Procedures & surgery prices at St. Croix Regional Medical Center

Saint Croix Falls, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $683.77 $1,243.21 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $917.73 $1,668.60 0.3×
Amputate Metacarpal Bone (26910) $1,404.92 $2,554.40 0.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $172.22 $313.12 1.1×
Application Finger Splint Dynamic (29131) $40.79 $74.16 0.7×
Application of long leg cast (29345) $279.85 $508.82 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$91.77–$182.41 $166.86–$331.66 varies
Apply Short Leg Cast (29405) $109.90 $199.82 0.4×
Arterial puncture (36600) $67.41 $122.57 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $210.74 $383.16 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $193.18 $351.23 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $222.07 $403.76 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $73.08 $132.87 0.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $210.74 $383.16 0.7×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $728.52 $1,324.58 0.2×
Aspirate pleura w/ imaging (32555) $233.40 $424.36 0.4×
Aspirate/Inj Ganglion Cyst (20612) $150.69 $273.98 0.5×
Aspiration Bladder Needle (51100) $231.13 $420.24 1.0×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines
$154.09–$683.77 $280.16–$1,243.21 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines
$142.76–$786.30 $259.56–$1,429.64 varies
Biopsy Bone Trocar/Needle Superficial (20220) $121.23 $220.42 0.1×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines
$100.84–$683.77 $183.34–$1,243.21 varies
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines
$169.38–$683.77 $307.97–$1,243.21 varies
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines
$61.75–$116.70 $112.27–$212.18 varies
Biopsy Soft Tissue Back/Flank Superficial (21920) $683.77 $1,243.21 0.4×
Biopsy soft tissue neck/thorax (21550) $113.30 $206 0.1×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040)
range across 2 matching MRF lines
$228.87–$264.56 $416.12–$481.01 varies
Biopsy soft tissue thigh/knee area superficial (27323) $274.19 $498.52 0.2×
Bladder Irrigation (51700) $59.48 $108.15 0.2×
Bladder Scan (51798) $20.96 $38.11 0.4×
Bronchoscopy Clear Airways (31645) $352.09 $640.16 0.2×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure
$770.44 $1,400.80 0.1×
Bx breast 1st lesion strtctc (19081) $488.32 $887.86 0.3×
Bx breast 1st lesion us imag (19083) $243.60 $442.90 0.2×
Canthotomy Separate Procedure (67715) $363.13 $660.23 0.2×
Cautery Cervix Electro/Thermal (57510) $203.37 $369.77 0.1×
Change Cystostomy Tube Complicated (51710) $207.91 $378.01 0.3×
Change Cystostomy Tube Simple (51705) $314.97 $572.68 1.3×
Change of Windpipe Airway (31502) $127.46 $231.75 0.6×
Chemodenerv trunk musc 1-5 (64646) $329.14 $598.43 0.5×
Chest tube placement (32551)
range across 4 matching MRF lines
$166.55–$308.74 $302.82–$561.35 varies
Cl Tx Scapular Fx; W Manip (23575) $655.95 $1,192.64 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $1,360.73 $2,474.06 0.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $643.54 $1,170.08 2.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $659.41 $1,198.92 0.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $861.08 $1,565.60 3.6×
Closed Treatment Ulnar Styloid Fracture (25650) $626.55 $1,139.18 2.6×
Closed tx carpal scaphoid fracture w/manj (25624) $494.55 $899.19 0.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,174.35 $2,135.19 4.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $930.19 $1,691.26 0.6×
Closed tx knee dislocation w/o anesthesia (27550) $760.81 $1,383.29 3.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $168.82 $306.94 0.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $271.92 $494.40 0.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $461.13 $838.42 0.1×
Closed tx patellar dislocation w/anesthesia (27562) $1,269.53 $2,308.23 5.3×
Closed tx patellar dislocation w/o anesthesia (27560) $322.34 $586.07 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $875.24 $1,591.35 0.6×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $394.28 $716.88 1.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $524.58 $953.78 2.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $430.54 $782.80 1.8×
Closed Tx Talus Fracture W/Manipulation (28435) $411.28 $747.78 0.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $192.61 $350.20 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $559.70 $1,017.64 2.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $316.11 $574.74 0.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $276.45 $502.64 1.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $270.22 $491.31 0.2×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $411.85 $748.81 1.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $896.20 $1,629.46 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $650.34 $1,182.44 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $548.94 $998.07 2.3×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $210.17 $382.13 0.1×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,183.99 $2,152.70 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,189.08 $2,161.97 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $234.53 $426.42 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $669.60 $1,217.46 0.4×
