Procedures & surgery prices at Sanford Jackson Medical Center

Jackson, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,052 $2,565 2.2×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $399.20 $499 2.4×
Application finger splint static (29130) $280 $350 2.0×
Application long arm splint shoulder hand (29105) $416 $520 2.5×
Application Short Arm Splint Dynamic (29126) $279.20 $349 2.0×
Application short arm splint forearm-hand static (29125) $369.60 $462 2.7×
Apply long leg splint (29505) $253.60 $317 1.5×
Apply short leg splint (29515) $306.40 $383 1.8×
Arterial puncture (36600) $152.80 $191 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $536 $670 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $858.40 $1,073 2.7×
Avulsion nail plate partial/complete simple 1 (11730) $421.60 $527 2.0×
Biopsy or excision of lymph node(s); open, superficial (38500) $3,839.20 $4,799 1.0×
Bladder Irrigation Simple (51700) $541.60 $677 2.1×
Blood transfusion service (36430) $1,034.40 $1,293 2.3×
Chemical cautery tissue (17250) $351.20 $439 1.7×
Closed tx ankle dislocation w/o anesthesia (27840) $640 $800 2.5×
Closed Tx Talus Fracture W/Manipulation (28435) $727.20 $909 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $416 $520 1.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $920 $1,150 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $376 $470 1.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,803.20 $2,254 1.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,000 $2,500 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,000 $2,500 1.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $871.20 $1,089 3.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $242.40 $303 1.0×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $968 $1,210 0.6×
Cltx metacarpal fx w/manipulation each bone (26605) $533.60 $667 2.1×
Cltx metatarsophlngl jt dislc w/o anes (28630) $375.20 $469 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $336 $420 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,455.20 $3,069 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $375.20 $469 1.5×
Control Nasal Hemorrhage Anterior Complex (30903) $448.80 $561 3.3×
Control Nasal Hemorrhage Anterior Simple (30901) $387.20 $484 2.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $335.20 $419 2.4×
Debride nail 1-5 (11720) $232 $290 3.8×
Debride nail 6 or more (11721) $241.60 $302 4.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $800 $1,000 1.9×
Declot vascular device (36593) $231.20 $289 0.7×
Destruction Benign Lesions Up To 14 (17110) $228.80 $286 1.1×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $520 $650 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $437.60 $547 0.6×
Drainage Finger Abscess Simple (26010) $438.40 $548 2.1×
Drainage Mouth Roof Lesion (42000) $521.60 $652 2.1×
Drainage of gum lesion (41800) $312 $390 2.3×
Draw blood off venous device (36591) $144 $180 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $588.80 $736 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $212.80 $266 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $208 $260 1.0×
Egd place gastrostomy tube (43246) $2,297.60 $2,872 1.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $748.80 $936 2.4×
Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) $840 $1,050 2.6×
Endovenous rf 1st vein (36475) $7,598.40 $9,498 2.3×
Evacuation of subungual hematoma (11740) $215.20 $269 1.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,600.80 $5,751 1.5×
I&d abscess simple (10060) $329.60 $412 1.6×
Incise external hemorrhoid (46083) $444.80 $556 1.7×
Incision & removal foreign body subq tiss simple (10120) $400 $500 1.0×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $436.80 $546 0.6×
Injection aa&/strd trigeminal nerve each branch (64400) $724.80 $906 2.3×
Injection single/mlt trigger point 1/2 muscles (20552) $456 $570 1.4×
Insert cath pleura w/o image (32556) $1,552.80 $1,941 0.8×
Insert Temp Bladder Cath (51702) $261.60 $327 1.9×
Insert,Non-Indwelling Bladder Catheter (51701) $170.40 $213 1.2×
Intubation endotracheal emergency procedure (31500) $736 $920 3.0×
Irrigation of corpora cavernosa for priapism (54220) $413.60 $517 1.6×
Ligation of hemorrhoid(s) (46221) $1,826.40 $2,283 1.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,100 $1,375 2.6×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $396 $495 1.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,653.60 $2,067 0.4×
Pelvic examination under anesthesia (other than local) (57410) $4,507.20 $5,634 1.3×
Perq replacement gtube not req revj gstrst trc (43762) $440 $550 1.7×
Picc line placement (36569) $2,602.40 $3,253 1.6×
Placement of needle for intraosseous infusion (36680) $484 $605 1.0×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $332 $415 0.8×
Removal foreign body intranasal (30300) $291.20 $364 2.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $195.20 $244 3.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $135.20 $169 2.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $453.60 $567 1.0×
Removal of nail bed (11750) $760 $950 1.8×
Remove foreign body from eye (65235) $212.80 $266 0.1×
Remv Ext Canal Foreign Body (69200) $292.80 $366 2.1×
Remv F.B.,Eye,Superf Conjunc (65205) $383.20 $479 2.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $811.20 $1,014 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $814.40 $1,018 1.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $608 $760 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $436 $545 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $644.80 $806 1.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,247.20 $1,559 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $451.20 $564 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $639.20 $799 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $746.40 $933 1.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $976 $1,220 2.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $266.40 $333 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,936 $2,420 1.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,952.80 $2,441 3.0×
Rpr Lip Full Thickness Vermilion Only (40650) $1,113.60 $1,392 2.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $705.60 $882 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $522.40 $653 2.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $519.20 $649 2.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $570.40 $713 2.8×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $612.80 $766 3.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $474.40 $593 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $557.60 $697 2.7×
Skin sub graft face/nk/hf/g (15275) $3,070.40 $3,838 4.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $507.20 $634 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $680 $850 1.6×
Spinal puncture lumbar diagnostic (62270) $1,299.20 $1,624 1.8×
Strapping unna boot (29580) $380.80 $476 2.3×
Thrombolytic Therapy Stroke (37195) $521.60 $652 1.5×
Trim skin lesion (11055) $186.40 $233 0.9×
Tube thoracostomy includes water seal (32551) $1,389.60 $1,737 0.9×
Unlisted procedure, hands or fingers (26989) $2,334.40 $2,918 9.2×
Us urine capacity measure (51798) $198.40 $248 3.3×
Venipuncture (36415) $24 $30 2.6×