Procedures & surgery prices at Weisbrod Memorial County Hospital

Eads, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) $1,619.40 $2,699 2.1×
App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) $6 $10 0.0×
Application finger splint static (29130) $75 $125 0.5×
Application of long leg cast (thigh to toes); (29345) $435.60 $726 1.5×
Application of long leg splint (thigh to ankle or toes) (29505) $191.70 $319.50 1.1×
Application of short arm splint (forearm to hand); static (29125) $130.20 $217 0.9×
Application of short leg cast (below knee to toes); (29405) $271.80 $453 0.9×
Application of short leg cast (below knee to toes); walking or ambulatory type (29425) $435.60 $726 1.5×
Application of short leg splint (calf to foot) (29515) $165.60 $276 1.0×
Application, cast; shoulder to hand (long arm) (29065) $435.60 $726 1.5×
Apply hand/wrist cast (29085) $250.20 $417 1.5×
Apply long arm splint (29105) $250.20 $417 1.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $70.80 $118 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $298.80 $498 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $216.60 $361 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $94.80 $158 0.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,180.20 $1,967 0.7×
Aspirate pleura w/o imaging (32554) $1,149.60 $1,916 1.7×
Avulsion of nail plate, partial or complete, simple; single (11730) $86.40 $144 0.4×
Biopsy external ear (69100) $200.40 $334 0.8×
Biopsy of uterus lining (58100) $272.40 $454 1.3×
Biopsy soft tissue leg/ankle area superficial (27613) $220.80 $368 0.1×
Biopsy soft tissue upper arm/elbow superficial (24065) $329.40 $549 0.2×
Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21 (24066) $346.20 $577 0.1×
Bladder irrigation (51700) $429.60 $716 1.6×
Cast short arm (29075) $435.60 $726 1.5×
Chemodenerv trunk musc 1-5 (64646) $6.60 $11 0.0×
Chemodenerv trunk musc 6/> (64647) $6.60 $11 0.0×
Chest tube placement (32551) $816 $1,360 0.5×
Closed treatment of acromioclavicular dislocation; without manipulation (23540) $242.40 $404 0.9×
Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) $301.20 $502 1.2×
Closed treatment of calcaneal fracture; without manipulation (28400) $367.20 $612 1.4×
Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) $417 $695 1.6×
Closed treatment of clavicular fracture; with manipulation (23505) $415.20 $692 0.2×
Closed treatment of clavicular fracture; without manipulation (23500) $340.20 $567 1.3×
Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) $417 $695 1.6×
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) $505.80 $843 1.9×
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) $388.50 $647.50 1.5×
Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) $451.50 $752.50 1.7×
Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) $124.80 $208 0.5×
Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) $414.30 $690.50 1.6×
Closed treatment of humeral shaft fracture; without manipulation (24500) $346.20 $577 1.3×
Closed treatment of medial malleolus fracture; without manipulation (27760) $492.90 $821.50 1.9×
Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) $388.50 $647.50 1.5×
Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) $329.70 $549.50 1.3×
Closed treatment of patellar fracture, without manipulation (27520) $259.80 $433 1.0×
Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) $360.90 $601.50 1.4×
Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) $445.50 $742.50 1.7×
Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) $788.40 $1,314 3.0×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $380.40 $634 1.5×
Closed treatment of radial head or neck fracture; without manipulation (24650) $311.40 $519 1.2×
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) $288.30 $480.50 1.1×
Closed treatment of radial shaft fracture; without manipulation (25500) $583.50 $972.50 2.2×
Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) $381.60 $636 1.5×
Closed treatment of ulnar fracture, proximal end; without manipulation (24670) $343.50 $572.50 1.3×
Closed treatment of ulnar styloid fracture (25650) $475.80 $793 1.8×
Closed tx bimalleolar ankle fracture w/manj (27810) $761.40 $1,269 0.4×
Closed tx bimalleolar ankle fracture w/o manip (27808) $430.20 $717 1.7×
Closed tx metatarsal fracture w/o manipulation (28470) $340.20 $567 1.3×
Closed tx patellar dislocation w/o anesthesia (27560) $417 $695 1.6×
Closed tx radial shaft fracture w/manipulation (25505) $1,773 $2,955 1.0×
Closed tx scapular fracture w/o manipulation (23570) $285.60 $476 1.1×
Closed tx vert fx w/o manj (22310) $519 $865 2.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $360 $600 1.4×
Clsd tx nsl fx mnpj wo stblj (21315) $256.20 $427 0.2×
