Procedures & surgery prices at Sheridan County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,204 $1,204 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,180 $1,180 1.4×
Amputation toe interphalangeal joint (28825) $7,771 $7,771 2.6×
Amputation Toe Metatarsophalangeal Joint (28820) $341 $341 0.1×
Application cast elbow finger short arm (29075) $727 $727 2.8×
Application Cast Hand & Lower Forearm Gauntlet (29085) $732 $732 4.9×
Application finger splint static (29130) $371 $371 3.0×
Application long arm splint shoulder hand (29105) $446 $446 3.0×
Application long leg splint thigh ankle/toes (29505) $364 $364 2.4×
Application short arm splint forearm-hand static (29125) $375 $375 3.1×
Application short leg splint calf foot (29515) $371 $371 2.5×
Apply short leg cast (29405) $540 $540 2.1×
Arterial puncture (36600) $130.50 $130.50 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $511 $511 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $711 $711 2.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $557.50 $557.50 2.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $538 $538 1.9×
Aspirat/Injection Ganglion Cyst(S) (20612) $293 $293 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $175 $175 0.9×
Bladder Irrigation Simple (51700) $486 $486 2.1×
Bladder Scan (51798) $104 $104 1.9×
Blood transfusion service (36430) $812 $812 2.0×
Catheter Aspiration Nasotracheal Spx (31720) $1,247 $1,247 6.2×
Change Cystostomy Tube Simple (51705) $208 $208 0.9×
Chemical Cautery Tissue (17250) $857 $857 4.6×
Chest tube placement (32551) $1,642 $1,642 1.1×
Chg Collect Blood From Catheter Venous Nos (36592) $233 $233 1.9×
Closed Rx Med Malleolus Fx (27760) $2,437 $2,437 10.7×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $2,225 $2,225 1.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,323 $1,323 5.8×
Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) $3,671 $3,671 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $1,328 $1,328 5.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $2,370 $2,370 10.4×
Closed tx knee dislocation w/anesthesia (27552) $1,746 $1,746 1.2×
Closed tx knee dislocation w/o anesthesia (27550) $1,314 $1,314 5.8×
Closed tx metatarsal fracture w/o manipulation (28470) $2,818 $2,818 12.4×
Closed tx nasal fracture w/o stabilization (21315) $2,820 $2,820 2.0×
Closed tx patellar dislocation w/o anesthesia (27560) $1,280 $1,280 5.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,410 $1,410 6.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,747 $1,747 1.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $2,370 $2,370 10.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,246 $1,246 5.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $2,241 $2,241 9.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,336 $2,336 1.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $833 $833 3.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,249 $1,249 5.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,310 $1,310 5.8×
Cltx metacarpal fx w/manipulation each bone (26605) $1,443 $1,443 6.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $727 $727 3.2×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $1,986 $1,986 8.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,787 $1,787 7.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,615 $1,615 7.1×
Colonoscopy flex w/rem forcep (45384) $2,637 $2,637 2.4×
Colonoscopy w/ablation (45388) $2,902 $2,902 2.6×
Colsc flx with directed submucosal njx any sbst (45381) $2,637 $2,637 2.4×
Control Nasal Hemorrhage Anterior Simple (30901) $754 $754 6.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $560 $560 4.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $607.50 $607.50 1.6×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $518 $518 0.8×
Declot vascular device (36593) $321 $321 1.1×
Destruction Benign Lesions Up To 14 (17110) $1,622 $1,622 8.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $175 $175 0.9×
Diagnostic sigmoidoscopy (45330) $1,661 $1,661 1.9×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $1,234 $1,234 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,320 $1,320 2.0×
Drainage of gum lesion (41800) $1,681 $1,681 13.7×
Drainage of scrotal wall abscess (55100) $1,444 $1,444 1.0×
Draw blood off venous device (36591) $236 $236 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $691 $691 3.7×
Egd balloon dilation esophagus <30 mm diam (43249) $3,298 $3,298 1.9×
Egd place gastrostomy tube (43246) $2,345 $2,345 1.3×
Endoscopic us exam esoph (43237) $2,345 $2,345 1.3×
Esophagoscopy Retro Balloon (43213) $1,586 $1,586 0.9×
Evacuation of subungual hematoma (11740) $389 $389 3.2×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $192 $192 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,745 $2,745 4.2×
Exc tr-ext b9+marg 0.5 cm or less (11400) $960 $960 1.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,854 $3,854 2.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $248 $248 0.2×
Excision of nail fold toe (11765) $1,113 $1,113 3.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $902 $902 0.3×
Exploration penetrating wound spx extremity (20103) $1,444 $1,444 1.0×
Fetal Contraction Stress Test (59020) $668 $668 3.6×
Fetal non-stress test (59025) $668 $668 3.6×
Fine needle aspiration without imaging guidance (10021) $1,305 $1,305 3.5×
I&d abscess simple (10060) $620 $620 3.4×
I&d pilonidal cyst simple (10080) $1,558 $1,558 2.4×
Incise finger tendon sheath (26055) $1,774 $1,774 1.2×
Incision & drainage abscess complicated/multiple (10061) $620 $620 1.7×
