Procedures & surgery prices at Thayer County Health Services

Hebron, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,115 $1,394 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $358 $447 0.4×
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $1,246 $1,557 0.6×
Amputation Finger/Thumb (26951) $1,148 $1,435 0.3×
Anoscopy diagnostic (46600) $170 $213 1.2×
Application cast elbow finger short arm (29075) $154 $192 0.5×
Application cast shoulder hand long arm (29065) $170 $213 0.6×
Application finger splint static (29130) $74 $93 0.5×
Application long arm splint shoulder hand (29105) $147 $184 0.9×
Application long leg splint thigh ankle/toes (29505) $153 $191 0.9×
Application of long leg cast (29345) $240 $300 0.8×
Application short arm splint forearm-hand static (29125) $116 $145 0.8×
Application short leg splint calf foot (29515) $128 $160 0.8×
Arterial puncture (36600) $110 $137 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $198 $247 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $107 $134 0.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $134 $134 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $197 $246 0.9×
Biopsy Breast Open Incisional (19101) $595 $744 0.1×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $240 $300 0.3×
Biopsy muscle percutaneous needle (20206) $1,236 $1,545 0.7×
Biopsy of uterus lining (58100) $167 $209 0.8×
Bx breast 1st lesion us imag (19083) $1,763 $2,204 1.0×
Bx/exc lymph node needle superficial (38505) $1,236 $1,545 0.7×
Change Cystostomy Tube Simple (51705) $170 $212 0.7×
Chemical Cautery Tissue (17250) $146 $182 0.7×
Chemical peel facial epidermal (15788) $801 $1,001 1.9×
Circumcision (54150) $279 $349 0.1×
Closed Rx Gr Tuberosity Hum Fx (23620) $478 $597 1.9×
Closed Rx Humeral Supracondylar Fx (24530) $677 $846 2.6×
Closed Rx Med Malleolus Fx (27760) $595 $744 2.3×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $920 $1,150 0.6×
Closed Rx Radial Shaft Fx (25500) $494 $617 1.9×
Closed Rx Tibia Shaft Fx (27750) $616 $770 2.4×
Closed Rx Tibial Plateau Fx (27530) $539 $674 2.1×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $582 $728 2.3×
Closed treatment of talus fracture; without manipulation (28430) $427 $534 1.7×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $506 $632 2.0×
Closed Treatment Sesamoid Fracture (28530) $213 $266 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $577 $721 2.3×
Closed tx calcaneal fracture w/o manipulation (28400) $445 $556 1.7×
Closed tx metatarsal fracture w/o manipulation (28470) $394 $493 1.5×
Closed tx patellar fracture w/o manipulation (27520) $574 $718 2.2×
Closed tx radial head/neck fx w/o manipulation (24650) $466 $582 1.8×
Closed tx ulnar fracture prox end w/o manipulate (24670) $518 $647 2.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $466 $583 1.8×
Clsd tx clavicular fracture w/o manipulation (23500) $390 $488 1.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $571 $714 2.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $411 $514 1.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $620 $775 2.4×
Cltx dstl fibular fx lat malls w/manj (27788) $756 $945 3.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $562 $703 2.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $564 $705 2.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $412 $412 1.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $588 $735 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $965 $1,206 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $326 $407 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $260 $325 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $288 $360 1.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,174 $2,718 1.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $564 $705 2.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $214 $267 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $501 $626 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $578 $722 2.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $526 $657 2.1×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $590 $737 2.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $353 $441 1.4×
Cltx prox fibula/shft fx w/o manj (27780) $545 $681 2.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $184 $230 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $870 $1,088 0.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $284 $355 0.9×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $250 $313 0.8×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $515 $644 2.3×
Control Nasal Hemorrhage Anterior Simple (30901) $246 $308 1.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $615 $769 2.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,232 $1,540 0.4×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $864 $1,080 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $218 $273 0.5×
Dermabrasion total face (15780) $1,644 $2,055 0.5×
Destruc Benign/Premal,15+ Lesions (17004) $271 $339 0.6×
Destruction benign lesions 15 or more (17111) $234 $293 1.1×
Destruction Benign Lesions Up To 14 (17110) $197 $246 0.9×
