Procedures & surgery prices at Presentation Medical Center

Rolla, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,346 $1,496 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines
$3,461–$3,590 $3,845–$3,989 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,583 $3,981 1.1×
Amputation toe metatarsophalangeal joint (28820) $5,846 $6,495 1.7×
Application cast elbow finger short arm (29075) $512 $569 1.8×
Application Cast Finger (29086) $295 $328 1.8×
Application finger splint static (29130) $139 $154 1.0×
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines
$206–$295 $229–$328 varies
Application Long Leg Splint (29505) $295 $328 1.8×
Application of long leg cast (29345) $512 $569 1.8×
Application Short Arm Splint Dynamic (29126) $242 $269 1.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$226–$229 $251–$254 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$295–$426 $328–$473 varies
Application, cast; figure-of-eight Facility (29049) $534 $593 1.9×
Apply long arm cast (29065) $512 $569 1.8×
Apply Short Leg Cast (29405) $512 $569 1.8×
Apply short leg cast (29425) $512 $569 1.8×
Arterial puncture (36600) $250 $278 1.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$302–$563 $335–$625 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $552 $613 1.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $977 $1,085 3.1×
Arthrodesis great toe metatarsophalangeal joint (28750) $11,809 $13,121 1.6×
Arthroplasty Ankle (27700) $12,230 $13,589 1.6×
Arthrotomy W/Synovectomy Ankle (27625) $4,132 $4,591 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $301 $334 1.5×
Biopsy of upper nose/throat (42806) $41 $45 0.0×
Bladder Irrigation (51700) $350 $389 1.4×
Bladder Scan (51798) $216 $240 3.6×
Blood Transfusion Service (36430)
range across 5 matching MRF lines
$589–$800 $654–$889 varies
Bone Graft Any Donor Area Minor/Small (20900) $13,585 $15,094 1.8×
Bone Marrow; Aspiration Only (38220) $2,398 $2,664 1.4×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,583 $3,981 1.1×
Change Cystostomy Tube Simple (51705) $487 $541 1.9×
Chemical Cautery Tissue (17250) $301 $334 1.5×
Chest tube placement (32551) $1,233 $1,370 0.8×
Cl Tx Tib Shft Fx W Manip (27752) $2,700 $3,000 1.6×
Clear outer ear canal (69200) $203 $225 1.5×
Closed tx ankle dislocation w/o anesthesia (27840) $424 $471 1.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $422 $469 1.7×
Closed tx knee dislocation w/o anesthesia (27550) $586 $651 2.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,980 $4,422 2.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,980 $4,422 1.2×
Closed tx patellar dislocation w/o anesthesia (27560) $472 $524 1.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $510 $567 2.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,700 $3,000 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $424 $471 1.7×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $2,700 $3,000 1.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,973 $3,303 1.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $586 $651 2.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $586 $651 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,700 $3,000 1.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,700 $3,000 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $4,308 $4,787 17.1×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,700 $3,000 1.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $586 $651 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $424 $471 1.7×
Cltx Med Ankle Fx W/Mnpj (27762) $2,700 $3,000 1.6×
Cltx metacarpal fx w/manipulation each bone (26605) $586 $651 2.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $472 $524 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $586 $651 2.3×
Cltx post hip arthrp dislc req anes (27266) $2,700 $3,000 1.6×
Cltx prox fibula/shft fx w/o manj (27780) $468 $520 1.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $586 $651 2.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $586 $651 2.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,700 $3,000 1.6×
Collect Blood From Catheter Venous Nos (36592) $186 $207 1.4×
Collection of venous blood by venipuncture (36415) $18 $20 1.9×
Colonoscopy thru stoma (44388) $1,914 $2,127 2.0×
Control Nasal Hemorrhage Anterior Complex (30903) $331 $368 2.4×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$182–$231 $202–$257 varies
Correction hammertoe (28285) $3,583 $3,981 1.1×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,897 $6,552 1.8×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $9,145 $10,161 0.7×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $8,709 $9,677 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $331 $368 2.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,093 $1,214 2.6×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,398 $2,664 3.3×
Debride nail 1-5 (11720) $231 $257 3.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$518–$575 $575–$639 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$301–$323 $334–$359 varies
Destruction Benign Lesions 15/> (17111) $382 $424 1.9×
Destruction premalignant lesion 1st (17000) $194 $216 0.9×
Drainage Mouth Roof Lesion (42000) $355 $394 1.5×
Drainage of finger abscess simple (26010) $362 $402 1.8×
Drainage of gum lesion (41800) $231 $257 1.7×
Drainage of hematoma/fluid (10140) $2,652 $2,947 1.6×