Clsd tx nsl fx w/mnpj&stablj (21320) $519 $865 0.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,459.80 $2,433 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,157 $3,595 1.3×
Cltx carpo/metacarpal dislocation thumb w/manj (26641) $417.60 $696 1.6×
CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) $235.20 $392 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $398.70 $664.50 1.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $588.60 $981 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $172.80 $288 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $437.10 $728.50 1.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $417.60 $696 1.6×
CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) $588.60 $981 0.3×
Cltx interphalangeal joint dislocation req anes (28665) $436.80 $728 1.5×
Cltx metar fx w/manj (28475) $360 $600 1.4×
CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) $761.40 $1,269 0.4×
Cltx tibial shaft fx w/o manipulation (27750) $309.60 $516 1.2×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $142.20 $237 1.0×
Cryosurgery anal lesion(s) (46916) $145.80 $243 0.7×
Debridement of nail(s) by any method(s); 1 to 5 (11720) $43.20 $72 0.7×
Debridement of nail(s) by any method(s); 6 or more (11721) $62.40 $104 1.0×
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) $414.90 $691.50 1.0×
Destruct lesion 15 or more (17111) $83.40 $139 0.4×
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) $195.90 $326.50 0.9×
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) $297.60 $496 0.7×
Destruction benign lesions up to 14 (17110) $66.60 $111 0.3×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) $102 $170 0.5×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) $128.40 $214 0.6×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) $366.60 $611 1.7×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) $152.40 $254 0.7×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) $273 $455 1.3×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) $193.80 $323 0.9×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) $320.40 $534 1.5×
Drainage external ear, abscess or hematoma; simple (69000) $90.60 $151 0.1×
Drainage finger abscess simple (26010) $327.60 $546 1.5×
Ed proc remve fb nasal- hospital (30300) $78 $130 0.6×
Ed prof catheterization/straight (51701) $197.70 $329.50 1.4×
Ed prof closed tx radial head/neck fx w/manipulation (24655) $467.40 $779 0.3×
Ed prof drain dental abscess-hospital (41800) $198 $330 1.4×
Ed prof insert foley cath simple (51702) $198 $330 1.4×
Ed prof int lac 12.6-20cm bd - hospital (12035) $635.40 $1,059 1.5×
Ed prof int lac 7.6-12.5cm bd - hospital (12034) $550.50 $917.50 1.3×
Ed prof interphalangeal dislocation- hospital (26770) $309 $515 1.2×
Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) $645.60 $1,076 1.4×
Er inj anesthetic agent, peripheral nerve or branch (64450) $1,110 $1,850 1.5×
Evac subungual hematoma (11740) $125.10 $208.50 0.9×
Exc tr-ext b9+marg 0.5 < cm (11400) $90 $150 0.1×
Excision tumor soft tissue back/flank subq <3cm (21930) $540 $900 0.3×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) $123.60 $206 0.0×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) $370.80 $618 0.5×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) $306 $510 0.2×
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) $865.20 $1,442 0.5×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) $185.40 $309 0.1×
Exploration with removal of deep foreign body, forearm or wrist (25248) $327.60 $546 0.2×
Gastric lavage (43753) $468 $780 2.1×
I&d abscess simple/single (10060) $234.30 $390.50 1.1×
I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) $4,409.40 $7,349 1.4×
I&d pilonidal cyst simple (10080) $126 $210 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,550 $4,250 0.8×
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) $178.20 $297 0.4×
Incision and removal of foreign body, subcutaneous tissues; simple (10120) $217.20 $362 0.5×
Incisional biopsy skin single lesion (11106) $85.80 $143 0.1×
Injection aa&/strd trigeminal nerve each branch (64400) $459 $765 1.4×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $255 $425 0.8×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $374.40 $624 1.2×
Injection, intralesional; up to and including 7 lesions (11900) $75.60 $126 0.4×
Insert drug implant device (11981) $197.40 $329 1.4×
Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) $1,632.60 $2,721 0.5×
Intubation endotracheal (31500) $135.60 $226 0.5×
Lumbar puncture (62270) $1,110 $1,850 1.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $31.20 $52 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $46.20 $77 1.5×
Open tx distal phalangeal fracture each (26765) $467.40 $779 0.1×
