Procedures & surgery prices at ProMedica Charles and Virginia Hickman Hospital

Adrian, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $3,136.90 $4,826 3.4×
Application finger splint static (29130) $219.05 $337 1.6×
Application of rigid total contact leg cast (29445) $514.15 $791 1.8×
Apply Multlay Comprs Lwr Leg (29581) $293.15 $451 1.8×
Arterial puncture (36600) $117.65 $181 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $401.05 $617 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $401.05 $617 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $401.05 $617 1.3×
Aspirate pleura w/ imaging (32555) $2,780.70 $4,278 4.3×
Aspiration and/or injection thyroid cyst (60300) $526.50 $810 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $384.15 $591 1.9×
Beta amyloid ab42/40 imprcip (0412U) $2,008.50 $3,090 2.7×
Biopsy Abdominal Mass (49180) $2,115.10 $3,254 1.2×
Biopsy bone open superficial (20240) $5,013.45 $7,713 1.7×
Biopsy bone trocar/needle deep (20225) $2,559.05 $3,937 1.5×
Biopsy Bone Trocar/Needle Superficial (20220) $898.95 $1,383 0.5×
Biopsy muscle percutaneous needle (20206) $856.05 $1,317 0.5×
Biopsy of liver, needle; percutaneous (47000) $1,888.25 $2,905 1.1×
Biopsy Salivary Gland Needle (42400) $1,033.50 $1,590 1.4×
Bladder instillation anticarcinogenic agent (51720) $579.80 $892 0.8×
Blood Transfusion Service (36430) $373.75 $575 0.8×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,462.55 $5,327 0.9×
Bx breast 1st lesion strtctc (19081) $6,056.05 $9,317 3.6×
Bx breast 1st lesion us imag (19083) $4,931.55 $7,587 2.9×
Catheter aspiration nasotracheal spx (31720) $225.55 $347 1.0×
Change of Windpipe Airway (31502) $463.45 $713 1.9×
Chemical Cautery Tissue (17250) $384.15 $591 1.9×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,270.85 $8,109 1.4×
Circumcision w/clamp/oth dev w/block (54150) $874.90 $1,346 0.4×
Collect Blood From Catheter Venous Nos (36592) $180.05 $277 1.3×
Collection of venous blood by venipuncture (36415) $14.30 $22 1.5×
Colposcopy cervix upper/adjacent vagina (57452) $291.85 $449 1.4×
Colposcopy entire vagina w/cervix if present (57420) $228.80 $352 0.7×
Colposcopy of vulva (56820) $209.95 $323 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,439.80 $5,292 2.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,052.35 $1,619 1.4×
Debride nail 1-5 (11720) $150.80 $232 2.5×
Debride nail 6 or more (11721) $154.05 $237 2.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,998.45 $4,613 1.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $928.85 $1,429 2.2×
Declot vascular device (36593) $696.80 $1,072 2.1×
Delivery of placenta (59414) $5,086.25 $7,825 1.5×
Drainage of hematoma/fluid (10140) $3,057.60 $4,704 1.8×
Draw Blood Off Venous Device (36591) $141.70 $218 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $685.10 $1,054 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $384.15 $591 1.9×
Dx Bone Marrow Bx & Aspir (38222) $2,697.50 $4,150 0.9×
Dx Bronchoscope/Wash (31622) $3,462.55 $5,327 1.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,284.40 $1,976 1.8×
Epidural Blood Patch (62273) $1,289.60 $1,984 1.8×
External cephalic version (59412) $1,179.10 $1,814 0.4×
Fetal non-stress test (59025) $569.40 $876 2.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,700.75 $4,155 3.7×
Fluoro exam of g/colon tube (49465) $648.05 $997 2.6×
Fna bx w/us gdn 1st les (10005) $2,120.30 $3,262 2.9×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $1,365.65 $2,101 37.3×
Guide Cathet Fluid Drainage (10030) $1,141.40 $1,756 1.6×
Hem inh thrombocytopenia 42 (0276U) $5,116.80 $7,872 2.1×
Hem vw ds vw factor & collagen IV binding elisa (0280U) $1,225.90 $1,886 71.0×
Hem vw factor&clgn iii bndg (0279U) $533 $820 46.2×
Hepcidin-25 elisa serum or plasma (0251U) $619.45 $953 35.9×