Incision & removal foreign body subq tiss simple (10120) $1,774 $1,774 4.7×
Incision thrombosed hemorrhoid external (46083) $216 $216 0.9×
Inj paravert f jnt c/t 1 lev (64490) $793 $793 1.0×
Inj tendon sheath/ligament (20550) $262 $262 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,027 $1,027 1.3×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $629 $629 2.2×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $620 $620 1.0×
Inject Nerv Blck,Intercostal,One (64420) $518.50 $518.50 0.8×
Inject Nerv Blck,Paravert Sympath (64520) $821 $821 1.0×
Inject scleros soln in hemorrhoids (46500) $799 $799 0.9×
Inject Tendon Origin/Insert (20551) $262 $262 0.9×
Injection aa&/strd genicular nrv branches w/img (64454) $833 $833 1.3×
Injection aa&/strd trigeminal nerve each branch (64400) $569 $569 2.0×
Injection anes other peripheral nerve/branch (64450) $1,426 $1,426 2.2×
Injection single/mlt trigger point 1/2 muscles (20552) $517 $517 1.8×
Injection, anesthetic agent; greater occipital nerve (64405) $552 $552 2.0×
Insert picc cath (36569) $2,704 $2,704 1.9×
Insert Temp Bladder Cath (51702) $135 $135 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $135 $135 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,704 $2,704 1.9×
Intubation endotracheal emergency procedure (31500) $471 $471 2.2×
Laparoscopy Tubal Cautery (58670) $9,396 $9,396 1.7×
Late closure of wound (13160) $956 $956 0.3×
Ligation of hemorrhoid(s) (46221) $2,647 $2,647 3.1×
Ligation or biopsy temporal artery (37609) $1,444 $1,444 1.0×
Musculoskeletal surgery (20999) $36 $36 0.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $152 $152 0.4×
Njx anes stellate ganglion crv sympathetic (64510) $1,204 $1,204 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $926.50 $926.50 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,240 $1,240 1.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,232.50 $1,232.50 1.9×
Partical Excision Bone Phalanx Toe (28124) $4,195 $4,195 1.4×
Perq replacement gtube not req revj gstrst trc (43762) $745 $745 3.2×
Placement of needle for intraosseous infusion (36680) $1,521 $1,521 3.7×
Punch biopsy skin single lesion (11104) $1,291 $1,291 3.5×
Puncture Aspiration (10160) $1,478 $1,478 4.0×
Puncture Aspiration Cyst Breast (19000) $956 $956 1.5×
Removal fb intranasal (30300) $1,510 $1,510 12.3×
Removal foreign body foot subcutaneous (28190) $3,117 $3,117 4.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $831 $831 15.3×
Removal Implant Deep (20680) $987 $987 0.4×
Removal Implant Superficial Separate Procedure (20670) $1,544 $1,544 1.0×
Removal of nail bed (11750) $958 $958 2.6×
Remv Ext Canal Foreign Body (69200) $400 $400 3.3×
Remv F.B.,Eye,Superf Conjunc (65205) $540 $540 4.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,237 $1,237 3.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $907 $907 2.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $4,021 $4,021 10.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,386 $1,386 3.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,448 $1,448 3.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $817 $817 2.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,080 $1,080 2.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $6,509 $6,509 17.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,550 $1,550 4.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $2,347 $2,347 6.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $2,394 $2,394 6.4×
Repair of hammertoe (28286) $3,252 $3,252 1.1×
Repair of nail bed (11760) $612 $612 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $864 $864 2.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,946 $2,946 2.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $2,456 $2,456 4.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $175 $175 0.9×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $1,672 $1,672 2.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,615 $1,615 4.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $707 $707 3.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $783 $783 4.2×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $3,068 $3,068 8.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $707 $707 3.8×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $1,615 $1,615 8.8×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $3,068 $3,068 16.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $620 $620 3.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $3,068 $3,068 16.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $858 $858 4.7×
Skin sub graft face/nk/hf/g (15275) $8,444 $8,444 12.4×
Skin sub graft trnk/arm/leg (15271) $5,671 $5,671 8.3×
Skin Tissue Procedure (17999) $471 $471 2.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $681 $681 3.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,615 $1,615 4.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $3,068 $3,068 8.2×
Strapping unna boot (29580) $555 $555 3.7×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,658 $1,658 1.1×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,825 $1,825 3.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,482 $1,482 2.6×
Trach Tube Change (31502) $255 $255 1.2×
Treatment closed elbow dislocation req anes (24605) $1,986 $1,986 1.3×
Treatment closed elbow dislocation w/o anes (24600) $1,615 $1,615 7.1×
Trim skin lesion (11055) $478 $478 2.6×
Trim skin lesions 2 to 4 (11056) $576 $576 3.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $559 $559 0.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $455 $455 0.5×
Venipuncture (36415) $27.50 $27.50 2.9×