Draw Blood Off Venous Device (36591) $184 $204 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $660 $733 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $574 $638 2.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $301 $334 1.5×
Egd Flexible Foreign Body Removal (43247) $1,896 $2,107 2.0×
Egd remove lesion snare (43251) $2,769 $3,077 1.4×
Evacuation of subungual hematoma (11740) $144 $160 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,222 $1,358 1.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,222 $1,358 1.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,319 $1,465 1.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,398 $2,664 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,398 $2,664 1.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines
$2,195–$2,398 $2,439–$2,664 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $399 $443 0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $3,583 $3,981 2.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,876 $3,195 1.8×
Exc neuroma hand/foot xcp digital nerve (64782) $1,990 $2,211 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,597 $3,997 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,222 $1,358 0.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $3,597 $3,997 2.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $434 $482 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$309–$1,222 $343–$1,358 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $575 $639 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,905 $3,228 1.7×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $4,451 $4,946 1.3×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $3,583 $3,981 2.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,225 $1,361 1.7×
Excision of pilonidal cyst or sinus; simple (11770) $3,597 $3,997 1.2×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155)
likely a partial charge, not the full procedure
$16 $18 0.0×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $6,135 $6,817 1.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,906 $3,229 1.7×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,460 $3,844 1.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $3,482 $3,869 2.1×
Excision, interdigital (morton) neuroma, single, each (28080) $3,020 $3,355 1.8×
Fasciotomy Plantar Fascia Radical Spx (28062) $4,451 $4,946 1.3×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines
$359–$574 $399–$638 varies
Fusion of foot bones (28740) $13,584 $15,093 1.8×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
range across 2 matching MRF lines
$10,666–$12,227 $11,851–$13,586 varies
I&d abscess simple (10060) $558 $620 2.7×
I&d deep absc bursa/hematoma thigh/knee region (27301) $4,208 $4,675 1.4×
I&d perianal abscess superficial (46050) $1,252 $1,391 1.3×
I&d pilonidal cyst simple (10080) $582 $647 0.8×
Incise external hemorrhoid (46083) $527 $585 2.1×
Incision & drainage abscess complicated/multiple (10061) $592 $658 1.4×
Incision & removal foreign body subq tiss compl (10121) $3,597 $3,997 2.1×
Incision & removal foreign body subq tiss simple (10120) $574 $638 1.4×
Incision and drainage of bartholin's gland abscess (56420) $353 $392 1.7×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
$432–$578 $480–$642 varies
Incision of Foot Tendon (28234) $3,583 $3,981 2.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $3,482 $3,869 2.1×
Incisional biopsy skin single lesion (11106) $347 $385 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $301 $334 1.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $552 $613 1.8×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines
$301–$411 $334–$457 varies
Injection single/mlt trigger point 1/2 muscles (20552) $552 $613 1.8×
Injection single/mlt trigger point 3/> muscles (20553) $552 $613 1.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $604 $671 0.8×
Insert Bladder Cath Complex (51703) $498 $553 3.8×
Insert non-tunnel cv cath (36556) $2,360 $2,622 0.7×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$216–$400 $240–$444 varies
Insert,Non-Indwelling Bladder Catheter (51701) $216 $240 1.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,360 $2,622 1.5×
Intubation endotracheal emergency procedure (31500) $331 $368 1.4×
Laryngoscopy diagnostic (31505) $361 $401 1.8×
Late closure of wound (13160) $5,438 $6,042 1.5×
Nasal/Orogastric W/Tube Plmt (43752) $812 $902 1.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $482 $536 1.5×
Ostectomy calcaneus (28118) $5,897 $6,552 1.8×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,583 $3,981 1.1×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $5,897 $6,552 1.8×
Part remv talus or calcaneus (28120) $6,138 $6,820 1.8×
Partial removal of fibula (27641) $6,138 $6,820 1.8×
Partial removal of toe (28160) $6,137 $6,819 1.8×
Partical Excision Bone Phalanx Toe (28124) $6,137 $6,819 1.8×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines
$882–$1,090 $980–$1,211 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$356–$1,264 $396–$1,404 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $582 $647 1.4×
Rcnstj angular dfrm toe soft tiss px only (28313) $10,227 $11,363 3.1×
Removal Embedded Foreign Body Eyelid (67938) $751 $834 2.3×
Removal foreign body foot deep (28192) $3,482 $3,869 2.1×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$908–$1,274 $1,009–$1,416 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$39–$164 $43–$182 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$126–$164 $140–$182 varies
