Procedures & surgery prices at Tyler Holmes Memorial Hospital

Winona, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Application cast elbow finger short arm (29075) $258.75 $345 1.1×
Application finger splint static (29130) $46.50 $62 0.4×
Application long arm splint shoulder hand (29105) $150.75 $201 1.1×
Application Long Leg Splint (29505) $150.75 $201 1.1×
Application short arm splint forearm-hand static (29125) $123 $164 1.1×
Application short leg splint calf foot (29515) $150.75 $201 1.1×
Apply Multlay Comprs Lwr Leg (29581) $395.25 $527 2.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $66.75 $89 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $112.50 $150 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $294.75 $393 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $196.50 $262 1.1×
Blood Transfusion Service (36430) $436.50 $582 1.1×
Catheter aspiration nasotracheal spx (31720) $207 $276 1.1×
Chemical Cautery Tissue (17250) $579 $772 3.3×
Clear outer ear canal (69200) $123 $164 1.1×
Closed Treatment Sternum Fracture (21820) $242.25 $323 1.1×
Closed tx ankle dislocation w/o anesthesia (27840) $242.25 $323 1.1×
Closed Tx Patellar Fracture W/O Manipulation (27520) $242.25 $323 1.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $242.25 $323 1.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $242.25 $323 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $242.25 $323 1.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $242.25 $323 1.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $228.75 $305 1.1×
Clsd tx clavicular fracture w/o manipulation (23500) $242.25 $323 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,524.75 $2,033 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $242.25 $323 1.1×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,524.75 $2,033 1.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $242.25 $323 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $242.25 $323 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $242.25 $323 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $242.25 $323 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $242.25 $323 1.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $242.25 $323 1.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $242.25 $323 1.1×
Cltx tibial fx proximal w/o manipulation (27530) $242.25 $323 1.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $12.75–$18.75 $17–$25 varies
Control Nasal Hemorrhage Anterior Simple (30901) $123 $164 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,053 $1,404 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,067.75 $2,757 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,053 $1,404 3.0×
Destruct B9 Lesion 1-14 (17110) $90 $120 0.5×
Destruction Benign Lesions 15/> (17111) $113.25 $151 0.7×
Destruction premalignant lesion 1st (17000) $72.75 $97 0.4×
Drainage of hematoma/fluid (10140) $1,668 $2,224 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $579 $772 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $579 $772 3.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $579 $772 3.3×
Evacuation of subungual hematoma (11740) $123 $164 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $138.75 $185 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $183.75 $245 0.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $201 $268 0.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $226.50 $302 0.4×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $299.25 $399 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $103.50 $138 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $149.25 $199 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $186.75 $249 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $211.50 $282 0.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $231 $308 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $139.50 $186 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $149.25 $199 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $152.25 $203 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $183.75 $245 0.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $210 $280 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $243.75 $325 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $232.50 $310 0.2×
Exc Skin Benig >4cm Face,Facial (11446) $276.75 $369 0.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $223.50 $298 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $308.25 $411 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $317.25 $423 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $150 $200 0.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $166.50 $222 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $202.50 $270 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $244.50 $326 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $141 $188 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $186 $248 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $220.50 $294 0.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $279 $372 0.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $157.50 $210 0.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $276 $368 0.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $331.50 $442 0.1×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $148.50 $198 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $168 $224 0.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $189 $252 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $270.75 $361 0.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $112.50–$770.25 $150–$1,027 varies
I&d pilonidal cyst complicated (10081) $183.75 $245 0.3×
I&d pilonidal cyst simple (10080) $131.25 $175 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,608.50 $3,478 1.0×
Incision & drainage abscess complicated/multiple (10061) $172.50 $230 0.5×
Incision & removal foreign body subq tiss compl (10121) $201.75 $269 0.1×
Incision & removal foreign body subq tiss simple (10120) $111 $148 0.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,544.25 $2,059 1.1×
Initial Tx 1st Degree Burn Local Tx (16000) $770.25 $1,027 4.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $98.25 $131 0.4×
Injection single tendon origin/insertion (20551) $294.75 $393 1.1×
Injection single/mlt trigger point 1/2 muscles (20552) $294.75 $393 1.1×
Insert Temp Bladder Cath (51702) $123 $164 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $123 $164 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $376.50 $502 1.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $449.25 $599 1.3×
Intubation endotracheal emergency procedure (31500) $289.50 $386 1.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $242.25 $323 0.0×
Placement of needle for intraosseous infusion (36680) $408.75 $545 1.1×
Punch biopsy skin single lesion (11104) $95.25 $127 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $359.25 $479 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $686.25 $915 1.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,544.25 $2,059 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $75 $100 1.5×
Removal of nail bed (11750) $183 $244 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $84 $112 0.5×
Remove foreign body from eye (65205) $123 $164 1.1×
Remove Nasal Foreign Body (30300) $123 $164 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $302.25 $403 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $357 $476 1.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $294 $392 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $356.25 $475 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $291.75 $389 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $351 $468 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $298.50 $398 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $252.75 $337 0.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $298.50 $398 0.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $315.75 $421 0.9×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $460.50 $614 1.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $334.50 $446 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $212.25 $283 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $243 $324 0.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $299.25 $399 0.5×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $440.25 $587 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $310.50 $414 0.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $201.75 $269 0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $225.75 $301 0.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $369.75 $493 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $280.50 $374 0.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $392.25 $523 0.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $408.75 $545 1.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,608.50 $3,478 1.0×
Rplc Gtube No Revj Trc (43762) $231.75 $309 1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $297 $396 1.7×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $377.25 $503 0.6×
Shave skin lesion 0.5 cm/< (11300) $59.25 $79 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $76.50 $102 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $144.75 $193 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $61.50 $82 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $88.50 $118 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $100.50 $134 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $128.25 $171 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $99 $132 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $126 $168 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $72 $96 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $106.50 $142 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $90 $120 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $325.50 $434 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $179.25 $239 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $213 $284 1.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $372.75 $497 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $240.75 $321 1.4×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $379.50 $506 2.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $158.25 $211 0.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $373.50 $498 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $234.75 $313 1.4×
Skin sub graft face/nk/hf/g (15275) $1,668 $2,224 2.6×
Skin sub graft trnk/arm/leg (15271) $1,668 $2,224 2.6×
Skin sub grft t/arm/lg child (15273) $3,349.50 $4,466 1.9×
Skn sub grft f/n/hf/g child (15277) $1,668 $2,224 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $205.50 $274 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $289.50 $386 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $318.75 $425 0.9×
Spinal puncture lumbar diagnostic (62270) $703.50 $938 1.2×
Strapping thorax (29200) $150.75 $201 1.1×
Strapping Unna Boot (29580) $543.75 $725 3.9×
Tangential biopsy skin single lesion (11102) $91.50 $122 0.3×
Treat humerus fracture (24500) $242.25 $323 1.1×
Treat humerus fracture (23600) $242.25 $323 1.1×
Treat Knuckle Dislocation (26700) $242.25 $323 1.1×
Treat Thumb Dislocation (26641) $242.25 $323 1.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,524.75 $2,033 1.1×
Treatment closed elbow dislocation w/o anes (24600) $242.25 $323 1.1×
Trim skin lesion (11055) $770.25 $1,027 4.5×
Trim skin lesions 2 to 4 (11056) $770.25 $1,027 4.5×
Trim skin lesions over 4 (11057) $770.25 $1,027 4.5×
Tx Gastro Intub W/Asp (43753) $285 $380 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.