Procedures & surgery prices at Shoshone Medical Center

Kellogg, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,157.25 $1,543 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $767.25 $1,023 0.9×
Anoscopy diagnostic (46600) $106.50 $142 0.8×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $362.25 $483 2.3×
Application cast elbow finger short arm (29075) $174.75 $233 0.6×
Application Cast Finger (29086) $114 $152 0.7×
Application cast shoulder hand long arm (29065) $178.50 $238 0.6×
Application Finger Splint Dynamic (29131) $185.25 $247 3.2×
Application finger splint static (29130) $153 $204 1.2×
Application long arm splint shoulder hand (29105) $228 $304 1.4×
Application of long leg cast (29345) $183.75 $245 0.7×
Application of rigid total contact leg cast (29445) $357 $476 1.3×
Application Short Arm Splint Dynamic (29126) $201.75 $269 1.5×
Application short arm splint forearm-hand static (29125) $208.50 $278 1.6×
Apply Hand/Wrist Cast (29085) $103.50 $138 0.6×
Apply long leg splint (29505) $226.50 $302 1.4×
Apply short leg cast (29405) $172.50 $230 0.6×
Apply short leg cast (29425) $196.50 $262 0.7×
Apply short leg splint (29515) $213 $284 1.3×
Arterial puncture (36600) $130.50 $174 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $279 $372 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $412.50 $550 1.4×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,677 $2,236 0.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,064 $2,752 1.3×
Aspirate pleura w/ imaging (32555) $1,131.38 $1,508.50 1.8×
Aspirate/Inj Ganglion Cyst (20612) $135 $180 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $186.38 $248.50 0.9×
Bladder Irrigation Simple (51700) $266.25 $355 1.1×
Blepharotomy drain absc eyelid (67700) $348.75 $465 1.1×
Blood transfusion service (36430) $1,312.50 $1,750 3.0×
Bx breast 1st lesion us imag (19083) $1,917 $2,556 1.2×
Change of cystostomy tube simple (51705) $337.50 $450 1.4×
Chemical cautery tissue (17250) $250.50 $334 1.3×
Closed Treat Vert Body Fract (22310) $315.75 $421 1.3×
Closed treatment of fracture of orbit, except blowout; without manipulation (21400) $393.75 $525 0.7×
Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) $429.75 $573 0.3×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $157.50 $210 0.6×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $729.75 $973 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $495 $660 2.0×
Closed tx ankle dislocation w/o anesthesia (27840) $396 $528 1.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $571.50 $762 0.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $168.75 $225 0.7×
Closed tx lunate dislocation w/manipulation (25690) $1,147.50 $1,530 0.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $393.75 $525 0.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $646.50 $862 0.4×
Closed tx nasal fracture w/o stabilization (21315) $1,070.25 $1,427 0.7×
Closed tx patellar dislocation w/o anesthesia (27560) $340.50 $454 1.4×
Closed tx radial head/neck fx w/manipulation (24655) $4,449 $5,932 2.8×
Closed tx radial shaft fracture w/manipulation (25505) $735 $980 0.5×
Closed tx radial&ulnar shaft fractures w/manj (25565) $724.50 $966 0.5×
Closed Tx Talus Fracture W/Manipulation (28435) $508.50 $678 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $312.75 $417 1.3×
Clsd tx clavicular fracture w/o manipulation (23500) $230.25 $307 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $951 $1,268 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $422.25 $563 1.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $485.25 $647 0.3×
Cltx dstl fibular fx lat malls w/manj (27788) $468 $624 1.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $345 $460 1.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $278.25 $371 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $657.75 $877 0.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $574.50 $766 0.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $328.50 $438 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $309 $412 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $236.25 $315 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $567 $756 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $409.50 $546 1.7×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,147.50 $1,530 0.7×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $420 $560 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $303 $404 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $327 $436 1.3×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $632.25 $843 0.4×
Cltx metacarpal fx w/manipulation each bone (26605) $421.50 $562 1.7×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $348 $464 1.4×
Cltx metatarsophlngl jt dislc w/o anes (28630) $242.25 $323 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $327 $436 1.3×
Cltx post hip arthrp dislc req anes (27266) $1,242 $1,656 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $396.75 $529 1.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,017.75 $1,357 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $168.75 $225 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $681.75 $909 0.4×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $465 $620 0.3×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $461.25 $615 0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $300 $400 1.2×
