Procedures & surgery prices at Southern Tennessee Regional Health System - Pulaski

Pulaski, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $494.47 $1,687.62 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $149.16 $509.09 0.2×
Amputation Toe Metatarsophalangeal Joint (28820) $5,948.07 $20,300.59 1.9×
Application finger splint static (29130) $312.63 $1,066.98 2.5×
Application long arm splint shoulder hand (29105) $318.51 $1,087.07 2.1×
Application long leg splint thigh ankle/toes (29505) $53.56 $183.75 0.3×
Application short arm splint forearm-hand static (29125) $317.59 $1,083.92 2.5×
Application short leg splint calf foot (29515) $53.56 $183.75 0.3×
Arterial puncture (36600) $78.68 $268.54 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $412.65 $1,408.35 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $430.29 $1,468.55 1.5×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $13,588.72 $46,377.88 2.0×
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $4,934.34 $16,840.76 1.6×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $8,080.82 $27,579.59 2.6×
Arthroscopy, knee, surgical; with lateral release (29873) $7,917.56 $27,022.38 2.5×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $7,745.38 $26,434.74 2.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $3,882.17 $13,249.74 0.6×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $8,525.98 $29,098.90 2.7×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $6,046.58 $20,636.79 1.9×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $3,193.68 $10,899.95 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $11,999.52 $40,953.98 1.7×
Avulsion nail plate partial/complete simple 1 (11730) $244.79 $835.45 1.3×
Biopsy or excision of lymph node(s); open, superficial (38500) $3,663.92 $12,504.84 1.0×
Biopsy/removal lymph nodes (38525) $5,350.18 $18,260.01 1.4×
Bladder Irrigation Simple (51700) $318.99 $1,088.72 1.3×
Bladder Scan (51798) $281.97 $962.37 5.0×
Blood transfusion service (36430) $622.53 $2,124.69 1.5×
Bx breast 1st lesion strtctc (19081) $1,142.85 $3,900.51 0.7×
Bx breast 1st lesion us imag (19083) $1,050.39 $3,584.96 0.7×
Bx/exc lymph node needle superficial (38505) $954.90 $3,259.05 0.6×
Cataract surgery complex (66982) $2,969.38 $10,134.39 1.4×
Chest tube placement (32551) $116.26 $396.80 0.1×
Chromotubation of oviduct, including materials (58350) $3,064.36 $10,458.57 0.6×
Circum 28 days or older (54161) $7,090.01 $24,197.98 3.6×
Circumcision (54150) $224.93 $767.67 0.1×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $17,388.05 $59,344.87 11.4×
Closed tx knee dislocation w/anesthesia (27552) $1,306.70 $4,459.72 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $340.55 $1,162.29 1.5×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,044.69 $3,565.49 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $344.69 $1,176.43 0.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $632.90 $2,160.08 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $244.79 $835.45 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $890.54 $3,039.37 3.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $314.73 $1,074.15 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $288.72 $985.38 0.2×
Colonoscopy flex w/rem forcep (45384) $2,666.03 $9,099.07 2.3×
Conization of cervix (57522) $6,518.82 $22,248.54 2.1×
Control Nasal Hemorrhage Anterior Complex (30903) $15.94 $54.40 0.1×
Control Nasal Hemorrhage Anterior Simple (30901) $217.27 $741.55 1.7×
Cysto Bladder W/Ureteral Catheterization (52005) $13,804.37 $47,113.89 7.0×
Cysto W/Simple Removal Stone & Stent (52310) $5,123.60 $17,486.68 2.6×
Cysto/uretero w/lithotripsy (52356) $5,942.09 $20,280.16 1.2×
Cystoscopy,insert ureteral stent (52332) $3,067.89 $10,470.63 0.9×
Cystourethroscopy w/dil bladder general anesth (52260) $5,563.42 $18,987.78 2.8×
