Procedures & surgery prices at St. Andrews Health Center - Cah

Bottineau, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,824 $2,027 2.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,824–$1,825 $2,027–$2,028 varies
Application cast elbow finger short arm (29075) $539 $599 1.9×
Application Finger Splint Dynamic (29131) $128 $142 2.1×
Application finger splint static (29130) $239 $265 1.8×
Application long arm splint shoulder hand (29105) $309 $343 1.9×
Application Long Leg Cast Walker/Ambulatory Type (29355) $539 $599 1.9×
Application Long Leg Splint (29505) $309 $343 1.9×
Application of cylinder cast (thigh to ankle) (29365) $539 $599 1.9×
Application of long leg cast (29345) $539 $599 1.9×
Application short arm splint forearm-hand static (29125) $243 $270 1.8×
Application short leg splint calf foot (29515) $309 $343 1.9×
Apply hand/wrist cast (29085) $309 $343 1.9×
Apply long arm cast (29065) $539 $599 1.9×
Apply Short Leg Cast (29405) $539 $599 1.9×
Apply short leg cast (29425) $539 $599 1.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $167–$566 $185–$629 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,353 $1,503 1.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $396–$566 $440–$629 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $558 $620 1.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $159–$566 $177–$629 varies
Aspirate pleura w/ imaging (32555) $1,101 $1,223 1.7×
Aspirate Pleura W/O Imaging (32554) $1,101 $1,223 1.7×
Aspirate/Inj Ganglion Cyst (20612) $195 $217 0.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $360–$378 $400–$420 varies
Biopsy of upper nose/throat (42806) $72 $80 0.0×
Bladder Irrigation (51700) $561 $623 2.2×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $932–$978 $1,035–$1,087 varies
Change of Windpipe Airway (31502) $431 $479 1.8×
Chemical Cautery Tissue (17250) $276 $307 1.3×
Chest tube placement (32551) $2,858 $3,176 1.8×
Cl Tx Tib Shft Fx W Manip (27752) $3,003 $3,337 1.8×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $280–$283 $311–$314 varies
Closed tx ankle dislocation w/o anesthesia (27840) $514 $571 2.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,003 $3,337 1.8×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,967 $3,297 1.8×
Closed tx knee dislocation w/o anesthesia (27550) $536 $595 2.1×
Closed tx metatarsal fracture w/o manipulation (28470) $678 $753 2.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,924 $3,249 1.8×
Closed tx patellar dislocation w/o anesthesia (27560) $514 $571 2.0×
Closed tx radial head/neck fx w/manipulation (24655) $3,003 $3,337 1.8×
Closed tx radial shaft fracture w/manipulation (25505) $3,003 $3,337 1.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,003 $3,337 1.8×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $3,003 $3,337 1.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,151 $1,279 4.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $3,003 $3,337 1.8×
Clsd tx clavicular fracture w/o manipulation (23500) $514 $571 2.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,003 $3,337 1.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $514 $571 2.0×
Cltx dstl fibular fx lat malls w/manj (27788) $536 $595 2.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $981 $1,090 3.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $581 $646 2.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,050 $1,167 4.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,967 $3,297 1.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $3,003 $3,337 1.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $514 $571 2.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $306 $340 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $492–$536 $547–$595 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,967 $3,297 1.8×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $772 $858 3.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $514 $571 2.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $514 $571 2.0×
Cltx Med Ankle Fx W/Mnpj (27762) $2,967 $3,297 1.8×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $438–$536 $487–$595 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $936 $1,040 3.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $514 $571 2.0×
Cltx prox fibula/shft fx w/o manj (27780) $964 $1,071 3.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $514 $571 2.0×
Collect Blood From Catheter Venous Nos (36592) $203 $226 1.5×
Collection of venous blood by venipuncture (36415) $17 $19 1.8×
Complex drainage wound (10180) $5,084 $5,649 1.7×
Control Nasal Hemorrhage Anterior Complex (30903) $302 $336 2.2×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $227–$487 $252–$541 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $302 $336 2.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $431 $479 1.8×
Delivery of placenta (59414) $5,591 $6,212 1.7×
Destruct B9 Lesion 1-14 (17110) $351 $390 1.7×
Destruction Benign Lesions 15/> (17111) $410 $456 2.0×
Destruction premalignant lesion 1st (17000) $203 $226 1.0×
Drain/inj small joint/bursa w/us (20604) $558 $620 1.8×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $530–$2,940 $589–$3,267 varies
Draw Blood Off Venous Device (36591) $203 $226 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $720 $800 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $378 $420 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $263–$378 $292–$420 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $173–$233 $192–$259 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $398 $442 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $834 $927 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $446 $495 0.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $497 $552 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $376 $418 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $619 $688 0.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $535 $594 0.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $868 $964 1.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $788 $875 1.1×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $378–$380 $420–$422 varies
