Procedures & surgery prices at Roseland Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $905.56 $1,964.80–$2,110 0.9×
Amputation metatarsal with toe single (28810) $6,839.40 $7,710 2.0×
Application short leg splint calf foot (29515) $95 $375 0.5×
Apply Short Leg Cast (29405) $225.69 $640 0.8×
Arterial puncture (36600) $94.28 $304 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $308.97 $706 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $308.97 $706 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $575.85 $277.21–$695 1.8×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $1,250.40 $1,479–$1,576.25 1.9×
Avulsion nail plate partial/complete simple 1 (11730) $83.37 $477 0.4×
Biopsy Abdominal Mass (49180) $905.56 $3,834 0.5×
Biopsy bone open superficial (20240) $2,246 $6,769 0.7×
Biopsy bone trocar/needle deep (20225) $2,246 $3,834 1.3×
Biopsy Bone Trocar/Needle Superficial (20220) $857.07 $3,834 0.5×
Biopsy external ear (69100) $212.62 $582 0.8×
Biopsy of liver, needle; percutaneous (47000) $905.56 $3,834 0.5×
Biopsy soft tissue neck/thorax (21550) $2,906.04 $3,862 1.6×
Bladder Scan (51798) $108.16 $147 1.7×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $506.81 $935–$1,043 1.1×
Bx breast 1st lesion strtctc (19081) $1,669.70 $3,834 0.9×
Bx breast 1st lesion us imag (19083) $1,669.70 $3,834 0.9×
Catheter aspiration nasotracheal spx (31720) $72.29 $508 0.3×
Cerclage cervix pregnancy vaginal (59320) $2,125.76 $7,447 0.6×
Change Cystostomy Tube Simple (51705) $108.16 $589 0.4×
Change of Windpipe Airway (31502) $212.62 $582 0.8×
Chest tube placement (32551) $1,250.40 $3,815 0.7×
Circumcision Neonate (54160) $2,473.58 $1,627 3.3×
Circumcision w/clamp/oth dev w/block (54150) $2,473.58 $4,852 1.1×
Cl Tx Scapular Fx; W Manip (23575) $577.30 $3,828 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $577.30 $3,828 0.3×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 — $16–$304 —
Closed tx ankle dislocation w/o anesthesia (27840) $577.30 $562 2.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $577.30 $3,828 0.3×
Closed tx carpal scaphoid fracture w/manj (25624) $577.30 $3,828 0.3×
Closed tx knee dislocation w/o anesthesia (27550) $577.30 $562 2.2×
Closed tx patellar dislocation w/o anesthesia (27560) $577.30 $562 2.2×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $577.30 $562 2.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $212.62 $562 0.8×
Clsd tx acromioclavicular dislc w/manipulation (23545) $577.30 $562 2.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,211.37 $3,828 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $577.30 $562 2.2×
Cltx dstl fibular fx lat malls w/manj (27788) $577.30 $562 2.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $577.30 $562 2.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $577.30 $3,828 0.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $577.30 $562 2.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $577.30 $3,828 0.3×
Cltx hip dislocation traumatic req anesthesia (27252) $1,211.37 $3,828 0.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,211.37 $640 4.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $577.30 $562 2.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,211.37 $3,838 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $577.30 $562 2.2×
Cltx post hip arthrp dislc w/o anes (27265) $577.30 $562 2.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $577.30 $562 2.2×
Collection of venous blood by venipuncture (36415) $3.43 $21.43 0.4×
Colonoscopy thru stoma (44388) $1,236.88 $2,177 1.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,917.03 $7,447 0.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,236.88 $2,811 1.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,917.03 $7,447 0.8×
Control Nasal Hemorrhage Anterior Simple (30901) $212.62 $304 1.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $479.14 $1,496 1.1×
Debride nail 1-5 (11720) $83.37 $145.70 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $479.14 $1,496 1.1×
Destruct B9 Lesion 1-14 (17110) $207.21 $477 1.0×
Diagnostic sigmoidoscopy (45330) $1,236.88 $372 1.2×
Dilation & curettage dx&/ther nonobstetric (58120) $2,917.03 $7,447 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $212.62 $1,676 0.3×
Drainage of finger abscess simple (26010) $207.21 $477 1.0×
Drainage of gum lesion (41800) $212.62 $304 1.5×
Drainage of hematoma/fluid (10140) $1,346.39 $3,862 0.8×
Dressing Change Under Anesthesia (15852) $228.76 $30 0.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,501.69 $1,675.90 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $479.14 $950 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $228.76 $298 1.1×