Cystourethroscopy with direct vision internal urethrotomy (52276) $3,371.10 $11,505.46 1.7×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $5,338.73 $18,220.91 1.6×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $7,893.11 $26,938.94 2.9×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $6,942.74 $23,695.35 10.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,876.37 $9,816.97 7.5×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $5,033.90 $17,180.53 7.2×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $5,390.45 $18,397.43 3.4×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $503.54 $1,718.56 0.6×
Dilation & curettage dx&/ther nonobstetric (58120) $5,403.09 $18,440.57 1.8×
Drainage of gum lesion (41800) $531.69 $1,814.64 4.2×
Draw blood off venous device (36591) $22.98 $78.42 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $8.26 $28.20 0.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $490.46 $1,673.92 2.6×
Dstrj lesion anus simple surg excision (46922) $7,072.46 $24,138.08 2.7×
Egd flexible foreign body removal (43247) $1,042.32 $3,557.40 1.2×
Endoscopic Injection/Implant (51715) $5,155.15 $17,594.36 1.5×
Evacuation of subungual hematoma (11740) $317.59 $1,083.92 2.5×
Exc abd les sc 3 cm/> (22903) $13,397.31 $45,724.60 4.9×
Exc face les sbq 2 cm/> (21012) $5,489.26 $18,734.68 3.5×
Exc hand les sc < 1.5 cm (26115) $2,554.58 $8,718.70 1.6×
Exc shoulder les sc 3 cm/> (23071) $5,206.91 $17,771.01 3.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $3,367.85 $11,494.36 2.1×
Exc thigh/knee tum dep 5cm/> (27339) $5,917.80 $20,197.27 2.1×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $6,519.71 $22,251.58 2.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $4,687.63 $15,998.75 1.7×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $12,631.70 $43,111.62 4.6×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $4,276.36 $14,595.09 1.6×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $4,902.67 $16,732.66 3.2×
Excision Breast Lesion (19125) $8,861.18 $30,242.94 2.4×
Excision Lingual Frenum Frenectomy (41115) $3,771.65 $12,872.54 2.6×
Excision of lesion other than skin tag </= 0.5 cm (11420) $2,008.22 $6,853.99 1.3×
Excision Synovial Cyst Popliteal Space (27345) $4,934.34 $16,840.76 1.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,541.48 $15,499.94 2.9×
Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) $11,005.59 $37,561.74 4.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $4,276.36 $14,595.09 1.6×
Exploration of knee joint (27310) $8,186.46 $27,940.13 2.6×
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) $5,216.13 $17,802.50 1.0×
Fetal Contraction Stress Test (59020) $460.84 $1,581.28 2.4×
Fetal non-stress test (59025) $326.52 $1,120.40 1.7×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $494.77 $1,688.62 0.7×
Fixation of knee joint (27570) $4,548.50 $15,523.90 3.0×
Hysteroscopy ablation (58563) $7,628.93 $26,037.32 1.6×
Hysteroscopy biopsy (58558) $6,473.93 $22,095.31 2.1×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,628.19 $12,382.89 1.2×
I&d abscess simple (10060) $470.35 $1,605.28 2.5×
I&d pilonidal cyst simple (10080) $654.49 $2,233.77 1.0×
Incise finger tendon sheath (26055) $4,900.23 $16,724.32 3.2×
Incision & drainage abscess complicated/multiple (10061) $475.60 $1,623.22 1.2×
Incision & drainage pilonidal cyst complicated (10081) $2,038.52 $6,957.41 3.0×
Incision & removal foreign body subq tiss simple (10120) $594.34 $2,028.47 1.5×
Incision and drainage of bartholin's gland abscess (56420) $4,315.22 $14,727.73 22.5×
Incision extensor tendon sheath wrist (25000) $4,986 $17,017.06 3.3×
Initial tx 1st degree burn local tx (16000) $337.09 $1,150.48 1.8×
Inj,Anes Agent,Brachial Plexus,Single (64415) $4,723.55 $16,121.32 5.6×
Inj,Anes Agent,Femoral Nerve,Single (64447) $4,679.59 $15,971.31 7.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $458.20 $1,563.83 0.5×
