Procedures & surgery prices at South Sunflower County Hospital

Indianola, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $66.06 $134.80 0.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $150.05 $228.82 1.1×
Application Of Rigid Total Contact Leg Cast (29445) $171.73 $298.38 0.7×
Arterial puncture (36600) $122.85 $131.69 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $30.35 $93.32 0.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $37.27 $111.34 0.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $29.68 $89.06 0.1×
Avulsion nail plate partial/complete simple 1 (11730) $46.40 $210.30 0.3×
Blood patch (62273) $96.89 $320.34 0.2×
Blood transfusion service (36430) $407.37 $525.70 1.1×
Change Cystostomy Tube Simple (51705) $44.15 $71.73 0.2×
Chest tube placement (32551) $134.59 $225.75 0.1×
Closed tx ankle dislocation w/o anesthesia (27840) $407.15 $541.68 1.9×
Closed tx knee dislocation w/o anesthesia (27550) $472 $656.31 2.2×
Closed tx patellar dislocation w/o anesthesia (27560) $357.15 $478.68 1.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $28.38 $58.68 0.1×
Clsd tx clavicular fracture w/o manipulation (23500) $219.23 $407.06 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $378.01 $567.13 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $329.26 $594.66 1.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $118.48 $254.96 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $91.63 $172.12 0.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $276.30 $523.38 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $268.62 $546.50 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $290.03 $426.15 1.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $183.09 $265.51 0.9×
Cltx prox fibula/shft fx w/manj (27781) $368.15 $554.32 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $66.92 $113.48 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $512.48 $794.16 0.4×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $453.99 $750 0.3×
Complex Drainage, Wound (10180) $1,420.88 $2,008.91 0.6×
Control Nasal Hemorrhage Anterior Simple (30901) $47.04 $282.16 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $213.70 $352.58 0.6×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $406 $573.79 0.6×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $857.06 $1,319.54 0.6×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $104.12 $242.42 0.1×
Drainage of gum lesion (41800) $167.47 $543.40 1.5×
Drainage of hematoma/fluid (10140) $815.42 $1,184.98 0.6×
Drainage of scrotal wall abscess (55100) $1,525.04 $2,063.25 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $244.43 $413.17 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $94.50 $264.68 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $117.42 $206.61 0.7×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,261.98 $1,895.28 0.7×
Evacuation of subungual hematoma (11740) $28.58 $112.50 0.2×
Exploration penetrating wound spx extremity (20103) $292.62 $478.65 0.2×
Fetal Contraction Stress Test (59020) $186.68 $314.25 1.1×
Fetal non-stress test (59025) $186.68 $300.50 1.1×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $653.87 $953.31 1.1×
Gastric Intubation/Aspiration, Therapeutic (43753) $19.26 $37.25 0.1×
I&d abscess simple (10060) $91.56 $264.68 0.5×
I&d pilonidal cyst simple (10080) $95.30 $869.01 0.2×
Incision & drainage abscess complicated/multiple (10061) $159.01 $471.12 0.5×
Incision & drainage pilonidal cyst complicated (10081) $154.60 $502.80 0.3×
Incision & removal foreign body subq tiss compl (10121) $841.85 $1,280.88 0.6×
Incision & removal foreign body subq tiss simple (10120) $234.16 $374.20 0.7×
Incision and drainage of vulva or perineal abscess (56405) $106.33 $562.96 0.4×
Incision thrombosed hemorrhoid external (46083) $98.01 $383.30 0.5×
Incisional biopsy skin single lesion (11106) $363.24 $556.82 0.6×
Initial tx 1st degree burn local tx (16000) $112.46 $241.35 0.7×
Inj paravert f jnt c/t 1 lev (64490) $88.62 $346 0.1×
Inj tendon sheath/ligament (20550) $31.78 $98.08 0.1×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $28.99 $90.18 0.1×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $47.03 $244.88 0.1×
Inject Tendon Origin/Insert (20551) $31.53 $112.04 0.1×
Injection aa&/strd suprascapular nerve (64418) $45.93 $265.22 0.1×
Injection aa&/strd trigeminal nerve each branch (64400) $43.37 $230.30 0.2×
