Procedures & surgery prices at Rooks County Health Center

Plainville, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,073.44 $1,431.25 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $699.75 $933 0.8×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $303.75 $405 2.0×
Application Cast Hand & Lower Forearm Gauntlet (29085) $474.19 $632.25 3.2×
Application finger splint static (29130) $271.13 $361.50 2.2×
Application long leg splint thigh ankle/toes (29505) $271.13 $361.50 1.8×
Application of long leg cast (29345) $350.81 $467.75 1.4×
Application short arm splint forearm-hand static (29125) $271.13 $361.50 2.2×
Application short leg splint calf foot (29515) $271.13 $361.50 1.8×
Arterial puncture (36600) $27.94 $37.25 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $470.25 $627 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $648 $864 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $329.62 $439.50 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $767.81 $1,023.75 2.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $447.94 $597.25 1.6×
Avulsion nail plate partial/complete simple 1 (11730) $124.31 $165.75 0.7×
Biopsy bone trocar/needle deep (20225) $1,279.31 $1,705.75 0.8×
Biopsy muscle percutaneous needle (20206) $575.25 $767 0.4×
Biopsy soft tissue leg/ankle area deep (27614) $813.75 $1,085 0.3×
Biopsy soft tissue leg/ankle area superficial (27613) $757.50 $1,010 0.5×
Bladder Instillation Anticarcinogenic Agent (51720) $942 $1,256 1.5×
Bladder Irrigation Simple (51700) $372.56 $496.75 1.6×
Bladder Scan (51798) $87.56 $116.75 1.6×
Blood patch (62273) $686.63 $915.50 1.1×
Blood transfusion service (36430) $642.38 $856.50 1.6×
Bx breast 1st lesion us imag (19083) $1,779.19 $2,372.25 1.2×
Bx/exc lymph node needle superficial (38505) $887.44 $1,183.25 0.6×
Catheter Aspiration Nasotracheal Spx (31720) $798.94 $1,065.25 4.0×
Chemical Cautery Tissue (17250) $393.56 $524.75 2.1×
Chemodenerv 1 extrem 5/> mus (64644) $604.69 $806.25 0.9×
Chemodenerv 1 extremity 1-4 (64642) $483.94 $645.25 0.7×
Chemodenerv Musc Migraine (64615) $492 $656 1.7×
Chemodenerv Musc Neck Dyston (64616) $528.47 $704.62 1.9×
Chest tube placement (32551) $1,413 $1,884 1.0×
Chg Collect Blood From Catheter Venous Nos (36592) $95.82 $127.75 0.8×
Closed tx patellar dislocation w/anesthesia (27562) $2,943 $3,924 13.0×
Closed tx patellar dislocation w/o anesthesia (27560) $1,005 $1,340 4.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $937.69 $1,250.25 4.1×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $486.56 $648.75 2.5×
Debride nail 1-5 (11720) $246.19 $328.25 4.5×
Debride nail 6 or more (11721) $377.25 $503 7.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $304.32 $405.75 0.8×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $326.44 $435.25 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,092.13 $2,789.50 1.4×
Declot vascular device (36593) $102.94 $137.25 0.3×
Destroy cerv/thor facet jnt (64633) $1,459.88 $1,946.50 0.8×
Destroy lumb/sac facet jnt (64635) $1,459.88 $1,946.50 0.8×
Destruction Benign Lesions Up To 14 (17110) $150 $200 0.8×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,095 $1,460 1.3×
Destruction neurolytic agt genicular nerve w/img (64624) $1,459.88 $1,946.50 0.8×
Destruction premalignant lesion 1st (17000) $246.56 $328.75 1.3×
Drain/inj small joint/bursa w/us (20604) $597.38 $796.50 2.1×
Drainage of hematoma/fluid (10140) $1,131.75 $1,509 0.7×
Draw blood off venous device (36591) $112.13 $149.50 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $376.13 $501.50 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $376.13 $501.50 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $376.13 $501.50 2.0×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $225 $300 0.3×
Fetal Contraction Stress Test (59020) $132.19 $176.25 0.7×
Fetal non-stress test (59025) $172.97 $230.62 0.9×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,139.06 $1,518.75 1.7×
Fine needle aspiration without imaging guidance (10021) $437.72 $583.62 1.2×
Gastric Intubation/Aspiration, Therapeutic (43753) $124.31 $165.75 0.6×
I&d abscess simple (10060) $284.63 $379.50 1.5×
I&d pilonidal cyst simple (10080) $1,147.69 $1,530.25 1.8×
Incision & drainage abscess complicated/multiple (10061) $1,078.60 $1,438.12 2.9×
Incision & removal foreign body subq tiss simple (10120) $736.50 $982 2.0×
Inj paravert f jnt c/t 1 lev (64490) $980.44 $1,307.25 1.2×
