Procedures & surgery prices at Platte County Hospital

Wheatland, WY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $812.86 $1,241 0.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $552.82 $844 0.6×
Amniocentesis diagnostic (59000) $741.19 $1,068 0.8×
Amputation Finger/Thumb (26951) $847.78 $1,383 0.3×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $171.36 $238 1.0×
Application finger splint static (29130) $38.01 $62 0.3×
Application long arm splint shoulder hand (29105) $53.94 $88 0.3×
Application long leg splint thigh ankle/toes (29505) $64.36 $105 0.4×
Application of long leg cast (29345) $127.50 $208 0.4×
Application Of Rigid Total Contact Leg Cast (29445) $577.44 $802 2.0×
Application short arm splint forearm-hand static (29125) $50.27 $82 0.4×
Application short leg splint calf foot (29515) $63.14 $103 0.4×
Apply short leg cast (29405) $74.79 $122 0.3×
Apply short leg cast (29425) $70.50 $115 0.2×
Arterial puncture (36600) $44.40 $68 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $271.44 $390 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $655.83 $945 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $534.48 $816 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $711.33 $1,086 2.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $332.09 $507 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $69.88 $114 0.3×
Biopsy muscle percutaneous needle (20206) $1,587.10 $2,353 0.9×
Bladder Irrigation Simple (51700) $236.10 $358 0.9×
Blood patch (62273) $601.88 $963 0.8×
Blood transfusion service (36430) $882.96 $1,415 2.0×
Bx breast 1st lesion us imag (19083) $1,807.18 $2,604 1.1×
Bx/exc lymph node needle superficial (38505) $1,632.98 $2,353 1.0×
Ceramides (0119U) $151.96 $252 1.8×
Change Cystostomy Tube Simple (51705) $248.45 $358 1.0×
Chemical Cautery Tissue (17250) $47.81 $78 0.2×
Chest tube placement (32551) $202.29 $330 0.1×
Chg Collect Blood From Catheter Venous Nos (36592) $141.48 $216 1.0×
Circumcision (54150) $459.29 $538 0.2×
Close Rx Fingr Articular Fx,Manip (26742) $426.65 $696 0.3×
Closed Rx Acetabular Fx,Manipulatn (27222) $1,245 $2,031 4.9×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $572.54 $934 0.3×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $592.16 $966 0.4×
Closed Rx Trauma Hip Disloc,Anesth (27252) $965.48 $1,575 0.6×
Closed Rx Trimalleolar Fx (27816) $370.25 $604 1.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $577.45 $942 2.3×
Closed tx ankle dislocation w/o anesthesia (27840) $479.98 $783 1.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $540.05 $881 0.3×
Closed tx knee dislocation w/anesthesia (27552) $803.03 $1,310 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $437.68 $714 1.7×
Closed tx patellar fracture w/o manipulation (27520) $378.22 $617 1.5×
Closed tx radial head/neck fx w/manipulation (24655) $508.18 $829 0.3×
Closed tx radial shaft fracture w/manipulation (25505) $584.80 $954 0.4×
Closed tx septal&nose fx (21337) $372.70 $608 0.1×
Closed Tx Talus Fracture W/Manipulation (28435) $411.94 $672 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $41.07 $67 0.2×
Clsd tx clavicular fracture w/manipulation (23505) $425.42 $694 0.3×
Clsd tx clavicular fracture w/o manipulation (23500) $285.66 $466 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $515.53 $841 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $370.25 $604 1.5×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $628.32 $1,025 0.4×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $441.36 $720 1.8×
Cltx dstl fibular fx lat malls w/manj (27788) $491.63 $802 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $348.80 $569 1.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $652.23 $1,064 0.4×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $869.23 $1,418 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $180.84 $295 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $630.78 $1,029 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $236 $385 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $116.47 $190 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $327.96 $535 1.3×
Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) $639.36 $1,043 0.2×
Cltx metacarpal fx w/manipulation each bone (26605) $373.93 $610 1.5×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $392.32 $640 1.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $386.80 $631 1.5×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $743.57 $1,213 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $516.15 $842 2.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $100.53 $164 0.4×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $479.98 $783 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $723.34 $1,180 0.4×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $628.32 $1,025 0.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $555.38 $906 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $101.14 $165 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $72.95 $119 0.5×
Control Oropharyngeal Hemorrhage Simple (42960) $209.65 $342 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $136.09 $222 1.0×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $352.47 $575 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $77.85 $127 0.2×
