Procedures & surgery prices at Sullivan County Memorial Hospital

Milan, MO · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,477 $2,477 2.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,477 $2,477 2.7×
Anoscopy diagnostic (46600) $56 $56 0.4×
Application cast elbow finger short arm (29075) $720 $720 2.6×
Application cast shoulder hand long arm (29065) $720 $720 2.6×
Application finger splint static (29130) $199 $199 1.5×
Application long arm splint shoulder hand (29105) $277.50 $277.50 1.7×
Application long leg splint thigh ankle/toes (29505) $437 $437 2.7×
Application of long leg cast (29345) $720 $720 2.6×
Application short arm splint forearm-hand static (29125) $247 $247 1.9×
Application short leg splint calf foot (29515) $301.50 $301.50 1.9×
Apply short leg cast (29405) $720 $720 2.6×
Arterial puncture (36600) $147 $147 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $816 $816 2.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,933 $1,933 2.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $491.50 $491.50 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $816 $816 2.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $816 $816 2.7×
Avulsion nail plate partial/complete simple 1 (11730) $344 $344 1.7×
Bladder Irrigation Simple (51700) $393 $393 1.6×
Bladder Scan (51798) $132 $132 2.2×
Blood patch (62273) $900 $900 1.3×
Blood transfusion service (36430) $1,223 $1,223 2.8×
Change Cystostomy Tube Simple (51705) $393 $393 1.6×
Chest tube placement (32551) $4,464 $4,464 2.8×
Chg Collect Blood From Catheter Venous Nos (36592) $304 $304 2.3×
Closed Rx Humeral Supracondylar Fx (24530) $621 $621 2.5×
Closed Rx Med Malleolus Fx (27760) $621 $621 2.5×
Closed Rx Med Malleolus Fx,Manip (27762) $4,304 $4,304 2.7×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $2,579 $2,579 1.6×
Closed rx prox/neck femur fx,manip (27232) $500 $500 0.3×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $4,304 $4,304 2.7×
Closed Rx Radial Shaft Fx (25500) $621 $621 2.5×
Closed Rx Spontaneous Hip Disloc (27256) $621 $621 2.5×
Closed Rx Tibia Shaft Fx (27750) $621 $621 2.5×
Closed Rx Trauma Hip Disloc,Anesth (27252) $4,304 $4,304 2.7×
Closed Rx Trimalleolar Fx (27816) $621 $621 2.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $621 $621 2.5×
Closed treatment pst malleolus fracture w/manj (27768) $4,304 $4,304 2.7×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $621 $621 2.5×
Closed tx ankle dislocation w/o anesthesia (27840) $621 $621 2.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $4,304 $4,304 2.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $621 $621 2.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $621 $621 2.5×
Closed tx knee dislocation w/anesthesia (27552) $4,304 $4,304 2.7×
Closed tx knee dislocation w/o anesthesia (27550) $621 $621 2.5×
Closed tx metatarsal fracture w/o manipulation (28470) $621 $621 2.5×
Closed tx nasal fracture w/o stabilization (21315) $2,191 $2,191 1.4×
Closed tx patellar dislocation w/anesthesia (27562) $621 $621 2.5×
Closed tx patellar dislocation w/o anesthesia (27560) $621 $621 2.5×
Closed tx radial head/neck fx w/manipulation (24655) $4,304 $4,304 2.7×
Closed tx radial head/neck fx w/o manipulation (24650) $621 $621 2.5×
Closed tx radial shaft fracture w/manipulation (25505) $2,586 $2,586 1.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $4,304 $4,304 2.7×
Closed tx ulnar fracture prox end w/o manipulate (24670) $621 $621 2.5×
Closed tx ulnar shaft fracture w/o manipulation (25530) $621 $621 2.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $621 $621 2.5×
Clsd tx clavicular fracture w/manipulation (23505) $4,304 $4,304 2.7×
Clsd tx clavicular fracture w/o manipulation (23500) $444 $444 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,624 $2,624 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $517 $517 2.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,304 $4,304 2.7×
Cltx dstl fibular fx lat malls w/manj (27788) $674.50 $674.50 2.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $621 $621 2.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $621 $621 2.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $621 $621 2.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $621 $621 2.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,790 $2,790 1.7×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $4,304 $4,304 2.7×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $621 $621 2.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $4,304 $4,304 2.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $432.50 $432.50 1.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $621 $621 2.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $445 $445 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $621 $621 2.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,304 $4,304 2.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $621 $621 2.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $621 $621 2.5×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $720 $720 2.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $621 $621 2.5×
Cltx metacarpal fx w/manipulation each bone (26605) $585.50 $585.50 2.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $621 $621 2.5×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $4,304 $4,304 2.7×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $621 $621 2.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $4,304 $4,304 2.7×
