Procedures & surgery prices at Vernon Health Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,996 $2,996 3.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,585 $2,585 2.9×
Application finger splint static (29130) $93 $93 0.7×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $114–$161 $114–$161 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $114–$161 $114–$161 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $114–$161 $114–$161 varies
Arterial puncture (36600) $210 $210 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $96 $96 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $71–$968 $71–$968 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $597 $597 2.0×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $497–$1,147 $497–$1,147 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $147–$452 $147–$452 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $139–$161 $139–$161 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $210–$218 $210–$218 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $387–$585 $387–$585 varies
Blood Transfusion Service (36430)
range across 4 matching MRF lines		 $152–$583 $152–$583 varies
Catheter aspiration nasotracheal spx (31720) $87 $87 0.4×
Chest tube placement (32551) $222 $222 0.1×
Circumcision w/clamp/oth dev w/block (54150) $247 $247 0.1×
Clear outer ear canal (69200) $65 $65 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $161 $161 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $90 $90 0.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $161 $161 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $161 $161 0.1×
Cltx hip dislocation traumatic req anesthesia (27252) $5,195 $5,195 3.3×
Cltx post hip arthrp dislc w/o anes (27265) $241 $241 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $114 $114 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $218 $218 0.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $5,787 $5,787 3.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $161 $161 0.1×
Collect Blood From Catheter Venous Nos (36592) $219 $219 1.7×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $35–$307 $35–$307 varies
Colonoscopy W/Band Ligation (45398) $4,315 $4,315 3.7×
Colonoscopy w/submucosal inj (45381) $3,620 $3,620 3.1×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $107–$161 $107–$161 varies
Declot vascular device (36593) $129 $129 0.4×
Drain/inj small joint/bursa w/us (20604) $759 $759 2.5×
Drainage of gum lesion (41800) $59 $59 0.5×
Draw Blood Off Venous Device (36591) $217 $217 1.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,589 $3,589 1.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $62–$90 $62–$90 varies
Fetal non-stress test (59025) $238 $238 1.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,905 $2,905 3.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $96–$173 $96–$173 varies
I&d pilonidal cyst complicated (10081) $708 $708 1.0×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $114–$161 $114–$161 varies
Incision and drainage of vulva or perineal abscess (56405) $701 $701 2.4×
Incision of rectal abscess (46040) $3,823 $3,823 3.3×
Injection 1 tendon sheath/ligament aponeurosis (20550) $359 $359 1.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $65–$96 $65–$96 varies
Injection, anesthetic agent; femoral nerve, single (64447) $699 $699 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $161 $161 0.2×
Insert cath pleura w/o image (32556) $218 $218 0.1×
Insert non-tunnel cv cath (36556) $161 $161 0.1×
Insert Temp Bladder Cath (51702) $232 $232 1.8×
Insert,Non-Indwelling Bladder Catheter (51701) $232 $232 1.8×
Intubation endotracheal emergency procedure (31500) $222 $222 1.0×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $988 $988 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $50–$52 $50–$52 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $64–$67 $64–$67 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $90 $90 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $59 $59 0.1×
Removal Foreign Body Foot Subcutaneous (28190) $1,378 $1,378 2.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $115 $115 2.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $100 $100 1.7×
Remove foreign body from eye (65205) $114 $114 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $3,577 $3,577 5.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $2,340 $2,340 5.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $232 $232 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,881 $1,881 4.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $153 $153 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $162 $162 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $162 $162 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,010 $1,010 2.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $162 $162 0.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $243 $243 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $161 $161 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,826 $2,826 2.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,327 $2,327 2.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $65–$97 $65–$97 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $162 $162 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $162 $162 0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $65–$97 $65–$97 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $162 $162 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $97 $97 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $162 $162 0.4×
Spinal puncture lumbar diagnostic (62270) $222 $222 0.3×
Strapping Unna Boot (29580) $249 $249 1.6×
Treat toe dislocation (28630) $968 $968 4.0×
Treatment closed elbow dislocation w/o anes (24600) $155 $155 0.6×
Tx Gastro Intub W/Asp (43753) $36 $36 0.2×

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.