Procedures & surgery prices at Rochelle Community Hospital

Rochelle, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,752 $2,752 2.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,752 $2,752 2.8×
Anoscopy diagnostic (46600) $279 $279 2.0×
Application cast elbow finger short arm (29075) $350 $350 1.2×
Application finger splint static (29130) $350 $350 2.5×
Application long arm splint shoulder hand (29105) $350 $350 2.0×
Application Long Leg Splint (29505) $350 $350 2.0×
Application of cylinder cast (thigh to ankle) (29365) $350 $350 1.2×
Application of long leg cast (29345) $350 $350 1.2×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $61–$99 $61–$99 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $61–$99 $61–$99 varies
Apply hand/wrist cast (29085) $350 $350 2.0×
Apply long arm cast (29065) $350 $350 1.2×
Apply Short Leg Cast (29405) $350 $350 1.2×
Apply short leg cast (29425) $350 $350 1.2×
Arterial puncture (36600) $144 $144 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $722 $722 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $326–$339 $326–$339 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,416 $1,416 4.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $660 $660 2.0×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $1,102–$1,764 $1,102–$1,764 varies
Aspirate Pleura W/O Imaging (32554) $1,069 $1,069 1.6×
Aspiration bladder insert suprapubic catheter (51102) $279 $279 0.1×
Avulsion nail plate partial/complete simple 1 (11730) $200 $200 0.9×
Biopsy Abdominal Mass (49180) $2,836 $2,836 1.6×
Biopsy muscle percutaneous needle (20206) $4,886 $4,886 2.8×
Biopsy of liver, needle; percutaneous (47000) $2,954 $2,954 1.7×
Bladder Irrigation (51700) $496 $496 1.9×
Bladder Scan (51798) $210 $210 3.3×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $1,169–$1,194 $1,169–$1,194 varies
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,811–$2,897 $1,811–$2,897 varies
Bx breast 1st lesion us imag (19083) $6,451 $6,451 3.6×
Catheter aspiration nasotracheal spx (31720) $770 $770 3.3×
Change Cystostomy Tube Simple (51705) $279 $279 1.0×
Chest tube placement (32551) $1,635 $1,635 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $536 $536 0.3×
Clear outer ear canal (69200) $181 $181 1.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $536 $536 2.0×
Closed Treatment Ulnar Styloid Fracture (25650) $536 $536 2.0×
Closed tx ankle dislocation w/o anesthesia (27840) $536 $536 2.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $536 $536 0.3×
Closed Tx Knee Dislocation W/Anesthesia (27552) $536 $536 0.3×
Closed tx knee dislocation w/o anesthesia (27550) $536 $536 2.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $536 $536 0.3×
Closed tx patellar dislocation w/o anesthesia (27560) $536 $536 2.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $536 $536 2.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,984 $1,984 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $536–$680 $536–$680 varies
Closed tx talotarsal joint dislc w/o anes (28570) $536 $536 2.0×
Closed tx tarsometatarsal dislocation w/o anes (28600) $536 $536 2.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $490 $490 1.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $536 $536 0.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $536 $536 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $536 $536 2.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $536 $536 0.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $536 $536 0.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $536 $536 2.0×
Cltx dstl fibular fx lat malls w/manj (27788) $536 $536 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $536 $536 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $536 $536 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $536 $536 2.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $536 $536 0.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $536 $536 0.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $350 $350 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $536 $536 2.0×
Cltx hip dislocation traumatic req anesthesia (27252) $536 $536 0.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $536 $536 2.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $536 $536 2.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $536 $536 1.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $536 $536 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $536 $536 2.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $536 $536 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $536 $536 2.0×
Cltx post hip arthrp dislc req anes (27266) $2,974 $2,974 1.7×
Cltx post hip arthrp dislc w/o anes (27265) $595 $595 2.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $536 $536 2.0×
Cltx tibial shaft fx w/o manipulation (27750) $536 $536 2.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $536 $536 0.3×