Dx gastr intub w/asp spec (43754) — $748 —
Egd place gastrostomy tube (43246) $1,210.47 $4,532 0.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,517.91 $3,862 0.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $527.72 $1,676 0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,517.91 $3,862 0.9×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,517.91 $3,862 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,517.91 $3,862 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,517.91 $3,862 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $527.72 $1,676 0.7×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,243.66 $6,768 0.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,243.66 $3,862 1.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,243.66 $3,862 1.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,906.04 $3,862 1.6×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $2,246 $562–$6,768 0.7×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,637.43 $3,828 1.0×
Excision of pilonidal cyst or sinus; simple (11770) $1,517.91 $6,768 0.5×
Excision olecranon bursa (24105) $2,132.43 $7,710 0.6×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,246 $6,768 0.7×
Exploration of knee joint (27310) $3,926.24 $7,710 1.1×
Exploration penetrating wound spx extremity (20103) $479.14 $3,862 0.3×
Fetal non-stress test (59025) $242.91 $475 1.1×
Fine needle aspiration without imaging guidance (10021) $857.07 $250 2.0×
I&d abscess simple (10060) $207.21 $477 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,246 $6,768 0.7×
I&d perianal abscess superficial (46050) $1,805.07 $2,177 1.8×
I&d pilonidal cyst simple (10080) $207.21 $1,676 0.3×
Image Cath Fluid Colxn Visc (49405) $905.56 $3,834 0.5×
Incision & removal foreign body subq tiss simple (10120) $207.21 $950 0.5×
Incision and drainage of bartholin's gland abscess (56420) $265.17 $475 1.2×
Incision and drainage of vulva or perineal abscess (56405) $265.17 $764 0.8×
Incisional biopsy skin single lesion (11106) $527.72 $1,496 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $958.82 $2,171 1.0×
Injection for identification of sentinel node (38792) $461.21 $994 1.1×
Injection single/mlt trigger point 3/> muscles (20553) $308.97 $706 0.9×
Ins endovas vena cava filtr (37191) $4,624.13 $13,142 0.8×
Insert cath pleura w/ image (32557) $1,250.40 $3,804 0.7×
Insert cath pleura w/o image (32556) $1,250.40 $4,532 0.6×
Insert Gastrostomy Tube Percutaneous (49440) $488.25 $4,532 0.2×
Insert non-tunnel cv cath (36556) $1,377.13 $7,617 0.4×
Insert Temp Bladder Cath (51702) $108.16 $322.25 0.8×
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $1,250.40 $9,056–$9,057 0.3×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $2,659.52 $7,593 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,659.52 $7,593 0.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $479.14 $954 1.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $479.14 $954 1.1×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $4,624.13 $13,335 0.8×
Intubation endotracheal emergency procedure (31500) $882.12 $582 3.5×
Laparoscopy fulguration oviducts (58670) $5,316.98 $13,744 0.8×
Laparoscopy w/rmvl adnexal structures (58661) $5,316.98 $13,744 0.8×
Late closure of wound (13160) $1,274.65 $4,413 0.3×
Ligation of hemorrhoids (46946) $1,805.07 $6,688 0.6×
Mech remov tunneled cv cath (36595) $925.11 $7,617 0.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $500.68 $1,113 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $958.82 $2,171 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $958.82 $1,647 1.3×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $958.82 $1,647 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $958.82 $1,647 1.3×
Open Treatment Medial Malleolus Fracture (27766) $6,620.83 $17,041 0.9×
Perq device breast 1st imag (19281) $1,669.70 $3,834 0.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $7,754.24 $27,143 0.6×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,837.70 $4,742 0.8×
Proctopexy Perineal Approach (45541) $2,823.38 $6,688 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $207.21 $950 0.5×
Redo Endovas Vena Cava Filtr (37192) $4,624.13 $7,617 1.4×
Reduction of rectal prolapse (45900) $1,805.07 $2,177 1.8×
Rem Endovas Vena Cava Filter (37193) $4,624.13 $7,617 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209) — $146 —
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) — $200 —
Removal of nail bed (11750) $527.72 $950 1.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $207.21 $477 1.0×