Inject Nerv Blck,Intercost,Multpl (64421) $967.48 $3,301.99 1.2×
Injection aa&/strd trigeminal nerve each branch (64400) $604.86 $2,064.36 2.1×
Injection anes other peripheral nerve/branch (64450) $34.75 $118.60 0.1×
Injection for identification of sentinel node (38792) $5,350.18 $18,260.01 14.1×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $9,832.94 $33,559.52 1.0×
Insert non-tunnel cv cath (36556) $800.56 $2,732.30 0.3×
Insert picc cath (36569) $1,470.25 $5,017.93 1.0×
Insert Temp Bladder Cath (51702) $388.45 $1,325.77 3.1×
Insert tun ip cath perc (49418) $3,134.06 $10,696.46 0.9×
Insert tunneled cv cath (36561) $7,471.50 $25,499.99 2.5×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
unusually low: confirm this is the full procedure
$7,278.53 $24,841.41 0.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $4,591.95 $15,672.20 0.6×
Intubation endotracheal emergency procedure (31500) $433.01 $1,477.84 1.9×
Lap ing hernia repair init (49650) $13,984.42 $47,728.41 2.4×
Laparoscopy appendectomy (44970) $8,713.17 $29,737.78 1.5×
Laparoscopy Remove Adnexa (58661) $8,962.80 $30,589.76 1.6×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,442.49 $39,052.87 2.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $6,564.28 $22,403.70 1.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $8,065.95 $27,528.85 1.4×
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) $19,839.85 $67,712.81 2.0×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $14,351.77 $48,982.14 2.1×
Litholapaxy smpl/sm <2.5 cm (52317) $3,342.72 $11,408.62 1.0×
Mastectomy partial (19301) $4,494.91 $15,341 1.2×
Mastectomy simple complete (19303) $20,601.62 $70,312.70 3.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $452.93 $1,545.83 0.7×
Open rx distal radius fx, intra-articular, 2 frag (25608) $11,145.21 $38,038.27 1.6×
Open Treatment Bimalleolar Ankle Fracture (27814) $5,523.44 $18,851.35 0.8×
Open Treatment Medial Malleolus Fracture (27766) $7,961.41 $27,172.04 1.2×
Open treatment of ulnar styloid fracture (25652) $5,526.16 $18,860.62 0.8×
Open Treatment Radial Shaft Fracture (25515) $16,934.21 $57,795.94 2.5×
Open tx carpal scaphoid navicular fracture (25628) $10,398.51 $35,489.80 1.5×
Open Tx Distal Phalangeal Fracture Each (26765) $7,595.43 $25,922.97 2.4×
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) $10,372.69 $35,401.67 1.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,990.77 $6,794.42 0.6×
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) $5,523.44 $18,851.35 0.8×
Open tx phalangeal shaft fracture prox/middle ea (26735) $11,062.10 $37,754.60 3.6×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $5,809.01 $19,825.96 1.9×
Perq dev breast 1st strtctc (19283) $648.96 $2,214.87 1.0×
Perq device breast 1st imag (19281) $648.96 $2,214.87 0.4×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $120.36 $410.80 0.1×
Perq replacement gtube not req revj gstrst trc (43762) $93.77 $320.05 0.4×
Placement of needle for intraosseous infusion (36680) $622.68 $2,125.18 1.5×
Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) $8,028.31 $27,400.38 1.4×
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) $5,789.76 $19,760.29 1.0×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561) $4,087.56 $13,950.71 0.7×
Puncture Aspiration (10160) $593.71 $2,026.32 1.5×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) $9,353.57 $31,923.46 1.4×
Removal fb intranasal (30300) $288.72 $985.38 2.3×
Removal foreign body foot subcutaneous (28190) $34.75 $118.60 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $320.94 $1,095.37 5.7×
Removal Implant Deep (20680) $14,746.41 $50,329.04 5.3×
Removal Implant Superficial Separate Procedure (20670) $8,841.37 $30,175.34 5.6×
Removal of kneecap (27350) $8,491.70 $28,981.92 1.2×
