Procedures & surgery prices at Wheatland Memorial Hospital

Harlowton, MT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $452 $452 2.2×
Anoscopy diagnostic (46600) $200 $200 1.5×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $290–$363 $290–$363 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $131–$149 $131–$149 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $116–$366 $116–$366 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $83–$362 $83–$362 varies
Application of long leg cast (29345) $436 $436 1.5×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $200–$206 $200–$206 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $184–$229 $184–$229 varies
Apply long arm cast (29065) $308 $308 1.1×
Apply Short Leg Cast (29405) $259 $259 0.9×
Apply short leg cast (29425) $324 $324 1.1×
Arterial puncture (36600) $190.60 $190.60 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $178–$184 $178–$184 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $311–$356 $311–$356 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $98–$200 $98–$200 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,700 $1,700 1.0×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $1,449 $1,449 0.4×
Aspirate/Inj Ganglion Cyst (20612) $250 $250 0.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $204–$431 $204–$431 varies
Bladder Scan (51798) $96 $96 1.6×
Blepharotomy drainage abscess eyelid (67700) $1,092 $1,092 3.4×
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $502–$2,284.25 $502–$2,284.25 varies
Change Cystostomy Tube Simple (51705) $155 $155 0.6×
Chemical Cautery Tissue (17250) $103 $103 0.5×
Chest tube placement (32551) $540 $540 0.3×
Cl Tx Scapular Fx; W Manip (23575) $1,753 $1,753 1.1×
Cl Tx Tib Shft Fx W Manip (27752) $742 $742 0.5×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $386–$410 $386–$410 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,395 $1,395 5.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $1,071 $1,071 4.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,314 $1,314 5.2×
Closed tx metatarsal fracture w/o manipulation (28470) $4,625 $4,625 18.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,119 $1,119 0.7×
Closed tx patellar dislocation w/o anesthesia (27560) $980 $980 3.9×
Closed tx radial head/neck fx w/manipulation (24655) $1,894 $1,894 1.2×
Closed tx radial head/neck fx w/o manipulation (24650) $830 $830 3.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,178 $1,178 4.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $672 $672 0.4×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $363–$1,197 $363–$1,197 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $1,009 $1,009 4.0×
Closed tx talus fracture w/o manipulation (28430) $1,012 $1,012 4.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $419 $419 1.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,216 $1,216 4.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,130 $1,130 4.5×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,531 $1,531 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $943 $943 3.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,258 $1,258 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $983 $983 3.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,357 $1,357 5.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $846–$1,352 $846–$1,352 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $791 $791 3.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,039 $1,039 4.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,476 $1,476 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,368 $1,368 0.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $388 $388 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $382 $382 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $531 $531 2.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,360 $1,360 5.4×
Cltx hip dislocation traumatic req anesthesia (27252) $2,100 $2,100 1.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $869 $869 3.4×
Cltx Med Ankle Fx W/Mnpj (27762) $2,035 $2,035 1.2×
Cltx Medial Ankle Fx (27760) $1,434 $1,434 5.7×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $493–$1,344 $493–$1,344 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $1,226 $1,226 4.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,790 $1,790 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,409 $1,409 5.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $849 $849 3.4×
Cltx prox fibula/shft fx w/o manj (27780) $1,320 $1,320 5.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $278–$427 $278–$427 varies
Cltx tibial fx proximal w/o manipulation (27530) $1,306 $1,306 5.2×
Cltx tibial shaft fx w/o manipulation (27750) $1,498 $1,498 5.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $870 $870 0.5×
Collection of venous blood by venipuncture (36415) $51.78 $51.78 5.5×
Control Nasal Hemorrhage Anterior Complex (30903) $666 $666 4.9×
Control Nasal Hemorrhage Anterior Simple (30901) $308 $308 2.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $146 $146 0.1×
Correction of trichiasis; epilation, by forceps only (67820) $165 $165 1.2×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $219 $219 3.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $824 $824 6.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,417 $1,417 5.9×
Debride nail 1-5 (11720) $65 $65 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $165–$1,002 $165–$1,002 varies
Delivery of placenta (59414) $300 $300 0.1×
Destruct B9 Lesion 1-14 (17110) $456 $456 2.2×
Destruction Benign Lesions 15/> (17111) $193 $193 0.9×
Destruction Premalignant Lesion 15/> (17004) $595 $595 1.4×
Destruction premalignant lesion 1st (17000) $273 $273 1.3×
Diaphragm or cervical cap fitting with instructions (57170) $250 $250 1.2×
Drainage of finger abscess simple (26010) $1,089 $1,089 5.3×
Drainage of gum lesion (41800) $242 $242 1.8×
Drainage of hematoma/fluid (10140) $678 $678 0.4×
Drainage of scrotal wall abscess (55100) $598 $598 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $362 $362 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $468 $468 2.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $259 $259 1.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $592 $592 2.9×
Endometrial Biopsy (58100) $451 $451 2.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $87–$204 $87–$204 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $516 $516 0.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $837 $837 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $984 $984 1.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,125 $1,125 1.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $557 $557 0.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $695 $695 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $780 $780 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $504 $504 0.3×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $648 $648 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $732 $732 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $801 $801 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,328 $1,328 0.8×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,254 $1,254 0.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $617 $617 1.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $691 $691 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $911 $911 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,179 $1,179 1.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $798 $798 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $947 $947 1.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,026 $1,026 2.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $829 $829 1.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,331 $1,331 0.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $805 $805 0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $951 $951 1.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,062 $1,062 1.5×
