Procedures & surgery prices at Pipestone County Medical Center & Family Clinic Avera

Pipestone, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $149.70 $149 0.7×
Anoscopy diagnostic (46600) $165.60 $165 1.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $102 $102 0.0×
Application finger splint static (29130) $74 $74 0.5×
Application long arm splint shoulder hand (29105) $216 $216 1.3×
Application Long Leg Splint (29505) $216 $216 1.3×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $89.32–$216 $89–$216 varies
Application short leg splint calf foot (29515) $216 $216 1.3×
Apply Multlay Comprs Lwr Leg (29581) $136 $136 0.8×
Arterial puncture (36600) $117 $117 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $149.72 $149 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $137.70–$253.10 $137–$253 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $196.05 $196 0.6×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $414–$2,933 $414–$2,933 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $145–$153.33 $145–$153 varies
Biopsy of rectum (45100) $285.21 $285 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $232.72 $232 0.2×
Bladder Irrigation (51700) $79 $79 0.3×
Bladder Scan (51798)
range across 2 matching MRF lines		 $60.77–$74 $60–$74 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $345–$351 $345–$351 varies
Bx breast 1st lesion us imag (19083) $2,984 $2,984 1.8×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $138–$286 $138–$286 varies
Chemodenervation of internal anal sphincter (46505) $444.51 $444 0.4×
Circumcision w/clamp/oth dev w/block (54150) $358.62 $358 0.2×
Clear outer ear canal (69200) $216.20 $216 1.6×
Closed Treatment Ulnar Styloid Fracture (25650) $870 $870 3.4×
Closed tx metatarsal fracture w/o manipulation (28470) $378 $378 1.5×
Closed tx radial head/neck fx w/o manipulation (24650) $709 $709 2.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,291 $1,291 0.8×
Closed tx talus fracture w/o manipulation (28430) $621 $621 2.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $500 $500 2.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $464 $464 1.8×
Clsd tx clavicular fracture w/o manipulation (23500) $330 $330 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,250 $1,250 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $846 $846 3.3×
Cltx dstl fibular fx lat malls w/manj (27788) $1,077 $1,077 4.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $819 $819 3.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $549 $549 2.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $462.83–$935 $462–$935 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,420 $1,420 0.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $793 $793 3.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $309 $309 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $97 $97 0.4×
Cltx greater humeral tuberosity fx w/o manj (23620) $406 $406 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $744 $744 2.9×
Cltx Medial Ankle Fx (27760) $726 $726 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $752 $752 3.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $862 $862 3.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $546 $546 2.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $224 $224 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $997 $997 3.9×
Cltx tibial fx proximal w/o manipulation (27530) $793 $793 3.1×
Cltx tibial shaft fx w/o manipulation (27750) $757 $757 3.0×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $69–$70 $69–$70 varies
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $43–$93 $43–$93 varies
Colonoscopy w/submucosal inj (45381) $432 $432 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $273.93 $273 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $218.45 $218 0.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $789.43 $789 0.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $218 $218 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $195–$613 $195–$613 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $147–$295 $147–$295 varies
Cysto W/Simple Removal Stone & Stent (52310) $764.76 $764 0.4×
Cystourethroscopy (52000) $443.97 $443 0.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $82.15 $82 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $752 $752 1.0×
Debride nail 1-5 (11720) $73.14 $73 1.2×
Debride nail 6 or more (11721) $145.62 $145 2.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $196.55–$358 $196–$358 varies
Declot vascular device (36593) $60 $60 0.2×
Destruct B9 Lesion 1-14 (17110) $155.25 $155 0.7×
Destruction Benign Lesions 15/> (17111) $191.84 $191 0.9×
Destruction of lesion of lid margin (up to 1 cm) (67850) $218.63 $218 0.2×
Destruction premalignant lesion 1st (17000) $127.70 $127 0.6×
Diagnostic sigmoidoscopy (45330) $56 $56 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $267.02 $267 0.4×
Drainage of gum lesion (41800) $431 $431 3.1×
Drainage of hematoma/fluid (10140) $226.44 $226 0.1×
Draw Blood Off Venous Device (36591) $90 $90 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $114.08–$263 $114–$263 varies
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $255.57 $255 0.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $149 $149 0.1×
Egd place gastrostomy tube (43246) $575 $575 0.3×
Endometrial Biopsy (58100) $156.87 $156 0.8×
Epidural Blood Patch (62273) $346 $346 0.5×
Evacuation of subungual hematoma (11740) $91 $91 0.7×