Removal Implant Deep (20680) $3,572 $3,969 1.2×
Removal Implant Superficial Separate Procedure (20670) $2,211 $2,457 1.3×
Removal implantable contraceptive capsules (11976) $955 $1,061 1.3×
Removal of nail bed (11750) $582 $647 1.4×
Removal or bivalving full arm or full leg cast (29705) $512 $569 1.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $301 $334 1.5×
Removal/bivalving gauntlet boot/body cast (29700) $512 $569 1.8×
Remove Ankle Joint Lining (27626) $6,138 $6,820 1.8×
Remove Forearm Foreign Body (25248) $3,583 $3,981 2.2×
Remove foreign body from eye (65205) $268 $298 2.0×
Remove Intrauterine Device (58301) $597 $663 1.9×
Remove Lower Leg Bone Lesion (27635) $12,392 $13,769 3.7×
Remove Nasal Foreign Body (30300) $231 $257 1.7×
Repair Collat Ankle Ligmnt,Secondary (27698) $12,901 $14,334 1.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,093 $1,214 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,093 $1,214 2.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,093 $1,214 2.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,093 $1,214 2.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,093 $1,214 2.6×
Repair complex trunk 2.6-7.5 cm (13101) $1,093 $1,214 1.4×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $6,138 $6,820 1.8×
Repair Hallux Rigidus (28289) $12,392 $13,769 3.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $574 $638 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $574 $638 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $301 $334 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $301 $334 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $574 $638 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $574 $638 0.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $574 $638 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$493–$574 $548–$638 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $574 $638 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$574–$868 $638–$964 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $3,435 $3,817 1.6×
Repair Nonunion/Malunion Tarsal Bones (28320) $26,702 $29,669 2.0×
Repair of nail bed (11760) $1,022 $1,135 1.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,897 $6,552 1.8×
Repair tongue laceration (41252) $1,756 $1,951 7.3×
Repair, primary, disrupted ligament, ankle; collateral (27695) $27,405 $30,450 3.7×
Revise Hand/Foot Nerve (64704) $9,007 $10,008 4.5×
Revision of big toe (28310) $9,877 $10,974 1.3×
Revision of toe (28312) $5,702 $6,335 1.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $854 $949 1.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $285 $317 2.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $932 $1,035 2.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,185 $1,317 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,321 $1,468 2.1×
Rplc Gtube No Revj Trc (43762) $402 $447 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $301 $334 1.5×
Rpr flexor tendon leg secondary w/o graft each (27659) $9,145 $10,161 1.2×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $27,431 $30,479 3.7×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $9,843 $10,937 1.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $10,229 $11,365 3.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $301 $334 1.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,413 $1,570 1.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $301 $334 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $301 $334 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $301 $334 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $301 $334 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $301 $334 1.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $574 $638 2.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $301 $334 1.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$276–$301 $307–$334 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $301 $334 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $301 $334 0.7×
Spinal puncture lumbar diagnostic (62270) $1,577 $1,752 2.2×
Strapping ankle (29540) $290 $322 1.7×
Strapping hand/finger (29280) $87 $97 1.4×
Strapping toes (29550)
range across 2 matching MRF lines
$139–$192 $154–$213 varies
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $9,877 $10,974 1.3×
Tangential biopsy skin single lesion (11102) $574 $638 1.4×
Thrombolytic Therapy Stroke (37195) $558 $620 1.7×
Treat ankle fracture (28445) $9,145 $10,161 1.2×
Treat Knuckle Dislocation (26700) $586 $651 2.3×
Treat Thumb Dislocation (26641) $586 $651 2.3×
Treatment closed elbow dislocation w/o anes (24600) $424 $471 1.7×
Trim skin lesion (11055) $140 $155 0.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $4,733 $5,259 1.4×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,221 $2,468 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,093 $1,214 1.4×
Unlisted procedure foot or toes (28899) $355 $394 1.4×
Unlisted procedure nervous system (64999) $511 $568 1.6×
Unlisted Procedure Vascular Surgery (37799) $2,360 $2,622 3.7×
Vaginal delivery only (59409) $4,733 $5,259 1.4×
Wedge excision skin nail fold (11765) $301 $334 0.7×
Xfer Single Deep Low Leg Tendon (27691) $13,584 $15,093 1.8×

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.