Control Nasal Hemorrhage Anterior Simple (30901) $93.75 $125 0.7×
Control Oropharyngeal Hemorrhage Simple (42960) $341.25 $455 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $243.75 $325 1.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $323.25 $431 0.8×
Debride nail 1-5 (11720) $66.75 $89 1.1×
Debride nail 6 or more (11721) $81 $108 1.4×
Debride tissue/muscle (11043) $918 $1,224 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $624.75 $833 1.6×
Declot vascular device (36593) $560.25 $747 1.7×
Destruction Benign Lesions Up To 14 (17110) $121.50 $162 0.6×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $179.25 $239 0.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $195.75 $261 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $158.25 $211 0.8×
Destruction Premalignant Lesion 15/> (17004) $231 $308 0.6×
Destruction premalignant lesion 1st (17000) $92.25 $123 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $286.50 $382 0.4×
Drainage Finger Abscess Complicated (26011) $1,218.75 $1,625 0.7×
Drainage Finger Abscess Simple (26010) $264 $352 1.3×
Drainage of abscess; submaxillary or sublingual, intraoral (42310) $393.75 $525 0.7×
Drainage of gum lesion (41800) $282.75 $377 2.2×
Drainage of hematoma/fluid (10140) $1,716 $2,288 1.1×
Drainage of scrotal wall abscess (55100) $1,011 $1,348 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $339 $452 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $318 $424 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $254.25 $339 1.3×
Evacuation of subungual hematoma (11740) $113.25 $151 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $432.75 $577 0.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,208.25 $1,611 0.7×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $524.62 $699.50 0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,205.25 $1,607 0.7×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $665.25 $887 1.0×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $311.25 $415 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $761.25 $1,015 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,906.50 $2,542 1.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $433.50 $578 1.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $471 $628 0.7×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $504.75 $673 0.7×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $756 $1,008 1.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,080 $1,440 0.7×
Expl penetrating wound spx abdomen/flank/back (20102) $1,478.25 $1,971 0.7×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $3,781.50 $5,042 2.4×
Exploration penetrating wound spx extremity (20103) $1,030.50 $1,374 0.6×
Fine needle aspiration without imaging guidance (10021) $270 $360 0.7×
I&D Abscess Peritonsillar (42700) $386.25 $515 1.7×
I&d abscess simple (10060) $312.75 $417 1.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,037.50 $4,050 1.1×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,024.25 $2,699 0.6×
I&d pilonidal cyst simple (10080) $323.25 $431 0.5×
I&d vulva/perineal abscess (56405) $357.75 $477 1.2×
Incise external hemorrhoid (46083) $274.50 $366 1.1×
Incision & drainage abscess complicated/multiple (10061) $365.25 $487 0.9×
Incision & removal foreign body subq tiss simple (10120) $341.62 $455.50 0.9×
Incision and drainage of bartholin's gland abscess (56420) $315 $420 1.6×
Incision and drainage perianal abscess superficial (46050) $750.75 $1,001 0.8×
Incision and drainage, complex, postoperative wound infection (10180) $2,745.75 $3,661 1.0×
Initial tx 1st degree burn local tx (16000) $181.50 $242 0.9×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $642 $856 0.9×
Injection aa&/strd trigeminal nerve each branch (64400) $405 $540 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $321.75 $429 1.1×
Injection single/mlt trigger point 3/> muscles (20553) $303 $404 1.0×
Insert cath pleura w/o image (32556) $972.75 $1,297 0.5×
Insert non-tunnel cv cath (36556) $1,240.50 $1,654 0.4×
Insert Temp Bladder Cath (51702) $163.50 $218 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $133.50 $178 1.0×
Intro Gastrointestinal Tube (44500) $519 $692 0.6×
Intubation endotracheal emergency procedure (31500) $438 $584 1.9×
Myelography via lumbar injection rs&i thoracic (62303) $1,761.75 $2,349 2.3×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $319.50 $426 0.7×
Needle insertion w/o injection 3 or more muscles (20561) $45 $60 1.6×
Occipital Nerve Block (64405) $453.75 $605 1.5×
Picc line placement (36569) $1,394.25 $1,859 0.9×
Placement of needle for intraosseous infusion (36680) $261.75 $349 0.6×
Punch biopsy skin single lesion (11104) $241.50 $322 0.6×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $326.62 $435.50 0.8×
Removal Foreign Body Deep Thigh/Knee (27372) $4,302 $5,736 1.5×
Removal foreign body foot subcutaneous (28190) $762.75 $1,017 1.1×
Removal foreign body intranasal (30300) $144.75 $193 1.1×
Removal foreign body muscle/tendon sheath simple (20520) $1,138.50 $1,518 0.7×
Removal foreign body pharynx (42809) $222.75 $297 0.5×
Removal foreign body shoulder subcutaneous (23330) $821.25 $1,095 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $72 $96 1.2×