Removal/bivalving full arm/full leg cast (29705) $29.54 $101.85 0.1×
Remove in/ex hem groups 2+ (46260) $9,931.92 $33,897.35 3.8×
Remove renal tube w/fluoro (50389) $2,255.27 $7,697.16 3.4×
Remove wrist tendon lesion (25111) $4,478.95 $15,286.51 2.9×
Remv Ext Canal Foreign Body (69200) $317.59 $1,083.92 2.5×
Remv F.B.,Eye,Superf Conjunc (65205) $295.83 $1,009.65 2.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $115.56 $394.40 0.3×
Repair elbow deb/attch open (24359) $6,022.59 $20,554.93 1.9×
Repair extensor tendon finger w/o graft each (26418) $1,990.77 $6,794.42 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $616.43 $2,103.87 1.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $647.40 $2,209.56 1.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $645.38 $2,202.65 1.7×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $12,323.32 $42,059.12 1.8×
Revise median n/carpal tunnel surg (64721) $5,475.89 $18,689.04 3.0×
Revise ulnar nerve at elbow (64718) $7,024.51 $23,974.42 3.8×
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) $18,889.81 $64,470.34 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $365.36 $1,246.95 0.9×
Rpr aa hernia 1st 3-10 cm reducible (49593) $11,673.22 $39,840.33 1.9×
Rpr aa hernia 1st < 3 cm reducible (49591) $8,516.31 $29,065.91 2.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,869.11 $6,379.21 4.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $591.99 $2,020.46 3.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $622.99 $2,126.26 3.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $615.70 $2,101.37 3.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $1,280.01 $4,368.62 6.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $587.51 $2,005.16 3.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,912.79 $6,528.28 10.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $656.40 $2,240.26 3.4×
Skin sub graft face/nk/hf/g (15275) $2,876.37 $9,816.97 4.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $605.86 $2,067.77 3.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $2,674.60 $9,128.34 6.9×
Spinal puncture lumbar diagnostic (62270) $904.28 $3,086.27 1.3×
Strapping knee (29530) $39.18 $134.40 0.3×
Strapping unna boot (29580) $88.36 $346.19 0.6×
Tenotomy elbow lateral/medial debride open (24358) $2,817.17 $9,614.93 0.9×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,404.45 $4,842.92 2.4×
Thrombolytic Therapy, Stroke (37195) $588.71 $2,009.26 1.9×
Total hip arthroplasty (27130) $25,589.63 $87,336.61 2.1×
Total knee arthroplasty (27447) $22,556.95 $76,986.19 1.9×
Treat ectopic pregnancy (59151) $6,727.77 $22,961.66 1.2×
Treat Finger Fracture Each (26727) $2,086.04 $7,119.59 0.7×
Treat fx rad extra-articul (25607) $9,361.70 $31,951.19 1.4×
Treat radius fracture (24665) $15,572.77 $53,149.39 2.3×
Treat ulnar fracture (24685) $12,055.58 $41,145.34 1.8×
Treatment closed elbow dislocation w/o anes (24600) $335.57 $1,145.28 1.4×
Treatment of ankle fracture (27822) $7,133.70 $24,347.11 1.0×
Treatment of ankle fracture (27792) $10,501.95 $35,842.85 1.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,607.19 $5,485.28 2.3×
Unlisted laparoscopic procedure liver (47379) $5,904.91 $20,153.27 1.0×
Unlisted laparoscopy px abd pertoneum & omentum (49329) $5,510.54 $18,807.29 1.0×
Unlisted Procedure Dentoalveolar Structures (41899) $7,573.66 $25,848.67 33.7×
Unlisted procedure femur or knee (27599) $8,027.88 $27,398.92 34.3×
Unlisted procedure foot or toes (28899) $5,208.84 $17,777.61 22.2×
Unlisted procedure leg/ankle (27899) $14,746.41 $50,329.04 63.0×
Unlisted procedure shoulder (23929) $6,246.60 $21,319.46 26.7×
Unlisted procedure, forearm or wrist (25999) $10,083.01 $34,412.99 43.1×
Unlisted procedure, hands or fingers (26989) $4,996.28 $17,052.16 21.3×
Vasectomy (55250) $5,345.09 $18,242.62 2.7×
Venipuncture (36415) $22.98 $78.42 2.5×