Remove foreign body from eye (65235) $1,264.82 $5,551 0.5×
Remove Tendon Sheath Lesion (26160) $1,637.43 $3,828 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $527.72 $1,496 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $527.72 $1,496 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $527.72 $954 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $527.72 $1,496 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $527.72 $1,496 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $527.72 $1,496 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $527.72 $1,496 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $527.72 $1,496 0.7×
Repair extensor tendon finger w/o graft each (26418) $1,637.43 $3,828 1.0×
Repair Finger/Hand Tendon (26350) $1,637.43 $7,710 0.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $4,422.60 $8,241 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $479.14 $954 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $479.14 $954 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $479.14 $954 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $479.14 $954 1.1×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $479.14 $954 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $479.14 $1,496 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $479.14 $950 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $479.14 $950 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $479.14 $1,496 0.6×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $479.14 $4,413 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $479.14 $950 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $479.14 $950 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $479.14 $950 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $479.14 $1,496 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $479.14 $763 1.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $479.14 $4,413 0.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $5,891.93 $17,041 0.8×
Revise hernia & sperm veins (55540) $2,473.58 $8,241 0.6×
Revj/rpr oprative wound anterior segment (66250) $1,264.82 $5,566 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $925.11 $3,815 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $925.11 $1,479 1.4×
Rplc Gtube No Revj Trc (43762) $488.25 $589 1.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,659.52 $7,617 0.8×
Rpr blood vessel direct lower extremity (35226) $2,628.88 $1,676 3.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $228.76 $477 1.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $479.14 $14,965 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $212.62 $1,311 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $228.76 $950 0.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $228.76 $477 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $228.76 $477 1.1×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $228.76 $764 0.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $228.76 $477 1.1×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $228.76 $462 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $228.76 $462–$477 1.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $228.76 $386 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $228.76 $477 1.1×
Skin Tissue Procedure (17999) $207.21 $477 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $228.76 $477 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $228.76 $950 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $228.76 $764 0.5×
Strapping Unna Boot (29580) $225.69 $233 1.3×
Thyroid biopsy (60100) $857.07 $1,659 1.1×
Treat Knuckle Dislocation (26700) $577.30 $562 2.2×
Treat Thumb Fracture (26645) $577.30 $3,828 0.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,211.37 $4,001 0.7×
Treatment closed elbow dislocation w/o anes (24600) $577.30 $562 2.2×
Trluml Balo Angiop 1St Vein (37248) $4,624.13 $13,335 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,170.29 $7,948.83 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $479.14 $1,496 0.6×
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $479.14 $763–$1,486 1.1×
Unlisted procedure anus (46999) $1,805.07 $2,177 1.8×
Unlisted Procedure External Ear (69399) $212.62 $582 0.8×
Unlisted procedure humerus/elbow (24999) $577.30 $562 2.2×
Unlisted procedure lungs and pleura (32999) $1,250.40 $1,496 1.9×
Unlisted Procedure Muscskeletal System General (20999) $1,637.43 $562 6.2×
Unlisted Procedure Trachea Bronchi (31899) $2,249.33 $472 10.5×
Vasc Embolize/Occlude Organ (37243) $13,425.43 $27,143 1.1×
Venous Cutdown >1 Y/O (36425) $94.28 $155 0.2×

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.