Procedures & surgery prices at Pocahontas Community Hospital

Pocahontas, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Anal/Urinary Muscle Study (51784) $250 $250 2.0×
Anoscopy diagnostic (46600) $216 $216 1.7×
Application Finger Splint Dynamic (29131) $141 $141 2.5×
Application finger splint static (29130) $141 $141 1.1×
Application long arm splint shoulder hand (29105) $196 $196 1.3×
Application Long Leg Splint (29505) $192 $192 1.2×
Application of rigid total contact leg cast (29445) $433 $433 1.6×
Application Short Arm Splint Dynamic (29126) $162 $162 1.3×
Application short arm splint forearm-hand static (29125) $172 $172 1.3×
Apply long arm cast (29065) $325 $325 1.2×
Apply Multlay Comprs Lwr Leg (29581) $212 $212 1.4×
Apply Short Leg Cast (29405) $319 $319 1.2×
Arterial puncture (36600) $136 $136 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $541–$974 $541–$974 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $541–$1,040 $541–$1,040 varies
Avulsion nail plate partial/complete simple 1 (11730) $202 $202 1.0×
Biopsy bone open superficial (20240) $3,067 $3,067 1.1×
Blood Transfusion Service (36430) $770 $770 1.8×
Change Cystostomy Tube Simple (51705) $447 $447 1.9×
Chemical Cautery Tissue (17250) $329 $329 1.7×
Chemodenerv Musc Migraine (64615) $716 $716 2.4×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $627–$974 $627–$974 varies
Clear outer ear canal (69200) $163 $163 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $705 $705 3.0×
Collection of venous blood by venipuncture (36415) $32 $32 3.4×
Complex Cystometrogram (51726) $504 $504 2.1×
Complex drainage wound (10180) $2,186 $2,186 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $253 $253 2.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $398 $398 3.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,938 $1,938 0.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,249 $1,249 1.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $595 $595 0.8×
Debride nail 1-5 (11720) $123 $123 2.2×
Debride nail 6 or more (11721) $138 $138 2.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,518 $1,518 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $541 $541 1.4×
Declot vascular device (36593) $502 $502 1.6×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $3,820–$5,618 $3,820–$5,618 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $3,480–$5,144 $3,480–$5,144 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $4,266–$4,369 $4,266–$4,369 varies
Drainage of finger abscess simple (26010) $417 $417 2.2×
Draw Blood Off Venous Device (36591) $116 $116 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $421 $421 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $306 $306 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $281 $281 1.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $4,162–$4,369 $4,162–$4,369 varies
Electro-Uroflowmetry First (51741) $233 $233 1.1×
Epidural Blood Patch (62273) $1,248 $1,248 1.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $491 $491 1.3×
I&d abscess simple (10060) $313 $313 1.6×
Incise external hemorrhoid (46083) $454 $454 1.9×
Incision & drainage abscess complicated/multiple (10061) $385 $385 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $203 $203 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,665–$2,735 $1,665–$2,735 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,041 $2,041 2.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $784 $784 2.7×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $1,380–$2,069 $1,380–$2,069 varies
Injection single/mlt trigger point 1/2 muscles (20552) $460 $460 1.6×
Injection single/mlt trigger point 3/> muscles (20553) $676 $676 2.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $833 $833 1.2×
Insert Temp Bladder Cath (51702) $133 $133 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $208 $208 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,623 $1,623 1.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,592 $1,592 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $604 $604 1.5×
Intubation endotracheal emergency procedure (31500) $371 $371 1.6×
N Block Lumbar/Thoracic (64520) $1,624 $1,624 1.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $50 $50 1.8×
Needle insertion w/o injection 3 or more muscles (20561) $75 $75 2.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,624–$2,597 $1,624–$2,597 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,516 $1,516 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,228 $2,228 3.3×
Occipital Nerve Block (64405) $902 $902 3.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $3,383 $3,383 1.3×
Punch biopsy skin single lesion (11104) $364 $364 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $4,266–$4,478 $4,266–$4,478 varies
Removal Embedded Foreign Body Eyelid (67938) $496 $496 1.6×
Removal or bivalving full arm or full leg cast (29705) $133 $133 0.5×
Removal/bivalving gauntlet boot/body cast (29700) $159 $159 0.6×
Remove foreign body from eye (65205) $292 $292 2.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $869 $869 1.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $937 $937 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $650 $650 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $879 $879 2.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $903 $903 2.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $780 $780 2.0×
Repair complex trunk 2.6-7.5 cm (13101) $837 $837 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $455 $455 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $531 $531 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $546 $546 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $580 $580 1.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $624 $624 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $437 $437 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $494 $494 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $599 $599 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $557 $557 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $442 $442 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $468 $468 1.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $593 $593 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $509 $509 1.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,000 $1,000 0.5×
Repair tongue laceration (41250) $402 $402 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $369 $369 0.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $376 $376 0.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,101 $2,101 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $360 $360 1.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $677 $677 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $386 $386 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $296 $296 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $296 $296 1.5×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $397 $397 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $308 $308 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $286 $286 1.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $390 $390 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $308 $308 1.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $297 $297 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $384 $384 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $523 $523 1.3×
Strapping ankle (29540) $140 $140 0.9×
Strapping elbow or wrist (29260) $141 $141 2.5×
Strapping hand/finger (29280) $141 $141 2.5×
Strapping knee (29530) $141 $141 1.1×
Strapping shoulder (29240) $141 $141 1.1×
Strapping toes (29550) $140 $140 2.5×
Strapping Unna Boot (29580) $202 $202 1.3×
Treatment closed elbow dislocation w/o anes (24600) $706 $706 3.0×
Trim skin lesion (11055) $203 $203 1.1×
Trim skin lesions 2 to 4 (11056) $231 $231 1.2×
Trim skin lesions over 4 (11057) $270 $270 1.4×
Trimming Nondystrophic Nails Any Number (11719) $50 $50 0.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $624 $624 0.9×
Vaginal delivery only (59409) $3,184 $3,184 1.0×
Wound Prep F/N/Hf/G (15004) $754 $754 1.9×

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.