Cltx metatarsophlngl jt dislc w/o anes (28630) $270 $270 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $621 $621 2.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $621 $621 2.5×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $2,567 $2,567 1.6×
Cltx post hip arthrp dislc w/o anes (27265) $621 $621 2.5×
Cltx prox fibula/shft fx w/manj (27781) $4,304 $4,304 2.7×
Cltx prox fibula/shft fx w/o manj (27780) $621 $621 2.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,304 $4,304 2.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $621 $621 2.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $4,304 $4,304 2.7×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $4,304 $4,304 2.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $621 $621 2.5×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $4,304 $4,304 2.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $4,304 $4,304 2.7×
Control Nasal Hemorrhage Anterior Complex (30903) $348 $348 2.6×
Control Nasal Hemorrhage Anterior Simple (30901) $117.50 $117.50 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $226.50 $226.50 1.7×
Curette/treat cornea (65435) $2,618 $2,618 2.6×
Debride nail 1-5 (11720) $172 $172 2.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,119 $1,119 2.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,743 $1,743 2.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $4,499 $4,499 2.7×
Delivery placenta separate procedure (59414) $8,482 $8,482 2.6×
Destroy cerv/thor facet jnt (64633) $1,073.50 $1,073.50 0.5×
Destroy lumb/sac facet jnt (64635) $1,069 $1,069 0.5×
Destruction Benign Lesions Up To 14 (17110) $122 $122 0.6×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $291.50 $291.50 0.3×
Destruction neurolytic agt genicular nerve w/img (64624) $905 $905 0.5×
Drain/inj small joint/bursa w/us (20604) $816 $816 2.7×
Drainage Finger Abscess Simple (26010) $542 $542 2.7×
Drainage of gum lesion (41800) $279 $279 2.1×
Drainage of scrotal wall abscess (55100) $700 $700 0.4×
Draw blood off venous device (36591) $97.50 $97.50 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,119 $1,119 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $542 $542 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $310 $310 1.5×
Evacuation of subungual hematoma (11740) $348 $348 2.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,249 $3,249 2.7×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $325 $325 0.2×
Exploration penetrating wound spx extremity (20103) $4,499 $4,499 2.7×
Fine needle aspiration without imaging guidance (10021) $672.50 $672.50 1.7×
Gastric Intubation/Aspiration, Therapeutic (43753) $840 $840 3.9×
I&D Abscess Peritonsillar (42700) $623 $623 2.6×
I&d abscess simple (10060) $269 $269 1.3×
I&d perianal abscess superficial (46050) $2,493 $2,493 2.7×
I&d pilonidal cyst simple (10080) $1,947 $1,947 2.7×
I&D Upper Arm/Elbow Bursa (23931) $2,362.50 $2,362.50 1.4×
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure
$375 $375 0.1×
Incision & drainage abscess complicated/multiple (10061) $755.50 $755.50 1.9×
Incision & removal foreign body subq tiss compl (10121) $4,499 $4,499 2.7×
Incision & removal foreign body subq tiss simple (10120) $681.50 $681.50 1.7×
Incision and drainage of bartholin's gland abscess (56420) $372 $372 1.8×
Incision of rectal abscess (46040) $3,249 $3,249 2.7×
Initial tx 1st degree burn local tx (16000) $542 $542 2.7×
Inj paravert f jnt c/t 1 lev (64490) $1,500 $1,500 1.7×
Inj tendon sheath/ligament (20550) $1,500 $1,500 4.9×
Inj,Anes Agent,Brachial Plexus,Single (64415) $201 $201 0.2×
Inject Nerv Blck,Intercost,Multpl (64421) $883 $883 1.0×
Inject Nerv Blck,Intercostal,One (64420) $847 $847 1.2×
Inject Tendon Origin/Insert (20551) $816 $816 2.7×
Injection aa&/strd genicular nrv branches w/img (64454) $950 $950 1.3×
Injection aa&/strd trigeminal nerve each branch (64400) $497 $497 1.6×
Injection anes other peripheral nerve/branch (64450) $300 $300 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $445.50 $445.50 1.4×
Injection single/mlt trigger point 3/> muscles (20553) $816 $816 2.7×
Injection therapeutic carpal tunnel (20526) $850 $850 2.8×
Injection, anesthetic agent; greater occipital nerve (64405) $454 $454 1.5×
Insert Bladder Cath Complex (51703) $436 $436 3.4×
Insert non-tunnel cv cath (36556) $8,937 $8,937 2.8×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $8,937 $8,937 2.8×
Insert picc cath (36569) $1,526 $1,526 1.0×
Insert Temp Bladder Cath (51702) $189 $189 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $244.50 $244.50 1.8×
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure
$1,262.50 $1,262.50 0.0×
Intubation endotracheal emergency procedure (31500) $448.50 $448.50 1.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $1,133 $1,133 2.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,500 $1,500 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $905 $905 1.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $893.50 $893.50 1.3×
Open tx phalangeal shaft fracture prox/middle ea (26735) $621 $621 0.2×
Pericardiocentesis W/Imaging (33016) $4,464 $4,464 2.8×
Peritoneal Lavage (49084) $2,477 $2,477 2.7×
Perq replacement gtube not req revj gstrst trc (43762) $645 $645 2.6×
Placement of needle for intraosseous infusion (36680) $624 $624 1.4×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561) $3,241.50 $3,241.50 0.5×
Punch biopsy skin single lesion (11104) $608 $608 1.5×
Puncture Aspiration (10160) $1,119 $1,119 2.7×