Inj tendon sheath/ligament (20550) $216.66 $288.88 0.8×
Inj,Anes Agent,Femoral Nerve,Single (64447) $604.04 $805.38 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,085.82 $1,447.75 1.3×
Inject Nerv Blck,Axillary Nerv (64417) $667.32 $889.75 0.8×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $393.19 $524.25 0.6×
Inject Nerv Blck,Intercost,Multpl (64421) $470.44 $627.25 0.6×
Inject Nerv Blck,Intercostal,One (64420) $470.44 $627.25 0.7×
Inject Nerv Blck,Paravert Sympath (64520) $779.63 $1,039.50 1.0×
Inject Tendon Origin/Insert (20551) $234.56 $312.75 0.8×
Injection aa&/strd genicular nrv branches w/img (64454) $1,110.94 $1,481.25 1.7×
Injection aa&/strd sciatic nerve w/img gdn (64445) $607.97 $810.62 0.9×
Injection aa&/strd suprascapular nerve (64418) $610.50 $814 0.9×
Injection anes other peripheral nerve/branch (64450) $1,089.19 $1,452.25 1.7×
Injection single/mlt trigger point 1/2 muscles (20552) $181.50 $242 0.6×
Injection single/mlt trigger point 3/> muscles (20553) $443.63 $591.50 1.6×
Injection therapeutic carpal tunnel (20526) $440.63 $587.50 1.6×
Injection, anesthetic agent; greater occipital nerve (64405) $412.88 $550.50 1.5×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $1,258.13 $1,677.50 4.5×
Insert Drug Implant Device (11981) $168.75 $225 1.4×
Insert non-tunnel cv cath (36556) $1,506.19 $2,008.25 0.5×
Insert Temp Bladder Cath (51702) $173.06 $230.75 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $173.06 $230.75 1.4×
Intubation endotracheal emergency procedure (31500) $142.69 $190.25 0.7×
Liver Biopsy (47000) $869.63 $1,159.50 0.6×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $1,225.88 $1,634.50 3.0×
Nfct ds 22 trgt sars-cov-2 (0223U) $1,287.56 $1,716.75 3.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $937.13 $1,249.50 2.2×
Njx anes stellate ganglion crv sympathetic (64510) $870.75 $1,161 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,199.72 $1,599.62 1.5×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,164.19 $1,552.25 1.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,242.38 $1,656.50 1.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $852.19 $1,136.25 1.0×
Open bone biopsy (20251)
likely a partial charge, not the full procedure
$960.66 $1,280.88 0.1×
Open tx fracture great toe/phalanx/phalanges (28505) $271.13 $361.50 0.1×
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
unusually low: confirm this is the full procedure
$2,731.13 $3,641.50 0.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure
$2,731.13 $3,641.50 0.4×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $1,256.06 $1,674.75 0.4×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $1,280.63 $1,707.50 0.4×
Placement of needle for intraosseous infusion (36680) $93.56 $124.75 0.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,130.25 $1,507 1.7×
Punch biopsy skin single lesion (11104) $462.84 $617.12 1.2×
Puncture Aspiration (10160) $1,082.25 $1,443 2.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $737.81 $983.75 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $18.75 $25 0.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $60 $80 1.1×
Removal of nail bed (11750) $395.72 $527.62 1.1×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $192.19 $256.25 1.0×
Remove drug implant device (11982) $305.06 $406.75 0.7×
Repair Blood Vessel Direct Upper Extremity (35206) $1,836.19 $2,448.25 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $595.13 $793.50 1.4×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $463.50 $618 1.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $150 $200 0.8×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $130.50 $174 0.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $247.50 $330 1.3×
Skin sub graft face/nk/hf/g (15275) $3,040.22 $4,053.62 4.5×
Skin sub graft trnk/arm/leg (15271) $1,943.72 $2,591.62 2.9×
Spinal puncture lumbar diagnostic (62270) $855.19 $1,140.25 1.3×
Strapping unna boot (29580) $446.72 $595.62 3.0×
Tangential biopsy skin single lesion (11102) $166.69 $222.25 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $271.69 $362.25 0.2×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,041.28 $1,388.38 1.8×
Thyroid biopsy (60100) $269.44 $359.25 0.4×
Trim skin lesion (11055) $184.97 $246.62 1.0×
Tx superficial wound dehiscence w/packing (12021) $346.88 $462.50 0.9×
Unlisted procedure foot or toes (28899) $440.63 $587.50 1.9×
Venipuncture (36415) $27.94 $37.25 3.0×