Collect Blood From Catheter Venous Nos (36592) $84 $84 0.6×
Collection of venous blood by venipuncture (36415) $36 $36 3.9×
Complex drainage wound (10180) $181 $181 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $536 $536 3.8×
Control Nasal Hemorrhage Anterior Simple (30901) $58 $58 0.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $6,153 $6,153 3.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $536 $536 3.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $279 $279 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $279 $279 0.6×
Declot vascular device (36593) $231 $231 0.7×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025)
range across 2 matching MRF lines		 $536–$811 $536–$811 varies
Delivery of placenta (59414) $1,637 $1,637 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $279 $279 0.4×
Drainage Finger Abscess Complicated (26011) $412 $412 0.2×
Drainage of finger abscess simple (26010) $412 $412 1.9×
Drainage of gum lesion (41800) $409 $409 2.9×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $181–$540 $181–$540 varies
Drainage of scrotal wall abscess (55100) $412 $412 0.2×
Draw Blood Off Venous Device (36591) $144 $144 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $536 $536 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $209 $209 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $209 $209 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $184 $184 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $2,484 $2,484 3.3×
Epidural Blood Patch (62273) $1,421 $1,421 1.9×
Evacuation of subungual hematoma (11740) $181 $181 1.3×
Exploration penetrating wound spx extremity (20103) $536 $536 0.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,938 $3,938 5.2×
Fine needle aspiration without imaging guidance (10021) $144 $144 0.3×
Fna bx w/us gdn 1st les (10005) $2,698 $2,698 3.6×
I&d abscess peritonsillar (42700) $409 $409 1.6×
I&d abscess simple (10060) $181 $181 0.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $412 $412 0.1×
I&d perianal abscess superficial (46050) $409 $409 0.4×
I&d pilonidal cyst simple (10080) $181 $181 0.2×
Image Cath Fluid Colxn Visc (49405) $5,769 $5,769 3.3×
Image Cath Fluid Peri/Retro (49406) $7,853 $7,853 4.4×
Image Cath Fluid Trns/Vgnl (49407) $7,853 $7,853 4.4×
Incise external hemorrhoid (46083) $536 $536 2.0×
Incision & drainage abscess complicated/multiple (10061) $181 $181 0.4×
Incision & removal foreign body subq tiss compl (10121) $181 $181 0.1×
Incision & removal foreign body subq tiss simple (10120) $181 $181 0.4×
Incision and drainage of bartholin's gland abscess (56420) $412 $412 1.9×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $181–$522 $181–$522 varies
Initial Tx 1st Degree Burn Local Tx (16000) $184 $184 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $536 $536 1.6×
Injection aa&/strd axillary nerve w/img gdn (64417) $2,053 $2,053 2.2×
Injection for identification of sentinel node (38792) $3,561 $3,561 8.3×
Injection, anesthetic agent; brachial plexus, single (64415) $2,053 $2,053 2.2×
Injection, anesthetic agent; femoral nerve, single (64447) $2,053 $2,053 2.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $2,053 $2,053 2.7×
Insert cath pleura w/ image (32557) $6,555 $6,555 3.9×
Insert non-tunnel cv cath (36556) $1,069 $1,069 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,069 $1,069 0.6×
Insert Temp Bladder Cath (51702) $198 $198 1.4×
Insert tunneled cv cath (36561) $1,069 $1,069 0.3×
Insert,Non-Indwelling Bladder Catheter (51701) $198 $198 1.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,572 $2,572 1.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,069 $1,069 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,572 $2,572 1.5×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $1,069 $1,069 0.3×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $543 $543 1.2×
Intubation endotracheal emergency procedure (31500) $1,635 $1,635 6.4×
Irrigation of corpora cavernosa for priapism (54220) $412 $412 1.5×
Laryngoscopy diagnostic (31505) $536 $536 2.5×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $536 $536 2.5×
Nasal/Orogastric W/Tube Plmt (43752) $614 $614 1.3×
Needle Biopsy Lymph Nodes (38505) $2,149 $2,149 1.2×
Needle Biopsy Pancreas (48102) $3,119 $3,119 1.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $129 $129 4.2×
Needle insertion w/o injection 3 or more muscles (20561) $250 $250 8.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,199 $1,199 2.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $144–$956 $144–$956 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,134 $4,134 1.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $11,281 $11,281 2.9×
Open Tx Distal Phalangeal Fracture Each (26765) $536 $536 0.2×
Percut Drain/Inject Renal Cyst (50390) $1,382 $1,382 1.8×
Pericardiocentesis W/Imaging (33016) $1,430 $1,430 0.8×
Perq dev breast 1st us imag (19285) $7,749 $7,749 10.2×