Exc arm/elbow les sc < 3 cm (24075) $638.23 $638 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $546.59 $546 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $165.66 $165 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $196.46 $196 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $298.12 $298 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $112 $112 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $200.95 $200 0.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $215.31 $215 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $291.69 $291 0.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $400.46 $400 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $273.42 $273 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $305.01 $305 0.7×
Excision of pilonidal cyst or sinus; simple (11770) $358 $358 0.1×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,750 $1,750 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,338 $1,338 0.8×
Fetal non-stress test (59025) $526 $526 2.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $473 $473 0.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $155.72–$484 $155–$484 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $273.50–$507 $273–$507 varies
Incision & removal foreign body subq tiss compl (10121) $338.78 $338 0.2×
Incision & removal foreign body subq tiss simple (10120) $295 $295 0.7×
Incisional biopsy skin single lesion (11106) $187.68 $187 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $119 $119 0.6×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $718 $718 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $154.93 $154 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $116.12 $116 0.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $121–$126 $121–$126 varies
Injection, anesthetic agent; femoral nerve, single (64447) $718 $718 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $112 $112 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $91.57 $91 0.4×
Insert Bladder Cath Complex (51703) $265 $265 2.0×
Insert cath pleura w/o image (32556) $321 $321 0.2×
Insert Drug Implant Device (11981) $247.39 $247 1.8×
Insert non-tunnel cv cath (36556) $219 $219 0.1×
Insert pessary/other device (57160) $119.30 $119 0.6×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $108–$254 $108–$254 varies
Insert tunneled cv cath (36561) $181 $181 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $108–$185 $108–$185 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $140 $140 0.1×
Intubation endotracheal emergency procedure (31500) $365 $365 1.5×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,765 $1,765 0.3×
Nasal/Orogastric W/Tube Plmt (43752) $105 $105 0.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $354 $354 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,240 $1,240 1.7×
Placement of needle for intraosseous infusion (36680) $152 $152 0.3×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $152.67–$225 $152–$225 varies
Removal foreign body foot deep (28192) $564.23 $564 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 5 matching MRF lines		 $22.52–$173 $22–$173 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $69.39 $69 1.1×
Removal of nail bed (11750) $372.18 $372 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $125.04 $125 0.6×
Remove drug implant device (11982) $263.73 $263 0.6×
Remove foreign body from eye (65205) $80 $80 0.6×
Remove Intrauterine Device (58301) $165.20 $165 0.5×
Remove/Insert Drug Implant (11983) $433.61 $433 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $461 $461 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $544 $544 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $868 $868 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $152 $152 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $522 $522 1.2×
Repair of nail bed (11760) $300 $300 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $110 $110 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $501.12 $501 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $284.03 $284 0.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $990 $990 0.3×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $1,378 $1,378 0.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $117 $117 0.1×
Shave skin lesion 0.5 cm/< (11300) $139.08 $139 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $171.46 $171 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $167.27 $167 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $204.96 $204 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $174.05 $174 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $218.67 $218 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $198.72 $198 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $71 $71 0.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $260.06–$323 $260–$323 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $323 $323 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $323 $323 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $209.93–$323 $209–$323 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $323 $323 1.6×
Skin sub graft trnk/arm/leg (15271) $1,206 $1,206 1.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $267.36–$323 $267–$323 varies
Spinal puncture lumbar diagnostic (62270) $161 $161 0.2×
Tangential biopsy skin single lesion (11102) $122.80 $122 0.3×
Treat humerus fracture (23600) $397 $397 1.6×
Trim skin lesion (11055) $89.36 $89 0.4×
Trim skin lesions 2 to 4 (11056) $102.44 $102 0.5×
Trimming Nondystrophic Nails Any Number (11719) $34.12 $34 0.6×

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.