Cltx hip dislocation traumatic req anesthesia (27252) $1,289.92 $2,345.31 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $670.17 $1,218.49 0.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $146.72 $266.77 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $172.78 $314.15 0.7×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $917.73 $1,668.60 0.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $581.23 $1,056.78 2.1×
Cltx Med Ankle Fx W/Mnpj (27762) $878.64 $1,597.53 0.6×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $627.68 $1,141.24 0.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $122.36 $222.48 0.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $577.83 $1,050.60 2.4×
Cltx prox fibula/shft fx w/o manj (27780) $509.28 $925.97 2.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,314.85 $2,390.63 0.8×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $414.11 $752.93 1.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $755.71 $1,374.02 3.2×
Collection of venous blood by venipuncture (36415) $10.20 $18.54 1.1×
Control oropharyngeal hemorrhage simple (42960) $377.29 $685.98 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines
$172.22–$683.77 $313.12–$1,243.21 varies
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $618.62 $1,124.76 0.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $544.41 $989.83 2.4×
Curette/treat cornea (65435) $153.52 $279.13 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $71.38 $129.78 0.2×
Destruction neurolytic agt genicular nerve w/img (64624) $382.39 $695.25 0.2×
Dilate Urethra Stricture (53620) $232.27 $422.30 0.3×
Drain/inj small joint/bursa w/us (20604) $176.18 $320.33 0.6×
Drainage Abscess/Hematoma Nasal Septum (30020) $252.66 $459.38 0.5×
Drainage external auditory canal abscess (69020) $350.10 $636.54 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $279.85 $508.82 0.4×
Drainage of rectal abscess (45005) $409.58 $744.69 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $255.49 $464.53 1.3×
Dx Laryngoscopy Excl Nb (31525) $389.75 $708.64 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines
$122.36–$239.63 $222.48–$435.69 varies
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $171.08 $311.06 0.6×
Epidural Blood Patch (62273) $168.82 $306.94 0.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $788.57 $1,433.76 0.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines
$114.43–$710.96 $208.06–$1,292.65 varies
Expl penetrating wound spx abdomen/flank/back (20102) $522.31 $949.66 0.3×
Expl po hemrrg thrombosis/infctj xtr (35860) $507.58 $922.88 0.2×
Exploration penetrating wound spx extremity (20103) $586.89 $1,067.08 0.4×
Exploration Penetrating Wound Spx Neck (20100) $656.57 $1,193.77 1.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $683.77 $1,243.21 1.0×
Fluid Pressure Muscle (20950) $138.23 $251.32 0.2×
Fluoro exam of g/colon tube (49465)
range across 3 matching MRF lines
$67.41–$101.40 $122.57–$184.37 varies
Fna Bx W/Fluor Gdn 1St Les (10007) $683.77 $1,243.21 1.0×
Fna bx w/us gdn 1st les (10005) $113.30 $206 0.2×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines
$176.75–$622.58 $321.36–$1,131.97 varies
I&d abscess peritonsillar (42700) $299.11 $543.84 1.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines
$503.05–$622.58 $914.64–$1,131.97 varies
I&d pilonidal cyst complicated (10081) $397.68 $723.06 0.6×
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines
$301.94–$951.15 $548.99–$1,729.37 varies
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure
$480.39 $873.44 0.1×
Incision of Foot Tendon (28234) $365.39 $664.35 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $138.79 $252.35 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $214.14 $389.34 0.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$277.02–$302.51 $503.67–$550.02 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $216.40 $393.46 0.7×
Injection aa&/strd axillary nerve w/img gdn (64417) $466.80 $848.72 0.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $100.27 $182.31 0.1×
Injection anesthetic agent suprascapular nerve (64418) $150.12 $272.95 0.2×
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines
$45.89–$455.47 $83.43–$828.12 varies
Injection, anesthetic agent; femoral nerve, single (64447) $124.63 $226.60 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $78.18 $142.14 0.1×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines
$292.88–$560.84 $532.51–$1,019.70 varies
Insert non-tunnel cv cath (36556) $345.57 $628.30 0.1×
Insert tunneled cv cath (36561) $2,340.21 $4,254.93 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $668.47 $1,215.40 0.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,934.22 $8,971.30 1.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $776.11 $1,411.10 2.0×
Irrigation of corpora cavernosa for priapism (54220) $202.24 $367.71 0.8×
Laryngoscopy diagnostic (31505) $148.42 $269.86 0.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $415.24 $754.99 1.1×
N block inj intercost sng (64420) $128.03 $232.78 0.2×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines
$94.61–$118.97 $172.01–$216.30 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 5 matching MRF lines
$72.51–$325.17 $131.84–$591.22 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$113.30–$683.77 $206–$1,243.21 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $17.56 $31.93 0.6×