Open tx fracture phalanx/phalanges not great toe (28525) $445.80 $743 0.1×
Open tx phalangeal shaft fracture prox/middle ea (26735) $1,740 $2,900 0.5×
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) $54 $90 0.3×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) $332.40 $554 0.1×
Preputial stretching (54450) $429 $715 1.6×
Punch biopsy skin single lesion (11104) $85.80 $143 0.2×
Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) $198.60 $331 0.5×
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) $599.70 $999.50 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $47.40 $79 0.8×
Removal impacted cerumen requiring instrumentation, unilateral (69210) $90.60 $151 1.5×
Removal of chronic growth of eyelid|RIGHT SIDE (67800) $313.80 $523 0.9×
Removal of foreign body in muscle or tendon sheath; simple (20520) $280.80 $468 0.2×
Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) $398.40 $664 0.2×
Removal of foreign body, external eye; conjunctival superficial (65205) $162.60 $271 1.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $362.40 $604 0.8×
Removal of iud (58301) $80.40 $134 0.3×
Removal of nail bed (11750) $286.20 $477 0.7×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $75.60 $126 0.4×
Removal or bivalving; full arm or full leg cast Age Under 21 (29705) $436.80 $728 1.5×
Removal with reinsertion, non-biodegradable drug delivery implant (11983) $645.60 $1,076 1.4×
Removal, non-biodegradable drug delivery implant (11982) $444 $740 0.9×
Remove foreign body from eye (65210) $138.60 $231 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $424.20 $707 1.0×
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) $879.30 $1,465.50 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $752.40 $1,254 1.8×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) $386.70 $644.50 0.9×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) $479.10 $798.50 1.1×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) $1,007.40 $1,679 2.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $370.20 $617 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $486.90 $811.50 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $597 $995 0.8×
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) $363.30 $605.50 0.8×
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) $456.60 $761 1.1×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) $589.50 $982.50 1.4×
Repair of nail bed (11760) $895.20 $1,492 1.1×
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) $337.20 $562 0.8×
Reset dislocated jaw (21480) $417 $695 1.6×
RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) $154.20 $257 1.1×
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) $147.90 $246.50 1.1×
Rmvl of access device (36589) $389.40 $649 0.6×
Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) $2,870.40 $4,784 0.8×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) $327.60 $546 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $217.80 $363 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $216.60 $361 0.5×
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) $231.60 $386 1.1×
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) $279.30 $465.50 1.3×
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) $394.20 $657 1.9×
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) $276.60 $461 1.3×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) $220.80 $368 1.0×
Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) $340.20 $567 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $343.80 $573 1.6×
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) $272.70 $454.50 1.3×
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) $411.60 $686 1.0×
Strapping elbow or wrist (29260) $106.20 $177 1.7×
Strapping hand/finger (29280) $59.40 $99 1.0×
Strapping of knee (29530) $197.40 $329 1.4×
Strapping of shoulder (29240) $197.40 $329 1.4×
Strapping unna boot (29580) $249.60 $416 1.5×
Tangential biopsy skin single lesion (11102) $206.70 $344.50 0.5×
Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) $382.20 $637 1.5×
Transfusion, blood or blood components (36430) $271.80 $453 0.6×
Treat big toe fracture (28495) $193.80 $323 0.7×
Treat finger dislocation (26775) $370.20 $617 1.3×
Treat tail bone fracture (27200) $242.40 $404 0.9×
Treat thumb fracture (26645) $1,039.20 $1,732 0.6×
Treat toe dislocation (28630) $172.80 $288 0.7×
Treat ulnar fracture (24675) $477.60 $796 0.3×
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) $415.20 $692 0.2×
Treatment of closed elbow dislocation; without anesthesia (24600) $294 $490 1.1×
Trimming of nondystrophic nails, any number (11719) $27.60 $46 0.4×
Vaginal delivery (59409) $2,918.40 $4,864 0.9×
Venipuncture (36415) $19.20 $32 2.1×
Wedge excision skin nail fold (11765) $190.20 $317 0.4×