Destruction Lesions Vulva Simple (56501) $259 $324 0.1×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $440 $550 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $336 $420 1.6×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) $254 $317 1.2×
Destruction of lesion(s), penis, simple; chemicall (54050) $240 $300 0.6×
Destruction premalignant lesion 1st (17000) $118 $147 0.6×
Destruction vaginal lesions simple (57061) $222 $278 0.1×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,076 $1,345 1.5×
Diagnostic sigmoidoscopy (45330) $306 $383 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $334 $418 0.5×
Drainage Finger Abscess Simple (26010) $487 $609 2.3×
Drainage of eyelid abscess (67700) $496 $620 1.5×
Drainage of gum lesion (41800) $522 $652 3.8×
Drainage of hematoma/fluid (10140) $301 $376 0.2×
Drainage of hydrocele (55000) $212 $265 0.3×
Drainage of scrotal wall abscess (55100) $1,237 $1,546 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $146 $183 0.7×
Dstrj lesion anus simple chemical (46900) $425 $531 1.0×
Endocervical Curettage (57505) $104 $130 0.1×
Evacuation of subungual hematoma (11740) $162 $202.50 1.2×
Exc arm/elbow les sc 3 cm/> (24071) $718 $898 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $362 $453 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $419 $524 0.2×
Exc back les sc < 3 cm (21930) $858 $1,072 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $247 $309 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $402 $503 0.2×
Exc forearm les sc 3 cm/> (25071) $754 $943 0.4×
Exc forearm les sc < 3 cm (25075) $878 $1,097 0.5×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $376 $470 0.1×
Exc shoulder les sc 3 cm/> (23071) $742 $927 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $284 $355 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $270 $338 0.6×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $299 $374 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $346 $433 0.5×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $391 $489 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $598 $747 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $560 $700 0.3×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $1,236 $1,545 0.7×
Exc Skin Malig >4 Cm Face,Facial (11646) $3,962 $4,952 1.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $750 $937 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $802 $1,002 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $740 $925 0.2×
Exc tr-ext b9+marg 0.5 cm or less (11400) $222 $278 0.3×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,042 $1,303 0.6×
Excise/repair mouth lesion (40812) $520 $650 0.3×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $348 $435 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $410 $513 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $443 $554 1.0×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $507 $634 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $562 $702 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $361 $451 0.5×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $426 $532 0.6×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $486 $607 0.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $704 $880 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $350 $437 0.2×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $412 $515 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $458 $573 0.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $538 $672 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $606 $758 0.4×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $303 $379 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $352 $440 0.5×
Excision of lesion of tongue without closure (41110) $390 $488 0.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $330 $413 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $235 $294 0.1×
Excision of nail fold toe (11765) $306 $382 0.7×
Excision of single external papilla or tag, anus (46220) $389 $486 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $831 $1,039 0.5×
Excision, lesion of tendon sheath, forearm and/or wrist (25110) $1,194 $1,492 0.7×
Exploration penetrating wound spx extremity (20103) $1,038 $1,298 0.6×
Fine needle aspiration without imaging guidance (10021) $175 $219 0.4×
I&d abscess simple (10060) $398 $268 1.9×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,202 $1,502 0.4×
I&d perianal abscess superficial (46050) $374 $467 0.4×
I&d pilonidal cyst simple (10080) $329 $411 0.4×
Incision & drainage abscess complicated/multiple (10061) $894 $1,117 2.1×
Incision & removal foreign body subq tiss simple (10120) $273 $341 0.6×
Incision and drainage of bartholin's gland abscess (56420) $245 $306 1.2×
Incision and drainage of vulva or perineal abscess (56405) $206 $257 0.7×
Incision of lingual frenum (41010) $371 $464 0.2×
Incision thrombosed hemorrhoid external (46083) $328 $410 1.3×
Initial tx 1st degree burn local tx (16000) $158 $158 0.8×
Inj subq fill material >10cc (11954) $276 $345 0.4×
