Procedures & surgery prices at Phillips County Medical Center

Malta, MT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,294 $2,294 0.7×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $520 $520 3.1×
Application cast elbow finger short arm (29075) $384 $384 1.3×
Application finger splint static (29130) $148 $148 1.1×
Application long arm splint shoulder hand (29105) $292 $292 1.8×
Application Long Leg Splint (29505) $320 $320 1.9×
Application Short Arm Splint Dynamic (29126) $266 $266 2.0×
Application short arm splint forearm-hand static (29125) $249 $249 1.8×
Application short leg splint calf foot (29515) $206 $206 1.2×
Apply hand/wrist cast (29085) $186 $186 1.1×
Apply long arm cast (29065) $275 $275 1.0×
Apply Multlay Comprs Lwr Leg (29581) $312 $312 1.9×
Apply Short Leg Cast (29405) $394 $394 1.4×
Arterial puncture (36600) $92 $92 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $217 $217 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $285 $285 0.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $227 $227 0.7×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,494 $1,494 0.9×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $1,256 $1,256 0.4×
Aspirate/Inj Ganglion Cyst (20612) $311 $311 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $220 $220 1.1×
Biopsy of penis (54100) $436 $436 0.3×
Blood Transfusion Service (36430) $362 $362 0.8×
Change Cystostomy Tube Simple (51705) $491 $491 1.9×
Chest tube placement (32551) $945 $945 0.6×
Cl Tx Tib Shft Fx W Manip (27752) $1,810 $1,810 1.1×
Clear outer ear canal (69200) $400 $400 2.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $2,027 $2,027 8.0×
Closed tx ankle dislocation w/o anesthesia (27840) $2,147 $2,147 8.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,662 $1,662 1.0×
Closed tx patellar dislocation w/anesthesia (27562) $2,600 $2,600 10.3×
Closed tx patellar dislocation w/o anesthesia (27560) $2,460 $2,460 9.8×
Closed tx radial head/neck fx w/o manipulation (24650) $1,143 $1,143 4.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $906 $906 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $584 $584 2.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,206 $1,206 4.8×
Clsd tx clavicular fracture w/o manipulation (23500) $866 $866 3.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,153 $1,153 4.6×
Cltx dstl fibular fx lat malls w/manj (27788) $1,206 $1,206 4.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,266 $2,266 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,637 $1,637 6.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,470 $1,470 5.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,026 $1,026 4.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,025 $1,025 4.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $676 $676 2.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $522 $522 2.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,255 $1,255 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,892 $1,892 1.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,598 $2,598 1.6×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,262 $1,262 5.0×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $29–$32 $29–$32 varies
Control Nasal Hemorrhage Anterior Simple (30901) $279 $279 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $293 $293 2.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $356 $356 0.9×
Debride nail 1-5 (11720) $65 $65 1.1×
Debride nail 6 or more (11721) $100 $100 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $336 $336 0.8×
Destruct B9 Lesion 1-14 (17110) $243 $243 1.2×
Destruction Benign Lesions 15/> (17111) $255 $255 1.2×
Destruction Premalignant Lesion 15/> (17004) $416 $416 1.0×
Destruction premalignant lesion 1st (17000) $194 $194 0.9×
Drainage of finger abscess simple (26010) $403 $403 2.0×
Drainage of hematoma/fluid (10140) $215 $215 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $612 $612 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $315 $315 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $181 $181 0.9×
Escharotomy; initial incision (16035) $734 $734 1.8×
Evacuation of subungual hematoma (11740) $126 $126 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $303 $303 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $574 $574 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $446 $446 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $782 $782 1.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $403 $403 0.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $422 $422 0.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $489 $489 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $356 $356 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $486 $486 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $549 $549 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $473 $473 0.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $662 $662 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $845 $845 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $405 $405 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $498 $498 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $656 $656 0.4×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $848 $848 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $563 $563 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $405 $405 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $443 $443 1.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $403 $403 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $921 $921 0.5×
Fine needle aspiration without imaging guidance (10021) $386 $386 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $338 $338 0.4×
I&d abscess simple (10060) $282 $282 1.4×
Incise external hemorrhoid (46083) $575 $575 2.3×
Incision & removal foreign body subq tiss simple (10120) $436 $436 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $168 $168 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $228 $228 0.7×
Injection single tendon origin/insertion (20551) $210 $210 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $269 $269 0.9×
Injection single/mlt trigger point 3/> muscles (20553) $278 $278 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $576–$607 $576–$607 varies
Insert Drug Implant Device (11981) $374 $374 2.8×
Insert Temp Bladder Cath (51702) $182 $182 1.3×
Insert,Non-Indwelling Bladder Catheter (51701) $132 $132 1.0×
Intubation endotracheal emergency procedure (31500) $765 $765 3.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $431 $431 2.1×
Late closure of wound (13160) $2,253 $2,253 0.6×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,339 $1,339 0.4×
Nasal/Orogastric W/Tube Plmt (43752) $346 $346 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $245 $245 0.8×
Punch biopsy skin single lesion (11104) $307 $307 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $141 $141 0.3×
Removal Embedded Foreign Body Eyelid (67938) $453 $453 1.4×
Removal Foreign Body Foot Subcutaneous (28190) $254 $254 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $431 $431 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $25 $25 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $155 $155 2.6×
Removal of nail bed (11750) $492 $492 1.2×
Removal or bivalving full arm or full leg cast (29705) $215 $215 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $234 $234 1.1×
Remove drug implant device (11982) $374 $374 0.8×
Remove foreign body from eye (65205) $236 $236 1.7×
Remove Intrauterine Device (58301) $490 $490 1.6×
Remove Nasal Foreign Body (30300) $227 $227 1.7×
Remove/Insert Drug Implant (11983) $473 $473 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,000 $1,000 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,425 $1,425 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $867 $867 2.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,066 $1,066 2.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $678 $678 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $918 $918 2.2×
Repair complex trunk 1.1-2.5 cm (13100) $637 $637 0.8×
Repair complex trunk 2.6-7.5 cm (13101) $816 $816 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $800 $800 1.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $840 $840 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,115 $1,115 2.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,385 $1,385 3.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,308 $1,308 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $711 $711 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $770 $770 1.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $864.90 $961 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,173 $1,173 2.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $750 $750 1.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $867 $867 2.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $276 $276 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $241 $241 1.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $256 $256 0.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,205 $1,205 0.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $663 $663 0.2×
Rplc Gtube No Revj Trc (43762) $999 $999 3.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $964 $964 4.7×
Shave skin lesion 0.5 cm/< (11300) $214 $214 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $245 $245 1.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $451 $451 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $228 $228 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $266 $266 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $296 $296 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $315 $315 1.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $245 $245 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $310 $310 1.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,400 $1,400 3.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $608 $608 3.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $694 $694 3.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $803 $803 3.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $472 $472 2.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $651 $651 3.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $743 $743 3.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $615 $615 3.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $831 $831 2.0×
Strapping Unna Boot (29580) $72.51 $72.51 0.4×
Tangential biopsy skin single lesion (11102) $250 $250 0.6×
Treat Knuckle Dislocation (26700) $1,026 $1,026 4.1×
Treat Thumb Dislocation (26641) $1,300 $1,300 5.2×
Treatment closed elbow dislocation w/o anes (24600) $1,849 $1,849 7.3×
Trim skin lesion (11055) $84 $84 0.4×
Trim skin lesions 2 to 4 (11056) $111 $111 0.5×
Trimming Nondystrophic Nails Any Number (11719) $46 $46 0.8×
Vaginal delivery only (59409) $2,787 $2,787 0.8×

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.