Removal fb intranasal (30300) $348 $348 2.6×
Removal Foreign Body Foot Complicated (28193) $4,499 $4,499 2.7×
Removal foreign body foot deep (28192) $4,499 $4,499 2.7×
Removal foreign body foot subcutaneous (28190) $1,947 $1,947 2.7×
Removal Foreign Body Pelvis/Hip Deep (27087) $8,930 $8,930 2.7×
Removal foreign body pharynx (42809) $1,133 $1,133 2.5×
Removal foreign body upper arm/elbow deep (24201) $7,750 $7,750 2.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $172 $172 2.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $119.50 $119.50 2.0×
Removal of arm foreign body (24200) $4,499 $4,499 2.7×
Removal of nail bed (11750) $644.50 $644.50 1.6×
Removal shoulder foreign body deep subfascial/im (23333) $7,750 $7,750 2.7×
Remove Eyelid Foreign Body (67938) $504.50 $504.50 1.6×
Remove foreign body from eye (65210) $1,133 $1,133 2.5×
Remove shoulder foreign body (23330) $4,499 $4,499 2.7×
Remv Ext Canal Foreign Body (69200) $260 $260 2.0×
Remv F.B.,Eye,Superf Conjunc (65205) $199 $199 1.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,743 $1,743 2.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,743 $1,743 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $729 $729 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,743 $1,743 4.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,743 $1,743 4.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,082.50 $1,082.50 2.7×
Repair complex trunk 1.1-2.5 cm (13100) $1,743 $1,743 2.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,743 $1,743 2.4×
Repair extensor tendon finger w/o graft each (26418) $2,547 $2,547 1.6×
Repair hand tendon (26410) $4,304 $4,304 2.7×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,119 $1,119 2.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $697 $697 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,119 $1,119 2.7×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,119 $1,119 2.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $715.50 $715.50 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $766 $766 1.9×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,119 $1,119 2.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,201.50 $1,201.50 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $699.50 $699.50 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $750.50 $750.50 1.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,743 $1,743 2.4×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $5,178 $5,178 2.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,119 $1,119 2.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,119 $1,119 2.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $699.50 $699.50 1.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,743 $1,743 2.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $808 $808 2.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $5,178 $5,178 2.5×
Repair of nail bed (11760) $1,743 $1,743 2.4×
Repair Tongue Laceration (41250) $1,133 $1,133 2.5×
Rmvl embedded fb vestibule mouth comp (40805) $1,370 $1,370 2.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,477 $2,477 2.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $600.50 $600.50 1.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $221.50 $221.50 1.7×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $7,750 $7,750 2.7×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,743 $1,743 2.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $623 $623 2.6×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $623 $623 2.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,119 $1,119 2.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $396.50 $396.50 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $409 $409 2.0×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $1,119 $1,119 2.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $542 $542 2.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $542 $542 2.7×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $542 $542 2.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $373 $373 1.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $451.50 $451.50 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $419.50 $419.50 2.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $396.50 $396.50 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $719.50 $719.50 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,119 $1,119 2.7×
Spinal puncture lumbar diagnostic (62270) $1,933 $1,933 2.7×
Strapping ankle (29540) $437 $437 2.7×
Strapping elbow/wrist (29260) $172 $172 2.9×
Strapping hand/finger (29280) $172 $172 2.9×
Strapping knee (29530) $348 $348 2.6×
Strapping shoulder (29240) $348 $348 2.6×
Strapping thorax (29200) $437 $437 2.7×
Strapping toes (29550) $172 $172 2.9×
Strapping unna boot (29580) $437 $437 2.7×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,736 $1,736 2.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $955.50 $955.50 1.5×
Thrombolytic Therapy, Stroke (37195) $998 $998 3.0×
Treat Fracture Radius & Ulna (25560) $621 $621 2.5×
Treat humerus fracture (24500) $621 $621 2.5×
Treat humerus fracture (23600) $621 $621 2.5×
Treat Metatarsal Fracture (28475) $621 $621 2.5×
Treatment closed elbow dislocation req anes (24605) $4,304 $4,304 2.7×
Treatment closed elbow dislocation w/o anes (24600) $621 $621 2.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $4,304 $4,304 2.7×
Vaginal delivery only (59409) $8,482 $8,482 2.6×
Venipuncture (36415) $22 $22 2.4×