Excision of pilonidal cyst or sinus; simple (11770) $1,196 $1,196 0.4×
Fine needle aspiration without imaging guidance (10021) $504 $504 1.2×
Fna bx w/us gdn 1st les (10005) $348 $348 0.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,014 $2,014 0.7×
Hysteroscopy Biopsy (58558) $5,465 $5,465 1.7×
I&d abscess peritonsillar (42700) $379 $379 1.6×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $347–$364 $347–$364 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,934 $2,934 1.0×
I&d pilonidal cyst simple (10080) $737 $737 1.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,547 $1,547 0.5×
Incise external hemorrhoid (46083) $743 $743 2.9×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $506–$853 $506–$853 varies
Incision & removal foreign body subq tiss compl (10121) $730 $730 0.4×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $351–$445 $351–$445 varies
Incision and drainage of bartholin's gland abscess (56420) $506 $506 2.4×
Incision of lingual frenum (frenotomy) (41010) $826 $826 0.5×
Incisional biopsy skin single lesion (11106) $526 $526 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $221 $221 1.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $220 $220 0.7×
Injection single tendon origin/insertion (20551) $250 $250 0.8×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $153–$228 $153–$228 varies
Injection single/mlt trigger point 3/> muscles (20553) $262 $262 0.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $467 $467 0.6×
Insert Drug Implant Device (11981) $171 $171 1.3×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $263–$439.45 $263–$439.45 varies
Insert,Non-Indwelling Bladder Catheter (51701) $197 $197 1.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,507 $1,507 3.6×
Intubation endotracheal emergency procedure (31500) $349 $349 1.4×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $100–$151 $100–$151 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $369 $369 1.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,611 $2,611 0.8×
Partical Excision Bone Phalanx Toe (28124) $1,169 $1,169 0.3×
Placement of needle for intraosseous infusion (36680) $191 $191 0.4×
Punch biopsy skin single lesion (11104) $182 $182 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $328–$536 $328–$536 varies
Puncture Aspiration Cyst Breast (19000) $460 $460 0.6×
Removal foreign body foot deep (28192) $2,004 $2,004 1.2×
Removal Foreign Body Foot Subcutaneous (28190) $1,068 $1,068 1.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $873 $873 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $101 $101 1.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $170–$201 $170–$201 varies
Removal Implant Superficial Separate Procedure (20670) $1,545 $1,545 0.9×
Removal of nail bed (11750) $677 $677 1.6×
Removal or bivalving full arm or full leg cast (29705) $289 $289 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $368 $368 1.8×
Remove drug implant device (11982) $201 $201 0.4×
Remove Forearm Foreign Body (25248) $1,759 $1,759 1.1×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $166–$176 $166–$176 varies
Remove Intrauterine Device (58301) $180 $180 0.6×
Remove Nasal Foreign Body (30300) $732 $732 5.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $1,748–$1,801 $1,748–$1,801 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $736–$2,100 $736–$2,100 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,003 $1,003 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,828 $1,828 4.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $787–$1,764 $787–$1,764 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $820 $820 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $931 $931 2.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,094 $1,094 2.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,165 $1,165 2.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,262 $1,262 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $507–$765 $507–$765 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $675–$914 $675–$914 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,135 $1,135 1.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,204 $1,204 2.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $750 $750 1.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $943–$959 $943–$959 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $986 $986 2.4×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $478–$491 $478–$491 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $188 $188 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $244 $244 1.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $221 $221 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,398 $1,398 2.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $540 $540 2.6×
Shave skin lesion 0.5 cm/< (11300) $400 $400 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $467 $467 2.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $403 $403 2.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $500 $500 2.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $461 $461 2.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $662 $662 1.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $493 $493 2.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $580 $580 2.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $671 $671 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $345 $345 1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $343–$375 $343–$375 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $439 $439 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $277–$286 $277–$286 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $934 $934 4.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $404–$438 $404–$438 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $323–$343 $323–$343 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $520 $520 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $363–$804 $363–$804 varies
Spinal puncture lumbar diagnostic (62270) $490 $490 0.7×
Strapping Unna Boot (29580) $170 $170 1.0×
Tangential biopsy skin single lesion (11102) $342 $342 0.8×
Tooth extraction (41899) $81 $81 0.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $712 $712 0.4×
Treat humerus fracture (24500) $1,131 $1,131 4.5×
Treat humerus fracture (23600) $1,410 $1,410 5.6×
Treat toe dislocation (28630) $309 $309 1.2×
Treatment closed elbow dislocation w/o anes (24600) $680 $680 2.7×
Trim skin lesion (11055) $196 $196 1.0×
Trim skin lesions 2 to 4 (11056) $238 $238 1.2×
Trim skin lesions over 4 (11057) $271 $271 1.3×
Trimming Nondystrophic Nails Any Number (11719) $72 $72 1.2×
Tx Gastro Intub W/Asp (43753) $68 $68 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $658–$678 $658–$678 varies
Vaginal delivery only (59409) $3,180 $3,180 1.0×
Wedge excision skin nail fold (11765) $680 $680 1.6×

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.