Needle insertion w/o injection 3 or more muscles (20561) $24.36 $44.29 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $183.55 $333.72 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $232.83 $423.33 0.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $833.89 $1,516.16 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $833.89 $1,516.16 1.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines
$96.31–$141.63 $175.10–$257.50 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $165.98 $301.79 0.4×
Occipital Nerve Block (64405) $98.57 $179.22 0.3×
Open Tx Distal Phalangeal Fracture Each (26765) $775.54 $1,410.07 0.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,089.38 $1,980.69 0.3×
Osteotomy Phalanx Finger Each (26567) $1,152.26 $2,095.02 0.4×
Partial Excision Distal Phalanx Finger (26236) $1,158.49 $2,106.35 0.7×
Percut Drain/Inject Renal Cyst (50390)
range across 4 matching MRF lines
$160.32–$2,077.36 $291.49–$3,777.01 varies
Peritoneal Lavage (49084) $192.61 $350.20 0.2×
Perq dev breast 1st strtctc (19283) $103.67 $188.49 0.2×
Perq dev breast 1st us imag (19285) $232.83 $423.33 0.3×
Perq device breast 1st imag (19281)
range across 2 matching MRF lines
$163.15–$250.96 $296.64–$456.29 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines
$109.33–$458.30 $198.79–$833.27 varies
Placement of needle for intraosseous infusion (36680) $109.33 $198.79 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $329.14 $598.43 0.8×
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines
$74.78–$329.14 $135.96–$598.43 varies
Removal Embedded Foreign Body Eyelid (67938) $419.21 $762.20 1.4×
Removal of foreign body from pharynx (42809) $250.96 $456.29 0.6×
Removal or bivalving full arm or full leg cast (29705) $165.98 $301.79 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $135.96 $247.20 0.5×
Remove Int Dwell Ureteral Stent Transurethral (50386) $366.53 $666.41 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $723.42 $1,315.31 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $643.54 $1,170.08 1.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $500.22 $909.49 1.3×
Repair complex trunk 1.1-2.5 cm (13100) $574.43 $1,044.42 0.8×
Repair Elbow Perc (24357)
range across 2 matching MRF lines
$290.61–$348.96 $528.39–$634.48 varies
Repair Finger/Hand Tendon (26350) $1,353.37 $2,460.67 0.4×
Repair Hand Tendon (26410) $1,040.09 $1,891.08 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $539.31 $980.56 1.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $903.57 $1,642.85 2.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $570.47 $1,037.21 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $598.79 $1,088.71 0.8×
Repair tongue laceration (41252) $707.56 $1,286.47 3.1×
Repair tongue laceration (41250) $329.70 $599.46 0.8×
Replace g/c tube perc (49450)
range across 3 matching MRF lines
$90.64–$1,027.63 $164.80–$1,868.42 varies
Reposition Gastrostomy Tube (43761) $169.38 $307.97 0.7×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $557.44 $1,013.52 0.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $143.89 $261.62 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $243.60 $442.90 0.2×
Rplcmt cath ctr vad subq port/pmp (36578) $682.63 $1,241.15 0.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $756.84 $1,376.08 1.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,061.85 $1,930.64 0.7×
Sclerotx Fluid Collection (49185)
range across 4 matching MRF lines
$129.73–$466.80 $235.87–$848.72 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $280.98 $510.88 0.7×
Skin Tissue Procedure (17999) $321.21 $584.01 1.6×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$198.28–$239.63 $360.50–$435.69 varies
Strapping ankle (29540)
range across 2 matching MRF lines
$54.95–$90.07 $99.91–$163.77 varies
Strapping elbow or wrist (29260) $86.11 $156.56 1.5×
Strapping hand/finger (29280) $79.88 $145.23 1.4×
Strapping Hip (29520) $154.65 $281.19 1.2×
Strapping knee (29530) $137.09 $249.26 1.1×
Strapping shoulder (29240) $107.64 $195.70 0.8×
Strapping thorax (29200) $62.88 $114.33 0.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$65.71–$112.17 $119.48–$203.94 varies
Tenotomy Adductor Hip Percutaneous Spx (27000) $263.99 $479.98 0.2×
Tenotomy Hip Abd/Ext Open (27006) $583.50 $1,060.90 0.2×
Tenotomy Percutaneous Single Each Digit (26060) $120.66 $219.39 0.1×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 2 matching MRF lines
$187.51–$315.54 $340.93–$573.71 varies
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)
range across 2 matching MRF lines
$215.84–$304.21 $392.43–$553.11 varies
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $343.87 $625.21 0.1×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure
$411.28 $747.78 0.1×
Thyroid biopsy (60100) $60.05 $109.18 0.1×
Treat Humerus Fracture (24505) $752.88 $1,368.87 0.5×
Treat Metatarsal Fracture (28475) $458.30 $833.27 1.9×
Treat toe dislocation (28630) $227.17 $413.03 0.9×
Treat Vaginal Bleeding (57180) $230 $418.18 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $829.92 $1,508.95 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $575.56 $1,046.48 0.4×
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines
$79.88–$199.41 $145.23–$362.56 varies
Unlisted procedure humerus/elbow (24999) $353.50 $642.72 1.5×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$300.25–$423.74 $545.90–$770.44 varies
Unlisted procedure pelvis/hip joint (27299) $391.45 $711.73 1.6×
Unlisted Procedure Tongue Floor Mouth (41599) $341.03 $620.06 1.5×

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.