Procedures & surgery prices at Putnam County Memorial Hospital

Unionville, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Acne Surgery (10040) $307.81 $307.81 1.5×
Amputation Finger/Thumb (26951) $5,607.27 $5,607.27 1.7×
Anoscopy diagnostic (46600) $85.43 $85.43 0.6×
Anoscopy; with biopsy, single or multiple (46606) $313.88 $313.88 0.3×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $131.52 $131.52 0.8×
Application cast elbow finger short arm (29075) $172.36 $172.36 0.6×
Application Cast Hand & Lower Forearm Gauntlet (29085) $194.93 $194.93 1.2×
Application cast shoulder hand long arm (29065) $767.64 $767.64 2.7×
Application finger splint static (29130) $127.69 $127.69 1.0×
Application long arm splint shoulder hand (29105) $285.12 $285.12 1.8×
Application long leg splint thigh ankle/toes (29505) $296.70 $296.70 1.8×
Application short arm splint forearm-hand static (29125) $110.94 $110.94 0.8×
Application short leg splint calf foot (29515) $217.49 $217.49 1.3×
Apply short leg cast (29405) $321.09 $321.09 1.1×
Arterial puncture (36600) $365.13 $365.13 2.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $104.91 $104.91 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $543.78 $543.78 1.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $205.98 $205.98 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $214.40 $214.40 1.1×
Biopsy of uterus lining (58100) $249.36 $249.36 1.2×
Bladder Irrigation Simple (51700) $558.92 $558.92 2.2×
Bladder Scan (51798) $174.84 $174.84 3.0×
Blood transfusion service (36430) $566.03 $566.03 1.3×
Change Cystostomy Tube Simple (51705) $706.44 $706.44 2.8×
Chemical Cautery Tissue (17250) $244.04 $244.04 1.2×
Chest tube placement (32551) $2,515.46 $2,515.46 1.6×
Chg Collect Blood From Catheter Venous Nos (36592) $258.45 $258.45 1.9×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $1,282.17 $1,282.17 0.8×
Closed tx radial shaft fracture w/manipulation (25505) $4,593.99 $4,593.99 2.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $756.42 $756.42 3.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,803.62 $2,803.62 1.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $468.21 $468.21 1.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $706.34 $706.34 2.9×
Cltx metatarsophlngl jt dislc w/o anes (28630) $494.34 $494.34 2.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $623.76 $623.76 2.5×
Control Nasal Hemorrhage Anterior Complex (30903) $294.48 $294.48 2.2×
Control Nasal Hemorrhage Anterior Simple (30901) $273.58 $273.58 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $334.82 $334.82 2.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $698.19 $698.19 2.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $55.91 $55.91 0.1×
Debride nail 1-5 (11720) $29.66 $29.66 0.5×
Debride nail 6 or more (11721) $48.55 $48.55 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $259.92 $259.92 0.6×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $374.97 $374.97 0.5×
Declot vascular device (36593) $460.53 $460.53 1.4×
Destroy cerv/thor facet jnt (64633) $2,124.63 $2,124.63 1.1×
Destroy lumb/sac facet jnt (64635) $2,124.59 $2,124.59 1.1×
Destruction benign lesions 15 or more (17111) $264.49 $264.49 1.3×
Destruction Benign Lesions Up To 14 (17110) $281.76 $281.76 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $2,124.63 $2,124.63 1.1×
Destruction premalignant lesion 1st (17000) $133.74 $133.74 0.7×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,169.64 $1,169.64 1.6×
Drainage of hematoma/fluid (10140) $332.22 $332.22 0.2×
Draw blood off venous device (36591) $151.77 $151.77 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $365.75 $365.75 1.8×
Evacuation of subungual hematoma (11740) $226.05 $226.05 1.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $443.54 $443.54 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $261.85 $261.85 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $244.21 $244.21 0.3×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $306.16 $306.16 0.8×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $297.91 $297.91 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $291.27 $291.27 0.4×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $1,665.32 $1,665.32 1.0×
Exc Skin Benig >4 Cm Face,Facial (11446) $594.48 $594.48 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $550.21 $550.21 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,229.50 $1,229.50 1.0×
Exc tr-ext b9+marg 0.5 cm or less (11400) $194.14 $194.14 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $470.12 $470.12 0.2×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $733.62 $733.62 0.5×
Excise/repair mouth lesion (40812) $1,608.19 $1,608.19 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $558.42 $558.42 0.8×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $324.50 $324.50 0.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $921.40 $921.40 1.3×
Excision Multiple External Papillae/Tags Anus (46230) $671.30 $671.30 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $354.78 $354.78 0.5×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $299.46 $299.46 0.4×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $259.92 $259.92 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $186.46 $186.46 0.1×
Excision of nail fold toe (11765) $293.30 $293.30 0.7×
Excision of pilonidal cyst or sinus; simple (11770) $388.32 $388.32 0.1×
Exploration penetrating wound spx extremity (20103) $2,808.03 $2,808.03 1.7×
Gastric Intubation/Aspiration, Therapeutic (43753) $480.68 $480.68 2.2×