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $873–$1,400 $873–$1,400 varies
Placement of needle for intraosseous infusion (36680) $1,069 $1,069 2.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $181 $181 0.4×
Puncture Aspiration Cyst Breast (19000) $1,635 $1,635 2.2×
Removal Embedded Foreign Body Eyelid (67938) $279 $279 0.8×
Removal Foreign Body Foot Subcutaneous (28190) $179 $179 0.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $795 $795 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $58–$92 $58–$92 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $58–$93 $58–$93 varies
Removal of foreign body from pharynx (42809) $536 $536 1.1×
Removal of nail bed (11750) $181 $181 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $179 $179 0.8×
Remove foreign body from eye (65205) $144 $144 1.0×
Remove Intrauterine Device (58301) $279 $279 0.9×
Remove Nasal Foreign Body (30300) $181 $181 1.3×
Remove Shoulder Foreign Body (23330) $536 $536 0.3×
Renal Biopsy Perq (50200) $3,730 $3,730 2.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $543 $543 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $543 $543 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $543 $543 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $543 $543 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $543 $543 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $543 $543 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $543 $543 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $543 $543 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $543 $543 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $472 $472 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $543 $543 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $543 $543 1.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $543 $543 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $543 $543 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $472 $472 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $472 $472 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $472 $472 0.6×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $543 $543 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $543 $543 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $472 $472 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $472 $472 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $543 $543 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $472 $472 1.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $543 $543 0.2×
Repair of nail bed (11760) $181 $181 0.2×
Repair tongue laceration (41252) $536 $536 2.1×
Repair tongue laceration (41250) $490 $490 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $181 $181 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $279 $279 2.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $181 $181 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $197 $197 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $209 $209 0.3×
Rplc Gtube No Revj Trc (43762) $279 $279 1.0×
Rplc gtube revj gstrst trc (43763) $279 $279 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $490 $490 2.3×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $1,999 $1,999 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $543 $543 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $490 $490 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $472 $472 2.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $472 $472 2.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $490 $490 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $472 $472 2.2×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $490 $490 2.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $425 $425 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $490 $490 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $425 $425 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $425 $425 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $490 $490 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $490 $490 1.1×
Spinal puncture lumbar diagnostic (62270) $1,867 $1,867 2.5×
Thrombolytic Therapy Stroke (37195) $1,069 $1,069 3.0×
Thyroid biopsy (60100) $2,112 $2,112 2.8×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,455 $1,455 5.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,902 $1,902 1.1×
Treat Knuckle Dislocation (26700) $536 $536 2.0×
Treat Thumb Dislocation (26641) $536 $536 2.0×
Treat Thumb Fracture (26645) $536 $536 0.3×
Treat toe dislocation (28630) $536 $536 2.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $536 $536 0.3×
Treatment closed elbow dislocation w/o anes (24600) $536 $536 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $425 $425 0.5×
Vaginal delivery only (59409) $3,174 $3,174 0.9×
Wedge excision skin nail fold (11765) $536 $536 1.2×

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.