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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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,277.70 $2,129.50 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $966 $1,610 0.9×
Amniocentesis diagnostic (59000) $835.20 $1,392 0.8×
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) $165 $275 1.0×
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) $436.20 $727 1.2×
Aspirate pleura w/ imaging (32555) $1,296.60 $2,161 1.7×
Aspirate/Inj Ganglion Cyst (20612) $328.20 $547 0.9×
Aspiration and injection for treatment of 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 endoscopy percut,dil strict (47555)
unusually low: confirm this is the full procedure
$3,012 $5,020 0.4×
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×
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 deep (20205) $1,601.40 $2,669 0.5×
Biopsy muscle percutaneous needle (20206) $1,509 $2,515 0.8×
Biopsy Muscle Superficial (20200) $1,585.20 $2,642 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,superf (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 patch (62273) $721.80 $1,203 0.9×
Blood transfusion service (36430) $984.90 $1,641.50 1.9×
Bone marrow aspiration only (38220) $1,486.80 $2,478 0.8×
Bone Marrow Biopsy (38221) $1,501.80 $2,503 0.8×
Bx abdl/retroperitoneal mass prq needle (49180) $1,509 $2,515 0.8×
Bx breast 1st lesion strtctc (19081) $1,378.20 $2,297 0.7×
Bx breast 1st lesion us imag (19083) $1,378.20 $2,297 0.7×
Bx/exc lymph node needle superficial (38505) $1,467 $2,445 0.8×
Catheter Aspiration Nasotracheal Spx (31720) $319.20 $532 1.2×
Cessj Therapy Cath Removal (37214) $3,109.80 $5,183 0.8×
Change of cystostomy tube simple (51705) $518.40 $864 1.8×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $1,670.40 $2,784 0.7×
Cholecystostomy,Percutaneous, Complete (47490) $3,648.60 $6,081 0.9×
Collect Blood From Catheter Venous Nos (36592) $145.80 $243 0.9×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $385.20 $642 1.5×
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) $485.40 $809 1.2×
Delivery placenta separate procedure (59414) $1,629.60 $2,716 0.4×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,171.80 $1,953 1.4×
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) $198 $330 1.3×
Dx bone marrow bx & aspir (38222) $2,814.60 $4,691 0.8×
Egd place gastrostomy tube (43246) $1,539 $2,565 0.7×
Ercp Duct Stent Placement (43274) $4,166.40 $6,944 0.6×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (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 w/sphincterotomy/papillotomy (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 cath (50435) $3,100.80 $5,168 1.3×
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 biopsy, including MR guidance; first lesion (10011) $655.80 $1,093 0.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $674.40 $1,124 0.8×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $832.20 $1,387 1.0×
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×
Guide Cathet Fluid Drainage (10030) $1,375.20 $2,292 1.6×
I&d abscess simple (10060) $341.40 $569 1.4×
Image Cath Fluid Colxn Visc (49405) $1,868.40 $3,114 1.0×
Image Cath Fluid Peri/Retro (49406) $1,753.80 $2,923 0.9×
Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) $1,302 $2,170 0.7×
Incision & drainage abscess complicated/multiple (10061) $600 $1,000 1.2×
Incision and drainage of bartholin's gland abscess (56420) $263.40 $439 1.1×
Incision and drainage perianal abscess superficial (46050) $921.60 $1,536 0.8×
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 paravert f jnt c/t 1 lev (64490) $1,760.40 $2,934 1.7×
Inj tendon sheath/ligament (20550) $822 $1,370 2.3×
Inject Tendon Origin/Insert (20551) $372 $620 1.0×
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 Other Peripheral Nerve/Branch (64450) $1,252.20 $2,087 1.5×
Injection for identification of sentinel node (38792) $508.80 $848 1.1×
Injection single/mlt trigger point 1/2 muscles (20552) $372 $620 1.0×
Ins endovas vena cava filtr (37191) $5,806.20 $9,677 0.9×
Insert cath pleura w/ image (32557) $738.60 $1,231 0.4×
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) $179.40 $299 1.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,951.40 $14,919 0.9×
Insj picc rs&i 5 yr+ (36573) $1,732.80 $2,888 0.9×
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×
Ligation of hemorrhoid(s) (46221) $1,126.80 $1,878 1.0×
Liver Biopsy (47000) $1,509 $2,515 0.8×
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×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $241.20 $402 0.5×
Needle biopsy of 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 aa&/strd sciatic nerve (64445) $1,477.80 $2,463 1.8×
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) $1,760.40 $2,934 1.7×
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 dilation xst trc new access renal coltj sys (50437) $3,564 $5,940 0.9×
Perq replacement gtube not req revj gstrst trc (43762) $498 $830 1.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $675 $1,125 0.8×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $13,867.80 $23,113 0.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,709.40 $7,849 0.7×
Picc line placement (36569) $1,119.90 $1,866.50 0.6×
Plmt nephrostomy cath prq new access rs&i (50432) $2,416.20 $4,027 1.0×
Plmt nephroureteral cath prq new access rs&i (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 Cyst Breast (19000) $1,133.40 $1,889 1.4×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $711 $1,185 1.5×
Removal biliary drg cath (47537) $526.20 $877 0.5×
Removal foreign body muscle/tendon sheath simple (20520) $604.80 $1,008 0.3×
Removal of arm foreign body (24200) $607.80 $1,013 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 Percutaneous (50200) $2,089.80 $3,483 1.1×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,544.40 $2,574 1.4×
Reposition cv cath w/fluoro (36597) $1,116.60 $1,861 0.6×
Reposition gastric feeding tube thru duodenum (43761) $1,031.40 $1,719 3.5×
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) $3,109.80 $5,183 0.8×
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×
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×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $1,153.20 $1,922 1.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $967.20 $1,612 1.3×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (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×
Treat pleurodesis w/agent (32560) $789.60 $1,316 1.1×
Tube thoracostomy includes water seal (32551) $710.40 $1,184 0.4×
Unlisted Procedure Endocrine System (60699) $5,535.60 $9,226 0.8×
Unlisted Procedure Lungs & Pleura (32999) $860.40 $1,434 1.2×
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 procedure, maternity care and delivery (59899) $506.40 $844 2.1×
Unlisted procedure, stomach (43999) $1,031.40 $1,719 1.0×
Unlisted px female genital system nonobstetrical (58999) $321.60 $536 1.3×
Venipuncture (36415) $12 $20 1.3×