I&d abscess simple (10060) $384.15 $591 1.9×
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,805.70 $2,778 2.7×
Image Cath Fluid Peri/Retro (49406) $5,643.30 $8,682 3.3×
Incision & drainage abscess complicated/multiple (10061) $685.10 $1,054 1.6×
Incision & removal foreign body subq tiss simple (10120) $711.75 $1,095 1.7×
Incisional biopsy skin single lesion (11106) $1,052.35 $1,619 1.4×
Inj W/Fluor Eval Cv Device (36598) $277.55 $427 1.3×
Insert Bladder Cath Complex (51703) $329.55 $507 2.5×
Insert cath pleura w/ image (32557) $2,559.05 $3,937 1.6×
Insert cervical dilator (59200) $536.25 $825 1.7×
Insert Temp Bladder Cath (51702) $329.55 $507 2.4×
Insert,Non-Indwelling Bladder Catheter (51701) $329.55 $507 2.4×
Insertion indwelling tunneled pleural catheter (32550) $4,725.50 $7,270 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$1,331.85–$1,371.50 $2,049–$2,110 varies
Instlj ther agent renal pelvis&/ureter via tub (50391) $406.90 $626 1.6×
Intubation endotracheal emergency procedure (31500) $718.25 $1,105 3.0×
Klhl11 antb serum/csf cell binding assay qual (0432U) $122.20 $188 3.3×
Laryngoscopy diagnostic (31505) $391.30 $602 1.9×
Laryngoscopy flexible diagnostic (31575) $391.30 $602 1.9×
Myelography Lumbar Injection (62305) $1,906.45 $2,933 2.4×
Myelography Lumbar Injection (62304) $1,646.45 $2,533 2.0×
Myelography via lumbar injection rs&i cervical (62302) $1,646.45 $2,533 2.0×
Needle Biopsy Lymph Nodes (38505) $2,115.10 $3,254 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $80.60 $124 2.7×
Needle insertion w/o injection 3 or more muscles (20561) $80.60 $124 2.7×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $2,390.05 $3,677 3.2×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $2,020.20 $3,108 2.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,777.10 $2,734 4.3×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $2,847 $4,380 1.3×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,220.10 $4,954 1.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,807.40 $7,396 1.3×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $2,370.55 $3,647 1.3×
Penile Plethysmography (54240) $536.25 $825 2.4×
Percut Drain/Inject Renal Cyst (50390) $1,311.05 $2,017 1.8×
Perq dev breast 1st us imag (19285) $2,014.35 $3,099 2.8×
Perq device breast 1st imag (19281) $1,191.45 $1,833 0.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,141.40 $1,756 1.6×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,177.80 $1,812 1.6×
Punch biopsy skin single lesion (11104) $512.20 $788 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $364 $560 0.9×
Puncture Aspiration Cyst Breast (19000) $563.55 $867 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $294.45 $453 1.4×
Remove cerclage suture (59871) $3,632.85 $5,589 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $711.75 $1,095 1.7×
Skin sub graft face/nk/hf/g (15275) $2,904.20 $4,468 3.8×
Skin sub graft trnk/arm/leg (15271) $2,665 $4,100 3.5×
Skin sub grft t/arm/lg child (15273) $4,867.85 $7,489 2.3×
Strapping Unna Boot (29580) $305.50 $470 1.8×
Tangential biopsy skin single lesion (11102) $384.15 $591 0.9×
Ther Apheresis,Red Blood Cells (36512) $5,374.85 $8,269 3.4×
Therapeutic Apheresis White Blood Cells (36511) $5,131.10 $7,894 3.2×
Therapeutic plasma exchange (36514) $5,374.85 $8,269 3.4×
Thrombolytic Therapy Stroke (37195) $670.80 $1,032 2.0×
Thyroid biopsy (60100) $984.75 $1,515 1.4×
Tma/tmao profile ms/ms urine alg alys&report (0256U) $546 $840 3.4×
Trim skin lesion (11055) $284.05 $437 1.4×
Trim skin lesions 2 to 4 (11056) $270.40 $416 1.3×
Tx Gastro Intub W/Asp (43753) $430.30 $662 1.9×
Tx open tendon flexor toe 1 tendon spx (28232) $3,177.20 $4,888 1.9×
Vw factor type 2n eval plsm (0284U) $1,344.85 $2,069 77.9×

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.