Procedures & surgery prices at Wilcox Medical Center

Lihue, HI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$1,267.80–$1,287.60 $2,113–$2,146 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $966 $1,610 0.9×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines
$735.60–$934.80 $1,226–$1,558 varies
Application long arm splint shoulder hand (29105) $336.60 $561 1.8×
Application Short Arm Splint Dynamic (29126) $144 $240 0.9×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$132–$201 $220–$335 varies
Arterial puncture (36600) $173.40 $289 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $417 $695 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,272.60 $2,121 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $406.20 $677 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $417 $695 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$417–$455.40 $695–$759 varies
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines
$1,296.60–$1,357.80 $2,161–$2,263 varies
Aspirate Pleura W/O Imaging (32554) $967.20 $1,612 1.3×
Aspirate/Inj Ganglion Cyst (20612) $328.20 $547 0.9×
Aspiration & Injection Treatment Bone Cyst (20615) $1,501.20 $2,502 1.8×
Aspiration and/or injection thyroid cyst (60300) $856.80 $1,428 1.0×
Aspiration bladder insert suprapubic catheter (51102) $2,272.80 $3,788 0.9×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure
$4,272.60 $7,121 0.3×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure
$3,012 $5,020 0.4×
Biopsy Abdominal Mass (49180) $1,509 $2,515 0.8×
Biopsy bone trocar/needle deep (20225) $2,268 $3,780 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $1,509 $2,515 0.8×
Biopsy muscle percutaneous needle (20206) $1,509 $2,515 0.8×
Biopsy Muscle Superficial (20200) $1,585.20 $2,642 0.8×
Biopsy of liver, needle; percutaneous (47000) $1,509 $2,515 0.8×
Biopsy Pleura Percutaneous Needle (32400) $1,302 $2,170 0.7×
Biopsy Salivary Gland Needle (42400) $1,501.20 $2,502 1.8×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,383 $2,305 0.7×
Biopsy soft tissue neck/thorax (21550) $1,339.80 $2,233 0.7×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,302 $2,170 0.7×
Bladder instillation anticarcinogenic agent (51720) $360.60 $601 0.4×
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$700.20–$1,226.40 $1,167–$2,044 varies
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines
$1,480.80–$1,522.80 $2,468–$2,538 varies
Bone Marrow; Aspiration Only (38220) $1,486.80 $2,478 0.8×
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines
$1,297.20–$1,582.20 $2,162–$2,637 varies
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines
$1,297.20–$1,434 $2,162–$2,390 varies
Catheter aspiration nasotracheal spx (31720) $319.20 $532 1.2×
Cessj Therapy Cath Removal (37214) $3,109.80 $5,183 0.8×
Change Cystostomy Tube Simple (51705) $518.40 $864 1.8×
Chemical Pleurodesis (32560) $789.60 $1,316 1.1×
Chest tube placement (32551)
range across 2 matching MRF lines
$700.20–$720.60 $1,167–$1,201 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,670.40 $2,784 0.7×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,648.60 $6,081 0.9×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines
$144.60–$147 $241–$245 varies
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines
$9–$13.80 $15–$23 varies
Control Nasal Hemorrhage Anterior Simple (30901) $206.40 $344 1.3×
Convert Nephrostomy Catheter (50434) $2,118 $3,530 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,210.80 $2,018 0.6×
Declot vascular device (36593)
range across 2 matching MRF lines
$481.80–$489 $803–$815 varies
Deep Muscle Biopsy (20205) $1,601.40 $2,669 0.5×
Delivery of placenta (59414) $1,629.60 $2,716 0.4×
Dilat Xst Trc New Access Rcs (50437) $3,564 $5,940 0.9×
Drain/inj small joint/bursa w/us (20604) $410.40 $684 1.1×
Drainage of hematoma/fluid (10140) $2,276.40 $3,794 1.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$169.20–$226.80 $282–$378 varies
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines
