal of nail bed (11750) | $443.80 | $634 | 1.0× |
| Remove&replace pm gen singl (33227) likely a partial charge, not the full procedure |
$692.30 | $989 | 0.1× |
| Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$723.10 | $1,033 | 0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $694.40 | $992 | 1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $694.40 | $992 | 1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $694.40 | $992 | 1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,321.60 | $1,888 | 1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $694.40 | $992 | 1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $4,347.70 | $6,211 | 2.0× |
| Resection, partial or complete, phalangeal base, each toe (28126) | $525.70 | $751 | 0.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $383.60 | $548 | 0.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $177.80 | $254 | 0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $967.40 | $1,382 | 4.6× |
| Skin sub graft face/nk/hf/g (15275) | $210 | $300 | 0.3× |
| Skin sub graft trnk/arm/leg (15271) | $188.30 | $269 | 0.2× |
| Skin sub grft t/arm/lg child (15273) | $442.40 | $632 | 0.2× |
| Skn sub grft f/n/hf/g child (15277) | $503.30 | $719 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $177.80 | $254 | 0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $664.30 | $949 | 1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 4 matching MRF lines |
$237.30–$795.20 | $339–$1,136 | varies |
| Spinal puncture lumbar diagnostic (62270) | $756 | $1,080 | 1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $2,233 | $3,190 | 0.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,290.40 | $3,272 | 1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $613.90 | $877 | 0.4× |
| Trim skin lesion (11055) | $51.80 | $74 | 0.2× |
| Trim skin lesions 2 to 4 (11056) | $72.10 | $103 | 0.3× |
| Trim skin lesions over 4 (11057) | $93.80 | $134 | 0.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $23.80 | $34 | 0.4× |
| Tx Gastro Intub W/Asp (43753) | $43.40 | $62 | 0.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $527.10 | $753 | 0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $746.20 | $1,066 | 0.4× |
| Tx superficial wound dehiscence w/packing (12021) | $262.50 | $375 | 0.6× |
| Wound Prep F/N/Hf/G (15004) | $879.90 | $1,257 | 2.0× |
| Wound Prep Trk/Arm/Leg (15002) | $739.20 | $1,056 | 0.9× |
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.