Procedures & surgery prices at Trego County Lemke Memorial Hospital

Wakeeney, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $85 $100 0.5×
Application long arm splint shoulder hand (29105) $179.35 $211 1.2×
Application short arm splint forearm-hand static (29125) $212.50 $250 1.7×
Apply Multlay Comprs Lwr Leg (29581) $340 $400 2.3×
Arterial puncture (36600) $89.25 $105 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines
$72.25–$884 $85–$1,040 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$128.35–$428.93 $151–$504.62 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$456.88–$722.50 $537.50–$850 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$87.55–$471.75 $103–$555 varies
Avulsion nail plate partial/complete simple 1 (11730) $110.50 $130 0.6×
Bladder Scan (51798) $80.75 $95 1.5×
Blood Transfusion Service (36430) $595 $700 1.5×
Carpal Tunnel Surgery (64721) $1,530 $1,800 0.9×
Catheter aspiration nasotracheal spx (31720) $947.75 $1,115 4.7×
Chemodenerv Musc Migraine (64615) $269.88 $317.50 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $794.75 $935 3.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $786.25 $925 3.5×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$16–$16.12 $18.83–$18.96 varies
Control Nasal Hemorrhage Anterior Simple (30901) $121.55 $143 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $484.50 $570 4.0×
Debride nail 1-5 (11720) $51 $60 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $115.60 $136 0.3×
Destroy cerv/thor facet jnt (64633) $2,037.88 $2,397.50 1.1×
Destroy lumb/sac facet jnt (64635) $2,358.75 $2,775 1.3×
Destruct B9 Lesion 1-14 (17110) $114.75 $135 0.6×
Destruction neurolytic agt genicular nerve w/img (64624) $1,889.98 $2,223.50 1.1×
Destruction premalignant lesion 1st (17000) $97.75 $115 0.5×
Drainage of hematoma/fluid (10140) $161.50 $190 0.1×
Draw Blood Off Venous Device (36591) $123.25 $145 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $614.13 $722.50 0.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,674.33 $1,969.80 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,972 $2,320 1.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $510 $600 0.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,445 $1,700 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,445 $1,700 2.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,615 $1,900 1.1×
I&d abscess simple (10060)
range across 2 matching MRF lines
$131.75–$743.75 $155–$875 varies
Incise external hemorrhoid (46083) $276.25 $325 1.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,700 $2,000 2.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $119 $140 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $552.50 $650 0.7×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines
$786.25–$1,712.75 $925–$2,015 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $518.50 $610 0.8×
Injection anesthetic agent suprascapular nerve (64418) $422.88 $497.50 0.7×
Injection single tendon origin/insertion (20551) $124.95 $147 0.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$114.75–$382.50 $135–$450 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$127.50–$448.38 $150–$527.50 varies
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines
$102–$416.50 $120–$490 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $557.60 $656 0.9×
Insert Temp Bladder Cath (51702) $199.75 $235 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $198.05 $233 1.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,453.50 $1,710 1.0×
Intubation endotracheal emergency procedure (31500) $177.65 $209 0.8×
N Block Lumbar/Thoracic (64520) $520.63 $612.50 0.6×
Needle insertion w/o injection 3 or more muscles (20561) $38.75 $45.59 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,020 $1,200 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $690.63 $812.50 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,088 $1,280 1.7×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$265.63–$531.25 $312.50–$625 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$148.75–$872.95 $175–$1,027 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $144.50 $170 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$85–$127.50 $100–$150 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$127.50–$153 $150–$180 varies
Removal of nail bed (11750) $233.75 $275 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $106.25 $125 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $938.74 $1,104.40 2.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,215.50 $1,430 3.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $549.53 $646.50 3.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $398.23 $468.50 2.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $398.23 $468.50 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $493 $580 2.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $157.25 $185 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $429.25 $505 2.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $208.25 $245 1.1×
Tangential biopsy skin single lesion (11102) $111.35 $131 0.3×
Trim skin lesion (11055) $76.50 $90 0.4×
Trim skin lesions 2 to 4 (11056) $148.75 $175 0.8×
Trim skin lesions over 4 (11057) $98.60 $116 0.5×
Trimming Nondystrophic Nails Any Number (11719) $23.80 $28 0.4×
Tx Gastro Intub W/Asp (43753) $331.50 $390 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.