$2,420.40–$3,208.80 $4,034–$5,348 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,171.80 $1,953 1.4×
Egd place gastrostomy tube (43246) $1,539 $2,565 0.7×
Epidural Blood Patch (62273) $721.80 $1,203 0.9×
Ercp duct stent placement (43274) $4,166.40 $6,944 0.6×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,277.80 $5,463 0.7×
Ercp ea duct/ampulla dilate (43277) $3,223.20 $5,372 0.7×
Ercp remove calculi/debris biliary/pancreas duct (43264) $3,044.40 $5,074 0.7×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $3,223.20 $5,372 0.7×
Ercp,Sphincterotomy (43262) $3,044.40 $5,074 0.7×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,623.80 $4,373 0.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines
$2,385.60–$3,816 $3,976–$6,360 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,815.60 $3,026 0.8×
External cephalic version (59412) $3,123.60 $5,206 0.8×
Fetal non-stress test (59025) $429 $715 1.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $674.40 $1,124 0.8×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $655.80 $1,093 0.8×
Fluoro exam of g/colon tube (49465) $195 $325 0.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $655.80 $1,093 0.8×
Fna bx w/us gdn 1st les (10005) $832.20 $1,387 1.0×
Guide Cathet Fluid Drainage (10030) $1,375.20 $2,292 1.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,126.80 $1,878 1.0×
I&d abscess simple (10060) $341.40 $569 1.4×
I&d perianal abscess superficial (46050) $921.60 $1,536 0.8×
Image Cath Fluid Colxn Visc (49405)
range across 4 matching MRF lines
$1,834.80–$1,922.40 $3,058–$3,204 varies
Image Cath Fluid Peri/Retro (49406)
range across 3 matching MRF lines
$1,735.80–$1,786.20 $2,893–$2,977 varies
Image Cath Fluid Trns/Vgnl (49407) $1,302 $2,170 0.7×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$546.60–$653.40 $911–$1,089 varies
Incision and drainage of bartholin's gland abscess (56420) $263.40 $439 1.1×
Initial open implantation of baroreflex activation therapy (bat) modulation system, including lead placement onto the… (64654)
likely a partial charge, not the full procedure
$1,711.80 $2,853 0.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$1,465.80–$2,055 $2,443–$3,425 varies
Inj W/Fluor Eval Cv Device (36598) $385.20 $642 1.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $822 $1,370 2.3×
Injection aa&/strd genicular nrv branches w/img (64454) $1,153.20 $1,922 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,153.20 $1,922 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,477.80 $2,463 1.8×
Injection for identification of sentinel node (38792) $508.80 $848 1.1×
Injection single tendon origin/insertion (20551) $372 $620 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $372 $620 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,252.20 $2,087 1.5×
Ins endovas vena cava filtr (37191) $5,806.20 $9,677 0.9×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines
$738.60–$773.40 $1,231–$1,289 varies
Insert Gastrostomy Tube Percutaneous (49440) $1,665 $2,775 0.7×
Insert non-tunnel cv cath (36556) $1,341.60 $2,236 0.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,109.40 $1,849 0.6×
Insert Temp Bladder Cath (51702) $186 $310 1.2×
Insert tun ip cath perc (49418) $3,699.60 $6,166 0.9×
Insert tunneled cv cath (36561) $3,625.20 $6,042 1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,382.60 $8,971 0.8×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines
$179.40–$183 $299–$305 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,732.80 $2,888 0.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,951.40 $14,919 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$1,109.40–$1,130.40 $1,849–$1,884 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,788.80 $4,648 0.7×
Intro cath dialysis circuit (36901) $738.60 $1,231 0.4×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $9,519 $15,865 0.7×
Intro Gastrointestinal Tube (44500) $931.80 $1,553 0.9×
Intubation endotracheal emergency procedure (31500) $564 $940 2.0×
