Procedures & surgery prices at Wichita County Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Application Finger Splint Dynamic (29131) $128 $160 2.4×
Application finger splint static (29130)
range across 2 matching MRF lines		 $184–$232 $230–$290 varies
Application long arm splint shoulder hand (29105) $168 $210 1.1×
Application Long Leg Splint (29505) $232 $290 1.6×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $220–$232 $275–$290 varies
Application short leg splint calf foot (29515) $220 $275 1.5×
Apply Short Leg Cast (29405) $216 $270 0.8×
Arterial puncture (36600) $87.20 $109 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $164–$420 $205–$525 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $136 $170 0.5×
Aspirate pleura w/ imaging (32555) $820 $1,025 1.4×
Aspirate Pleura W/O Imaging (32554) $248 $310 0.4×
Aspirate/Inj Ganglion Cyst (20612) $136 $170 0.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $106.40–$136 $133–$170 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $80–$168 $100–$210 varies
Closed tx ankle dislocation w/o anesthesia (27840) $360 $450 1.6×
Closed tx patellar dislocation w/o anesthesia (27560) $842.40 $1,053 3.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $392 $490 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $464 $580 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $612 $765 2.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $432 $540 1.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $640 $800 2.8×
Cltx metacarpal fx w/o manipulation each bone (26600) $720 $900 3.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $788 $985 3.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $672.80 $841 3.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $380 $475 1.7×
Collection of venous blood by venipuncture (36415) $16 $20 1.7×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $720 $900 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $720 $900 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $168 $210 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $130.40 $163 1.1×
Debride nail 1-5 (11720) $76 $95 1.4×
Debride nail 6 or more (11721) $72 $90 1.3×
Destruct B9 Lesion 1-14 (17110) $160 $200 0.9×
Destruction premalignant lesion 1st (17000) $304.80 $381 1.7×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $256–$1,120 $320–$1,400 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $116 $145 0.6×
Egd dilation gastric/duodenal stricture (43245) $720 $900 0.4×
Egd remove lesion snare (43251) $720 $900 0.4×
Endometrial Biopsy (58100) $180 $225 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $136–$632 $170–$790 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $88 $110 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $220 $275 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $200 $250 0.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $720 $900 0.8×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $168–$797.60 $210–$997 varies
I&d pilonidal cyst simple (10080) $324 $405 0.5×
Incise external hemorrhoid (46083) $328 $410 1.4×
Incision & removal foreign body subq tiss compl (10121) $468 $585 0.3×
Incision & removal foreign body subq tiss simple (10120) $200 $250 0.5×
Incisional biopsy skin single lesion (11106) $648 $810 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $104 $130 0.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $908.80 $1,136 1.4×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $236–$1,050 $295–$1,312.50 varies
Insert pessary/other device (57160) $60 $75 0.3×
Insert Temp Bladder Cath (51702) $68 $85 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $68 $85 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $560 $700 0.4×
Intubation endotracheal emergency procedure (31500) $248 $310 1.1×
Nasal/Orogastric W/Tube Plmt (43752) $160 $200 0.4×
Open Tx Distal Phalangeal Fracture Each (26765) $1,008 $1,260 0.3×
Placement of needle for intraosseous infusion (36680) $280 $350 0.7×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $92–$643.20 $115–$804 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $177.60 $222 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $184 $230 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $72–$92 $90–$115 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $92 $115 1.7×
Removal of nail bed (11750) $492 $615 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $643.20 $804 3.5×
Remove foreign body from eye (65205) $184 $230 1.5×
Remove Intrauterine Device (58301) $80 $100 0.3×
Remove Nasal Foreign Body (30300) $532 $665 4.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $748 $935 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $512 $640 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $512 $640 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $280 $350 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $560 $700 1.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $732 $915 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $240 $300 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $772 $965 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $292 $365 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $252 $315 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $516 $645 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $252 $315 0.1×
Repair of nail bed (11760) $353.60 $442 0.5×
Repair tongue laceration (41250) $307.20 $384 0.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $420 $525 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $206.40 $258 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $364.80 $456 3.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $316 $395 0.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,209.60 $1,512 1.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $72 $90 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $72 $90 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $72 $90 0.4×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $720 $900 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $200 $250 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $212 $265 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $212 $265 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $200 $250 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $224 $280 1.2×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $452–$4,260 $565–$5,325 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $152–$2,868 $190–$3,585 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $212 $265 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $476 $595 1.3×
Tangential biopsy skin single lesion (11102) $643.20 $804 1.7×
Treatment closed elbow dislocation w/o anes (24600) $945.60 $1,182 4.2×
Trim skin lesion (11055) $238.40 $298 1.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $212 $265 0.3×
Wedge excision skin nail fold (11765) $156 $195 0.4×

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.