Declot vascular device (36593) $282.62 $419 0.8×
Delivery placenta separate procedure (59414) $1,271.88 $2,035 0.4×
Destroy cerv/thor facet jnt (64633) $1,609.34 $2,457 0.8×
Destroy lumb/sac facet jnt (64635) $1,594.92 $2,435 0.8×
Destruction benign lesions 15 or more (17111) $103.60 $169 0.5×
Destruction Benign Lesions Up To 14 (17110) $84.59 $138 0.4×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $539.07 $823 0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $759.93 $1,095 1.1×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $157.54 $257 0.2×
Drain/inj small joint/bursa w/us (20604) $457.35 $659 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $153.86 $251 0.2×
Drainage Finger Abscess Simple (26010) $175.93 $287 0.9×
Drainage of gum lesion (41800) $193.71 $316 1.4×
Drainage of hematoma/fluid (10140) $332.25 $542 0.2×
Draw blood off venous device (36591) $199.78 $305 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $170.41 $278 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $69.27 $113 0.3×
Dry Needling 3+ Muscles (20561) $52.05 $75 1.8×
Evacuation of subungual hematoma (11740) $39.84 $65 0.3×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $156.93 $256 0.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $142.83 $233 0.1×
Exc tr-ext b9+marg 0.5 cm or less (11400) $103.60 $169 0.1×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $153.25 $250 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $103.60 $169 0.1×
Excision of nail fold toe (11765) $117.08 $191 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $236.62 $386 0.1×
Exploration penetrating wound spx extremity (20103) $443.20 $723 0.3×
External Cephalic Version (59412) $665.88 $780 0.2×
Fetal Contraction Stress Test (59020) $687.33 $752 3.3×
Fetal non-stress test (59025) $590.44 $646 2.9×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,779.42 $2,564 2.5×
Fixation of shoulder (23700) $249.49 $407 0.2×
Fluid pressure muscle (20950) $601.88 $963 0.8×
Gastric Intubation/Aspiration, Therapeutic (43753) $28.81 $47 0.1×
I&D Abscess Peritonsillar (42700) $171.03 $279 0.7×
I&d abscess simple (10060) $127.50 $208 0.6×
I&d pilonidal cyst simple (10080) $130.57 $213 0.2×
I&D Upper Arm/Elbow Bursa (23931) $198 $323 0.1×
Incision & drainage abscess complicated/multiple (10061) $231.10 $377 0.6×
Incision & removal foreign body subq tiss simple (10120) $130.57 $213 0.3×
Incision and drainage of bartholin's gland abscess (56420) $131.79 $215 0.6×
Incision and drainage of vulva or perineal abscess (56405) $152.02 $248 0.5×
Incision of rectal abscess (46045) $560.28 $914 0.2×
Incision of rectal abscess (46040) $538.21 $878 0.4×
Incision thrombosed hemorrhoid external (46083) $138.54 $226 0.5×
Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) $754.35 $1,251 1.8×
Inj paravert f jnt c/t 1 lev (64490) $1,666.98 $2,545 1.8×
Inj tendon sheath/ligament (20550) $312.44 $477 1.0×
Inj,Anes Agent,Brachial Plexus,Single (64415) $226.69 $291 0.3×
Inj,Anes Agent,Femoral Nerve,Single (64447) $189.30 $243 0.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,330.31 $2,031 1.5×
Inject Nerv Blck,Axillary Nerv (64417) $216.56 $278 0.2×
Inject Nerv Blck,Celiac Plexus (64530) $1,019.18 $1,556 1.1×
Inject Nerv Blck,Intercost,Multpl (64421) $876.39 $1,338 1.0×
Inject Nerv Blck,Intercostal,One (64420) $658.93 $1,006 0.9×
Inject Nerv Blck,Paravert Sympath (64520) $876.39 $1,338 1.0×
Inject Tendon Origin/Insert (20551) $291.48 $445 0.9×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,042.76 $1,592 1.4×
Injection aa&/strd sciatic nrv cont nfs cath img (64446) $211.89 $272 0.2×
Injection aa&/strd suprascapular nerve (64418) $632.73 $966 0.9×
Injection aa&/strd trigeminal nerve each branch (64400) $328.12 $525 1.0×
Injection anes other peripheral nerve/branch (64450) $651.07 $994 0.9×
Injection Anes Superior Hypogastric Plexus (64517) $1,524.84 $2,328 1.7×
Injection single/mlt trigger point 1/2 muscles (20552) $108.50 $177 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $429.68 $656 1.4×
Injection, anesthetic agent; greater occipital nerve (64405) $347.80 $531 1.1×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $338.64 $517 1.1×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $928.57 $1,338 1.0×
Insert Bladder Cath Complex (51703) $218.54 $324 1.7×
Insert cervical dilator (59200) $436.24 $511 1.4×
Insert non-tunnel cv cath (36556) $272.14 $391 0.1×
Insert picc cath (36569) $1,336.18 $1,981 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,302.46 $1,931 0.8×
Insert Temp Bladder Cath (51702) $179.84 $281 1.3×
Insert,Non-Indwelling Bladder Catheter (51701) $154.98 $235 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,842.74 $2,732 1.1×
Insertion picc w/rs&i < 5 yr (36572) $1,297.06 $1,923 2.0×
Intubation endotracheal emergency procedure (31500) $457.96 $658 1.9×
Laryngoscopy W/Foreign Body Removal (31530) $252.56 $412 0.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $47.89 $69 1.6×
Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) $473.35 $785 1.8×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $284.01 $471 1.8×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $284.01 $471 1.8×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,846.54 $6,379 1.8×