I&d abscess simple (10060) $290.88 $290.88 1.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $4,528.46 $4,528.46 1.6×
Implant neuroelectrodes (63650) $6,731.74 $6,731.74 1.1×
Incision & drainage abscess complicated/multiple (10061) $637.54 $637.54 1.6×
Incision & drainage pilonidal cyst complicated (10081) $857.22 $857.22 1.2×
Incision & removal foreign body subq tiss simple (10120) $308.95 $308.95 0.8×
Incision thrombosed hemorrhoid external (46083) $265.90 $265.90 1.1×
Incisional biopsy skin single lesion (11106) $506.01 $506.01 0.7×
Inj paravert f jnt c/t 1 lev (64490) $965.85 $965.85 1.1×
Inj tendon sheath/ligament (20550) $105.56 $105.56 0.3×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $67.92 $67.92 0.2×
Inject Tendon Origin/Insert (20551) $409.68 $409.68 1.3×
Injection aa&/strd genicular nrv branches w/img (64454) $735.36 $735.36 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $120.74 $120.74 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $338 $338 1.1×
Injection therapeutic carpal tunnel (20526) $335 $335 1.1×
Insert Bladder Cath Complex (51703) $446.49 $446.49 3.5×
Insert Drug Implant Device (11981) $180.36 $180.36 1.4×
Insert non-tunnel cv cath (36556) $1,624.07 $1,624.07 0.5×
Insert pessary/other device (57160) $233.03 $233.03 1.2×
Insert Temp Bladder Cath (51702) $142.68 $142.68 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $365.13 $365.13 2.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $17,130.20 $17,130.20 2.1×
Intubation endotracheal emergency procedure (31500) $555.16 $555.16 2.3×
Irrigate corpora cavernosa for priapism (54220) $361.23 $361.23 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $356.98 $356.98 0.4×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $745.48 $745.48 1.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $751.55 $751.55 1.1×
Perq replacement gtube not req revj gstrst trc (43762) $407.04 $407.04 1.6×
Placement of needle for intraosseous infusion (36680) $1,138.89 $1,138.89 2.5×
Punch biopsy skin single lesion (11104) $274.56 $274.56 0.7×
Puncture Aspiration (10160) $265.65 $265.65 0.7×
Removal fb intranasal (30300) $261.77 $261.77 2.0×
Removal foreign body foot subcutaneous (28190) $1,102.61 $1,102.61 1.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $40.62 $40.62 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $100 $100 1.7×
Removal of intrauterine device (iud) (58301) $233.41 $233.41 0.8×
Removal of nail bed (11750) $305.58 $305.58 0.8×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $181.32 $181.32 0.9×
Removal subq cardiac rhythm monitor (33286) $740.92 $740.92 1.0×
Remove drug implant device (11982) $326.53 $326.53 0.7×
Remv Ext Canal Foreign Body (69200) $165.89 $165.89 1.2×
Remv F.B.,Eye,Superf Conjunc (65205) $223.88 $223.88 1.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,327.82 $1,327.82 1.8×
Repair eyelid wound (67930) $3,063.48 $3,063.48 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $472.05 $472.05 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $848.46 $848.46 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $619.38 $619.38 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $527.62 $527.62 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $384.54 $384.54 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,197.54 $1,197.54 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $421.08 $421.08 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $662.48 $662.48 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $603.35 $603.35 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $649.69 $649.69 1.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $627.86 $627.86 1.4×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $977.48 $977.48 1.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $369.87 $369.87 1.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $75.77 $75.77 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $98.24 $98.24 0.5×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $182.86 $182.86 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $164.87 $164.87 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $371.99 $371.99 1.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $426.14 $426.14 1.0×
Simple drainage of abscess of saliva gland (42300) $1,245.09 $1,245.09 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $758.32 $758.32 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $225.32 $225.32 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $237.31 $237.31 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $278.51 $278.51 1.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $336.52 $336.52 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $300.83 $300.83 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $264.73 $264.73 1.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $225.49 $225.49 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $335.07 $335.07 0.8×
Strapping ankle (29540) $51.90 $51.90 0.3×
Strapping shoulder (29240) $53.70 $53.70 0.4×
Strapping unna boot (29580) $278.98 $278.98 1.7×
Tangential biopsy skin single lesion (11102) $218.39 $218.39 0.5×
Trach Tube Change (31502) $249.74 $249.74 1.1×
Trim skin lesion (11055) $108.70 $108.70 0.5×
Trim skin lesions 2 to 4 (11056) $207.46 $207.46 1.0×
Trimming Of Nondystrophic Nails, Any Number (11719) $29.48 $29.48 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,010.04 $1,010.04 1.4×
Tx superficial wound dehiscence w/packing (12021) $473.30 $473.30 1.2×
Vasectomy (55250) $1,060.90 $1,060.90 0.5×
Venipuncture (36415) $33.58 $33.58 3.6×