Removal Implantable Contraceptive Capsules (11976) $351 $468 0.5×
Removal of arm foreign body (24200) $789.75 $1,053 0.5×
Removal of embedded foreign body, eyelid (67938) $319.50 $426 1.0×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $248.25 $331 0.6×
Removal of iud (58301) $187.50 $250 0.6×
Removal of nail bed (11750) $395.25 $527 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $121.88 $162.50 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $191.25 $255 0.7×
Remv Ext Canal Foreign Body (69200) $144 $192 1.1×
Remv F.B.,Eye,Superf Conjunc (65205) $165.75 $221 1.3×
Repair achilles tendon (27650)
likely a partial charge, not the full procedure
$513 $684 0.1×
Repair blood vessel direct hand finger (35207) $2,100 $2,800 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $579.75 $773 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $700.50 $934 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $489.75 $653 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $684 $912 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $549.75 $733 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $660 $880 1.6×
Repair extensor tendon finger w/o graft each (26418) $1,618.50 $2,158 1.0×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $394.50 $526 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $422.25 $563 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $431.25 $575 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $411.75 $549 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $435.75 $581 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $540 $720 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $334.50 $446 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $377.25 $503 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $450 $600 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $579.75 $773 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $383.25 $511 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $475.50 $634 1.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $714 $952 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $479.25 $639 1.2×
Repair of nail bed (11760) $476.25 $635 0.7×
Repair recurrent inguinal hernia, any age; reducible (49520) $5,069.25 $6,759 1.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,992.75 $2,657 0.6×
Repair tongue laceration (41252) $480.75 $641 2.1×
Repair Tongue Laceration (41250) $233.25 $311 0.5×
Repeat control of nosebleed (30906) $243.75 $325 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $146.25 $195 1.1×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $131.25 $175 0.3×
Rpr Blood Vessel Direct Lower Extremity (35226) $623.25 $831 0.9×
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $2,634.75 $3,513 0.8×
Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) $1,816.50 $2,422 0.6×
Shave skin lesion 0.5 cm/< (11300) $105.75 $141 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $123.75 $165 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $135 $180 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $123 $164 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $204.75 $273 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $108 $144 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $132 $176 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $132 $176 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $339 $452 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $286.50 $382 1.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $299.25 $399 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $300 $400 1.5×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $351 $468 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $269.25 $359 1.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $381.75 $509 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $302.25 $403 1.5×
Skin sub graft face/nk/hf/g (15275) $1,352.25 $1,803 1.9×
Skin sub graft trnk/arm/leg (15271) $1,277.25 $1,703 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $294.38 $392.50 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $351.75 $469 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $332.25 $443 0.8×
Spinal puncture lumbar diagnostic (62270) $709.50 $946 1.0×
Spinal Puncture Therapeutic (62272) $666.75 $889 1.0×
Strapping shoulder (29240) $159 $212 1.2×
Strapping unna boot (29580) $218.25 $291 1.4×
Tangential biopsy skin single lesion (11102) $182.25 $243 0.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $760.50 $1,014 1.2×
Tracheostomy emergency cricothyroid membrane (31605) $458.25 $611 2.0×
Treat clavicle fracture (23505) $1,147.50 $1,530 0.7×
Treat Metatarsal Fracture (28475) $467.25 $623 1.9×
Treatment closed elbow dislocation req anes (24605) $1,149.75 $1,533 0.7×
Treatment closed elbow dislocation w/o anes (24600) $393.75 $525 1.6×
Trim skin lesion (11055) $142.50 $190 0.7×
Trim skin lesions 2 to 4 (11056) $130.50 $174 0.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $51 $68 0.9×
Tube thoracostomy includes water seal (32551) $906.75 $1,209 0.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,518.50 $3,358 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $679.50 $906 0.9×
Venipuncture (36415) $21.75 $29 2.3×