I&d pilonidal cyst simple (10080) $1,296 $1,440 1.8×
Incise external hemorrhoid (46083) $653 $726 2.6×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $653–$720 $725–$800 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $473–$720 $525–$800 varies
Initial Tx 1st Degree Burn Local Tx (16000) $378 $420 1.8×
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $730–$798 $811–$887 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $172–$558 $191–$620 varies
Injection single tendon origin/insertion (20551) $125 $139 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $566 $629 1.8×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $194–$558 $215–$620 varies
Injection therapeutic carpal tunnel (20526) $242 $269 0.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $170 $189 0.2×
Insert Bladder Cath Complex (51703) $303 $337 2.3×
Insert cath pleura w/o image (32556) $3,305 $3,672 1.7×
Insert Temp Bladder Cath (51702) $238 $264 1.8×
Insert,Non-Indwelling Bladder Catheter (51701) $238 $264 1.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $720 $800 1.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $720 $800 1.7×
Intubation endotracheal emergency procedure (31500) $431 $479 1.8×
N Block Inj Plantar Digit (64455) $189 $210 0.6×
Placement of needle for intraosseous infusion (36680) $890 $989 2.0×
Punch biopsy skin single lesion (11104) $401 $445 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $720 $800 1.7×
Puncture Aspiration Cyst Breast (19000) $319 $354 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $146–$154 $162–$171 varies
Removal of nail bed (11750) $720 $800 1.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $276–$378 $307–$420 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $170–$288 $189–$320 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $227–$637 $252–$708 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,092 $1,213 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,092 $1,213 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $720 $800 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,092 $1,213 2.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,092 $1,213 2.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,092 $1,213 2.6×
Repair complex trunk 1.1-2.5 cm (13100) $1,092 $1,213 1.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,092 $1,213 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $720 $800 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $720 $800 1.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $720 $800 1.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $720 $800 1.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $720 $800 1.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,092 $1,213 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $720 $800 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $720 $800 1.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,092 $1,213 1.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $3,571 $3,968 1.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $720 $800 1.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $720 $800 1.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $720 $800 1.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,092 $1,213 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $720 $800 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,571 $3,968 1.7×
Repair of nail bed (11760) $1,092 $1,213 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $378 $420 1.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,092 $1,213 1.4×
Shave skin lesion 0.5 cm/< (11300) $318 $353 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $367 $408 1.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $334 $371 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $449 $499 2.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $433 $481 2.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $383 $426 1.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $483 $537 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $438 $487 2.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $720 $800 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $352–$378 $391–$420 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $378 $420 1.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $720 $800 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $378 $420 1.8×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $378 $420 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $290–$378 $322–$420 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $378 $420 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $378–$409 $420–$454 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $352–$378 $391–$420 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $720 $800 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $720 $800 1.7×
Strapping Unna Boot (29580) $309 $343 1.9×
Tangential biopsy skin single lesion (11102) $320 $355 0.8×
Tracheostomy Emergency Cricothyroid Membrane (31605) $881 $979 3.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,751 $3,057 1.7×
Treat Humerus Fracture (24505) $3,003 $3,337 1.8×
Treat Knuckle Dislocation (26700) $536 $595 2.1×
Treat Metatarsal Fracture (28475) $514 $571 2.0×
Treatment closed elbow dislocation w/o anes (24600) $514 $571 2.0×
Trim skin lesion (11055) $215 $239 1.0×
Tx Gastro Intub W/Asp (43753) $597 $663 2.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,092 $1,213 1.4×
Tx superficial wound dehiscence w/packing (12021) $720 $800 1.7×
Vaginal delivery only (59409) $5,591 $6,212 1.7×

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.