Inj tendon sheath/ligament (20550) $96 $120 0.3×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $230 $287 0.7×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $870 $1,088 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $100 $125 0.3×
Injection therapeutic carpal tunnel (20526) $138 $173 0.4×
Injection, anesthetic agent; greater occipital nerve (64405) $146 $183 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $158 $198 0.8×
Insert Drug Implant Device (11981) $253 $316 1.8×
Insert pessary/other device (57160) $114 $142 0.5×
Insert Temp Bladder Cath (51702) $112 $140 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $81 $101 0.6×
Island pedicle flap graft (15740) $1,810 $2,263 0.8×
Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) $621 $776 0.2×
Lysis/excision penile postcircumcision adhesions (54162) $470 $588 0.2×
Myelography Lumbar Injection (62304) $986 $1,233 1.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $342 $428 0.8×
Open Tx Distal Phalangeal Fracture Each (26765) $896 $1,120 0.3×
Perq replacement gtube not req revj gstrst trc (43762) $397 $496 1.5×
Preputial Stretching (54450) $126 $158 0.5×
Proctosigmoidoscopy w/bx (45305) $274 $342 0.2×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $218 $272 0.2×
Punch biopsy skin single lesion (11104) $278 $278 0.7×
Puncture Aspiration (10160) $234 $293 0.6×
Puncture Aspiration Cyst Breast (19000) $537 $671 0.7×
Removal fb intranasal (30300) $331 $414 2.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $85 $106 1.4×
Removal Implantable Contraceptive Capsules (11976) $262 $328 0.4×
Removal of intrauterine device (iud) (58301) $171 $214 0.5×
Removal of nail bed (11750) $282 $352 0.7×
Removal of salivary stone (42330) $418 $523 0.1×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $158 $198 0.8×
Remove foreign body from eye (65210) $102 $128 0.2×
Remv Ext Canal Foreign Body (69200) $146 $183 1.1×
Remv F.B.,Eye,Superf Conjunc (65205) $84 $105 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $697 $871 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $716 $895 0.9×
Repair extensor tendon finger w/o graft each (26418) $1,015 $1,269 0.6×
Repair forearm tendon/muscle (25260) $1,127 $1,409 0.3×
Repair hand tendon (26410) $990 $1,238 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $474 $593 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $538 $673 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $658 $823 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $439 $549 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $528 $660 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $653 $816 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $438 $548 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $543 $679 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $569 $711 1.3×
Revise Eyelashes,Forceps (67820) $59 $74 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $106 $133 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $125 $156 0.9×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $414 $517 0.9×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $574 $717 2.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $203 $254 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $334 $417 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $184 $230 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $218 $272 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $258 $323 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $275 $344 0.7×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $174 $218 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $243 $304 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $285 $356 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $215 $269 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $276 $345 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $250 $313 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $195 $244 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $204 $255 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $246 $307 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $199 $199 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $228 $285 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $297 $371 0.7×
Strapping ankle (29540) $53 $66 0.3×
Strapping elbow/wrist (29260) $54 $68 0.9×
Strapping knee (29530) $56 $70 0.4×
Strapping shoulder (29240) $56 $70 0.4×
Strapping unna boot (29580) $206 $257 1.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $9,781 $12,226 5.9×
Treat Fracture Radius & Ulna (25560) $503 $629 2.0×
Treat humerus fracture (24500) $638 $797 2.5×
Treat humerus fracture (23600) $586 $732 2.3×
Treat wrist bone fracture (25622) $545 $681 2.1×
Treat Wrist Bone Fracture (25630) $544 $680 2.1×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $384 $480 1.5×
Trim skin lesion (11055) $102 $127 0.5×
Trim skin lesions 2 to 4 (11056) $122 $152 0.6×
Trim skin lesions over 4 (11057) $135 $169 0.6×
Trimming Of Nondystrophic Nails, Any Number (11719) $26 $33 0.4×
Unlisted Procedure Conjunctiva (68399) $29 $36 0.1×
Venipuncture (36415) $37.50 $42 4.0×