Injection anes other peripheral nerve/branch (64450) $36.18 $146.54 0.1×
Injection Anes Superior Hypogastric Plexus (64517) $107.23 $344.38 0.1×
Injection single/mlt trigger point 1/2 muscles (20552) $33.46 $102.12 0.1×
Injection single/mlt trigger point 3/> muscles (20553) $38.15 $117.64 0.1×
Injection therapeutic carpal tunnel (20526) $46.14 $141.58 0.2×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $88.60 $195.72 0.3×
Insert non-tunnel cv cath (36556) $2,915.53 $2,795.56 1.1×
Insert picc cath (36569) $1,453.53 $2,109.21 1.1×
Insert Temp Bladder Cath (51702) $21.55 $35.35 0.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,453.53 $1,994 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,915.53 $4,292.49 1.1×
Intubation endotracheal emergency procedure (31500) $126.10 $205.50 0.6×
Liver Biopsy (47000) $1,525.04 $2,155.48 1.1×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $32.92 $56.89 0.1×
Njx anes stellate ganglion crv sympathetic (64510) $65.18 $232.36 0.1×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $63.44 $136.60 0.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,306.04 $158.50 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $76.47 $312.84 0.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $90.34 $451.50 0.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $84.26 $443.06 0.1×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $106.16 $992.37 0.1×
Perq replacement gtube not req revj gstrst trc (43762) $32.40 $424.50 0.2×
Preputial Stretching (54450) $47.87 $126.80 0.2×
Punch biopsy skin single lesion (11104) $205.77 $398.25 0.6×
Puncture Aspiration (10160) $83.81 $238.32 0.2×
Removal fb intranasal (30300) $103.77 $168.82 0.9×
Removal foreign body foot subcutaneous (28190) $118.10 $183.60 0.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $129.71 $394.38 0.1×
Remv Ext Canal Foreign Body (69200) $38.98 $216 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $137.91 $514.16 0.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $160.29 $574.64 0.5×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $352 $847.41 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $245.36 $743.54 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $119.79 $479.56 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $156.35 $564.72 0.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $176.86 $694.96 0.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $122.86 $357.62 0.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $248.11 $597.29 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $114.89 $460 0.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $50.77 $171.75 0.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $52.45 $198 0.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $67.75 $222.50 0.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $84.81 $261 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $41.03 $168.50 0.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $67.27 $211.75 0.4×
Skin sub graft face/nk/hf/g (15275) $381.18 $1,304.07 0.6×
Skin sub graft trnk/arm/leg (15271) $376.54 $1,294.77 0.6×
Skin Sub Grft T/Arm/Lg Child (15273) $1,033.14 $2,353.37 0.6×
Skn sub grft f/n/hf/g child (15277) $1,045.17 $1,467.46 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $53.64 $190.75 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $84.52 $245.50 0.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $102.78 $291.75 0.3×
Spinal puncture lumbar diagnostic (62270) $353.38 $718.58 0.6×
Spinal Puncture Therapeutic (62272) $651.79 $1,197.62 1.1×
Strapping ankle (29540) $150.05 $93.50 1.1×
Strapping knee (29530) $122.85 $138.50 1.1×
Strapping shoulder (29240) $122.85 $149.50 1.1×
Strapping thorax (29200) $150.05 $137.50 1.1×
Strapping unna boot (29580) $150.05 $187.16 1.1×
Treat humerus fracture (24577) $451.18 $650 0.3×
Treatment closed elbow dislocation req anes (24605) $433.32 $883.52 0.3×
Treatment closed elbow dislocation w/o anes (24600) $361.87 $693.92 1.7×
Trim skin lesion (11055) $99.26 $183.47 0.6×
Trim skin lesions 2 to 4 (11056) $102.17 $193.71 0.6×
Trim skin lesions over 4 (11057) $185.26 $264.68 1.1×
Unlisted Procedure Casting/Strapping (29799) $150.05 $148.50 1.1×
Unlisted procedure maternity care & delivery (59899) $186.68 $414.82 1.1×
Venipuncture (36415) $9.34 $25 1.0×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $433 $2,068.41 0.7×