Laryngoscopy flexible diagnostic (31575) $267 $445 1.1×
Maternity Care Procedure (59899) $506.40 $844 2.1×
Myelography Lumbar Injection (62305) $929.40 $1,549 1.0×
Myelography Lumbar Injection (62304) $946.80 $1,578 1.0×
Myelography via lumbar injection rs&i cervical (62302) $929.40 $1,549 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $929.40 $1,549 1.0×
Nasal Endoscopy Dx (31231) $267 $445 1.1×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$213.60–$268.80 $356–$448 varies
Needle Biopsy Lymph Nodes (38505) $1,467 $2,445 0.8×
Needle Biopsy Pancreas (48102) $1,472.40 $2,454 0.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,652.40 $2,754 4.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $508.80 $848 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,443.80 $4,073 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,465.80–$2,055 $2,443–$3,425 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $913.80 $1,523 1.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $663 $1,105 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $588.60 $981 0.7×
Obstructive material removal from gi tube (49460) $950.40 $1,584 0.9×
Percut Drain/Inject Renal Cyst (50390) $1,501.20 $2,502 1.8×
Pericardiocentesis W/Imaging (33016) $1,761 $2,935 0.9×
Peritoneal Lavage (49084) $1,267.80 $2,113 1.2×
Perq dev breast 1st strtctc (19283) $704.40 $1,174 0.8×
Perq dev breast 1st us imag (19285) $791.40 $1,319 0.9×
Perq device breast 1st imag (19281) $715.80 $1,193 0.4×
Perq dilation xst trc endourologic px w/img (50436) $2,124 $3,540 0.5×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $675 $1,125 0.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,709.40 $7,849 0.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,416.20 $4,027 1.0×
Plmt Nephroureteral Catheter (50433) $2,305.80 $3,843 0.6×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $2,327.40 $3,879 0.6×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $2,574 $4,290 0.6×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,327.40 $3,879 0.6×
Punch biopsy skin single lesion (11104) $399.60 $666 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $711 $1,185 1.5×
Puncture Aspiration Cyst Breast (19000) $1,133.40 $1,889 1.4×
Redo Endovas Vena Cava Filtr (37192) $3,109.80 $5,183 0.8×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $526.20 $877 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $604.80 $1,008 0.3×
Remove drug implant device (11982) $580.20 $967 1.1×
Remove renal tube w/fluoro (50389) $572.40 $954 0.7×
Renal Biopsy Perq (50200) $2,089.80 $3,483 1.1×
Replace g/c tube perc (49450) $1,544.40 $2,574 1.4×
Reposition Gastrostomy Tube (43761) $1,031.40 $1,719 3.5×
Reposition Venous Catheter (36597) $1,116.60 $1,861 0.6×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $607.80 $1,013 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,642.80 $2,738 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $831.60 $1,386 1.1×
Rplc Gtube No Revj Trc (43762) $498 $830 1.7×
Sclerotx Fluid Collection (49185) $952.80 $1,588 0.5×
Spinal puncture lumbar diagnostic (62270) $846 $1,410 1.0×
Strapping hand/finger (29280) $55.20 $92 0.8×
T-cell depletion of harvest (38210) $3,443.40 $5,739 6.6×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,153.20 $1,922 1.4×
Thrmbc/Nfs Dialysis Circuit (36906) $13,867.80 $23,113 0.6×
Thromblytic art/ven therapy (37213) $3,109.80 $5,183 0.8×
Thrombolytic Art Therapy (37211) $4,905 $8,175 0.7×
Thrombolytic Venous Therapy (37212) $1,195.20 $1,992 0.3×
Thyroid biopsy (60100) $882 $1,470 1.1×
Unlisted Procedure Endocrine System (60699) $5,535.60 $9,226 0.8×
Unlisted procedure lungs and pleura (32999) $860.40 $1,434 1.2×
Unlisted procedure stomach (43999) $1,031.40 $1,719 1.0×
Unlisted Procedure Vascular Surgery (37799) $163.80 $273 0.2×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,594.80 $2,658 1.5×
Unlisted px female genital system nonobstetrical (58999) $321.60 $536 1.3×

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.