Procedures & surgery prices at Smith County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Application cast elbow finger short arm (29075) $600 $600 2.3×
Application long arm splint shoulder hand (29105) $190.50 $190.50 1.3×
Application Long Leg Splint (29505) $208 $208 1.4×
Application short arm splint forearm-hand static (29125) $177 $177 1.4×
Apply hand/wrist cast (29085) $235 $235 1.6×
Apply Multlay Comprs Lwr Leg (29581) $248 $248 1.7×
Arterial puncture (36600) $103.92 $103.92 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $152–$558.36 $152–$558.36 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $168.86–$559.62 $168.86–$559.62 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $660–$822.50 $660–$822.50 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $440–$525.79 $440–$525.79 varies
Arthroscopy shoulder distal claviculectomy (29824) $5,600 $5,600 1.9×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $13,064 $13,064 2.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $5,970 $5,970 2.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $13,000 $13,000 1.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $218–$305 $218–$305 varies
Bladder Scan (51798) $125 $125 2.3×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $791.91–$841 $791.91–$841 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $113–$326.07 $113–$326.07 varies
Chemodenerv Musc Migraine (64615) $1,202.33 $1,202.33 4.3×
Circumcision Neonate (54160) $287.50 $287.50 0.4×
Circumcision w/clamp/oth dev w/block (54150) $200 $200 0.1×
Clear outer ear canal (69200) $264 $264 2.2×
Closed tx radial shaft fracture w/manipulation (25505) $1,197.50 $1,197.50 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,220 $1,220 5.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,400 $1,400 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $523 $523 2.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $578 $578 2.5×
Collect Blood From Catheter Venous Nos (36592) $222.51 $222.51 1.8×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $4–$20 $4–$20 varies
Colonoscopy w/submucosal inj (45381) $2,028.71 $2,028.71 1.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $3,100 $3,100 11.1×
Control Nasal Hemorrhage Anterior Simple (30901) $225 $225 1.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $437.50 $437.50 3.6×
Cystourethroscopy (52000) $751.20 $751.20 1.2×
Cystourethroscopy inj chemodenervation bladder (52287) $2,329.93 $2,329.93 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $375 $375 0.6×
Debride nail 1-5 (11720) $115 $115 2.1×
Debride nail 6 or more (11721) $125 $125 2.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $396.67–$425.80 $396.67–$425.80 varies
Destroy cerv/thor facet jnt (64633) $3,650 $3,650 2.0×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $2,315.50–$3,749.41 $2,315.50–$3,749.41 varies
Destruct B9 Lesion 1-14 (17110) $189.33 $189.33 1.0×
Destruction Benign Lesions 15/> (17111) $252 $252 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $3,174 $3,174 1.8×
Destruction Premalignant Lesion 15/> (17004) $575 $575 1.5×
Destruction premalignant lesion 1st (17000) $142.90 $142.90 0.8×
Diagnostic sigmoidoscopy (45330) $1,240.80 $1,240.80 1.5×
Drainage of hematoma/fluid (10140) $402.50 $402.50 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $327.50 $327.50 1.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,405.60 $2,405.60 1.4×
Endometrial Biopsy (58100) $1,855 $1,855 10.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $213 $213 0.3×
Exc Back Les Sc < 3 Cm (21930) $762 $762 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $573–$1,100 $573–$1,100 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $255 $255 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $336 $336 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,500–$2,101.61 $1,500–$2,101.61 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,027.16 $2,027.16 3.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $815 $815 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $3,069.43 $3,069.43 2.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $281 $281 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $342 $342 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,560 $1,560 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $6,100 $6,100 2.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,605 $2,605 1.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $478–$1,721.61 $478–$1,721.61 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $444 $444 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $481 $481 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,100 $1,100 1.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 3 matching MRF lines		 $655–$3,483 $655–$3,483 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $470 $470 0.7×
Excision of vaginal cyst or tumor (57135) $10,214.89 $10,214.89 3.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $430 $430 0.3×
Exploration penetrating wound spx extremity (20103) $1,251 $1,251 0.8×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,550 $3,550 1.2×
Fetal non-stress test (59025) $552.48 $552.48 3.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,100 $2,100 2.5×
I&d abscess simple (10060) $237 $237 1.3×
Incise finger tendon sheath (26055) $1,950 $1,950 1.3×
Incision & removal foreign body subq tiss simple (10120) $935.91 $935.91 2.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $3,170.50 $3,170.50 3.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $132–$466.50 $132–$466.50 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $763.13 $763.13 0.9×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $3,200–$5,200 $3,200–$5,200 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,132.50 $1,132.50 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $970.97 $970.97 1.5×
Injection anesthetic agent suprascapular nerve (64418) $793.33 $793.33 1.2×
Injection single tendon origin/insertion (20551) $300 $300 1.1×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $147–$415.37 $147–$415.37 varies
Injection single/mlt trigger point 3/> muscles (20553) $562.50 $562.50 2.0×
Injection therapeutic carpal tunnel (20526) $475 $475 1.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $810.75 $810.75 1.2×
Insert Drug Implant Device (11981) $259 $259 2.1×
Insert pessary/other device (57160) $94 $94 0.5×
Insert Temp Bladder Cath (51702) $222.51 $222.51 1.8×
Insert tunneled cv cath (36561) $5,580 $5,580 1.9×
Insert,Non-Indwelling Bladder Catheter (51701) $125 $125 1.0×
Laparoscopy fulguration oviducts (58670) $5,500 $5,500 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,600 $11,600 2.1×
N block inj intercost sng (64420) $852.50 $852.50 1.3×
N Block Inj Plantar Digit (64455) $735 $735 2.6×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $3,500 $3,500 2.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $40.25 $40.25 1.5×
Needle insertion w/o injection 3 or more muscles (20561) $40.25 $40.25 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,642–$2,981.17 $1,642–$2,981.17 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,568.91 $1,568.91 2.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,418.89 $1,418.89 2.2×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $90–$700 $90–$700 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $689.70–$981.78 $689.70–$981.78 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,200 $1,200 3.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $80–$160 $80–$160 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $109 $109 2.0×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $430–$675 $430–$675 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $406.76 $406.76 2.2×
Remove foreign body from eye (65205) $220.50 $220.50 1.8×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $150–$1,050 $150–$1,050 varies
Remove/Insert Drug Implant (11983) $271 $271 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,050 $1,050 2.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $620 $620 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $477 $477 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $667.85 $667.85 1.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $376–$1,600.63 $376–$1,600.63 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $675 $675 1.8×
Repair of nail bed (11760) $467 $467 0.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $129 $129 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,928.29 $2,928.29 2.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,471.90 $1,471.90 2.6×
Rpr aa hrn 1st 3-10 rdc (49593) $6,218 $6,218 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,400 $6,400 1.2×
Shave skin lesion 0.5 cm/< (11300) $140 $140 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $172 $172 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $158 $158 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $236 $236 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $204 $204 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $380 $380 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $552.76 $552.76 3.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $314 $314 1.7×
Skin sub graft face/nk/hf/g (15275) $5,211.67 $5,211.67 7.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $523.80 $523.80 2.8×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $625–$1,250 $625–$1,250 varies
Tangential biopsy skin single lesion (11102) $282.50 $282.50 0.8×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,450 $1,450 1.0×
Trim skin lesion (11055) $380 $380 2.1×
Tx superficial wound dehiscence w/packing (12021) $331.91 $331.91 0.9×
Vaginal delivery only (59409) $1,099.98 $1,099.98 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,719.20 $1,719.20 0.9×

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.