Njx anes stellate ganglion crv sympathetic (64510) $876.39 $1,338 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,173.61 $3,132 2.4×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,656.57 $2,456 2.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,125.94 $1,719 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,112.85 $1,699 1.5×
NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common… (0169U) $843.60 $1,399 1.8×
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $15,295.09 $25,365 1.8×
Onc Pncrs Dna&Mrna Seq 74 (0313U) $6,512.40 $10,800 1.8×
Open treatment interphalangeal joint dislocation (28675) $514.31 $839 0.2×
Percut Drain/Inject Renal Cyst (50390) $1,251.98 $1,804 1.7×
Pericardiocentesis W/Imaging (33016) $1,038.12 $1,661 0.6×
Peritoneal Lavage (49084) $421.27 $650.50 0.5×
Perq dev breast 1st us imag (19285) $903.59 $1,302 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,235.32 $1,780 1.7×
Placement of needle for intraosseous infusion (36680) $295 $472 0.6×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $61.30 $100 0.1×
Puncture Aspiration (10160) $120.15 $196 0.3×
Puncture Aspiration Cyst Breast (19000) $342.14 $493 0.5×
Reconstruction of nail bed with graft (11762) $242.75 $396 0.1×
Removal fb intranasal (30300) $143.44 $234 1.1×
Removal foreign body foot subcutaneous (28190) $170.41 $278 0.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $186.96 $305 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $22.38 $36.50 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $42.91 $70 0.7×
Removal of intrauterine device (iud) (58301) $188.52 $303 0.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $93.18 $152 0.5×
Remove Eyelid Foreign Body (67938) $145.28 $237 0.4×
Remv Ext Canal Foreign Body (69200) $60.07 $98 0.4×
Remv F.B.,Eye,Superf Conjunc (65205) $36.78 $60 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $357.99 $584 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $431.55 $704 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $312.02 $509 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $389.87 $636 0.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $296.08 $483 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $332.25 $542 0.8×
Repair extensor tendon finger w/o graft each (26418) $753.99 $1,230 0.5×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $383.74 $626 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $215.16 $351 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $254.39 $415 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $274.62 $448 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $281.37 $459 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $186.96 $305 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $250.10 $408 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $307.11 $501 0.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $193.10 $315 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $242.14 $395 0.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $361.06 $589 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $261.75 $427 0.6×
Repair intermediate s/a/t/e >30.0 cm (12037) $421.74 $688 0.2×
Repair Tongue Laceration (41250) $196.16 $320 0.4×
Respir iadna 18 viral&2 bact (0115U) $498.68 $827 1.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $52.72 $86 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $64.98 $106 0.5×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $315.08 $514 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $427.72 $653 0.7×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $266.04 $434 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $72.33 $118 0.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $76.62 $125 0.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $97.47 $159 0.5×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $123.21 $201 0.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $57.62 $94 0.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $187.58 $306 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $95.63 $156 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $76.62 $125 0.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $124.44 $203 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $152.02 $248 0.4×
Spinal puncture lumbar diagnostic (62270) $382.51 $557 0.5×
Spinal Puncture Therapeutic (62272) $314.72 $404 0.4×
Strapping unna boot (29580) $169.20 $235 1.0×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $761.11 $1,162 1.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $381.20 $591 0.6×
Thyroid biopsy (60100) $714.82 $1,030 1.0×
Trach Tube Change (31502) $280.38 $404 1.2×
Tracheostomy emergency cricothyroid membrane (31605) $429.71 $701 1.8×
Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) $4,980.78 $8,260 1.8×
Treat finger dislocation (26775) $440.75 $719 1.5×
Treat fx distal radial (25606) $845.94 $1,380 0.3×
Treatment closed elbow dislocation req anes (24605) $603.80 $985 0.4×
Treatment closed elbow dislocation w/o anes (24600) $429.71 $701 1.7×
Vaginal delivery only (59409) $1,041.49 $1,699 0.3×
Venipuncture (36415) $45.71 $70 4.9×