Procedures & surgery prices at Wray Community District Hospital
Wray, CO · every code in this section with a posted price and a Medicare benchmark.
179 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$136.01–$177.86 | $181.35–$237.15 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$34.70–$586.71 | $46.26–$782.28 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
$167.59–$281.24 | $223.45–$374.99 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$426.56–$536.14 | $568.74–$714.86 | varies |
| Amputate Metacarpal Bone (26910) | $698.19 | $930.92 | 0.2× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $23.10 | $30.80 | 0.1× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$43.48–$52.80 | $57.97–$70.40 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$18.58–$85.04 | $24.77–$113.39 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$50.67–$87.46 | $67.56–$116.61 | varies |
| Application of rigid total contact leg cast (29445) | $146.10 | $194.80 | 0.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$127.74–$165.60 | $170.32–$220.80 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$49.53–$71.73 | $66.04–$95.64 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$93.15–$135.60 | $124.20–$180.80 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $40.20 | $53.60 | 0.2× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$101.98–$141.19 | $135.97–$188.25 | varies |
| Arterial puncture (36600) | $37.72 | $50.29 | 0.3× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) likely a partial charge, not the full procedure |
$161.53 | $215.37 | 0.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$59.35–$69.81 | $79.13–$93.08 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $926.25 | $1,235 | 1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$257.54–$299.67 | $343.39–$399.56 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $926.25 | $1,235 | 2.9× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$464.27–$617.98 | $619.03–$823.98 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) | $241.46 | $321.95 | 1.1× |
| Bladder instillation anticarcinogenic agent (51720) | $283.50 | $378 | 0.4× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$135.57–$179.26 | $180.76–$239.02 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$13.16–$13.24 | $17.55–$17.65 | varies |
| Blood Transfusion Service (36430) range across 12 matching MRF lines |
$127.66–$1,081.40 | $170.22–$1,441.87 | varies |
| Bone Marrow Biopsy (38221) | $337.67 | $450.23 | 0.2× |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$549.74–$586.67 | $732.99–$782.23 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$454.74–$617.98 | $606.32–$823.98 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$374.78–$454.20 | $499.70–$605.60 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$95.86–$136.56 | $127.81–$182.08 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $528.89 | $705.19 | 0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$354.18–$416.74 | $472.24–$555.65 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$109.52–$157.48 | $146.03–$209.98 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $129.87 | $173.16 | 0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $114.93 | $153.24 | 0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $630.60 | $840.80 | 2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) | $666.80 | $889.07 | 0.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$161.47–$204.32 | $215.29–$272.42 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$56.65–$478.43 | $75.53–$637.91 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $281.77 | $375.70 | 1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$259.89–$493.30 | $346.52–$657.74 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$89.02–$149.08 | $118.70–$198.78 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $561.15 | $748.20 | 0.3× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 2 matching MRF lines |
$630.34–$775.80 | $840.45–$1,034.40 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$68.81–$485.69 | $91.75–$647.59 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$143.47–$255.26 | $191.29–$340.35 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$595.89–$703.35 | $794.52–$937.80 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $174 | $232 | 0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $535.51 | $714.01 | 2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $431.25 | $575 | 1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$365.14–$403.07 | $486.86–$537.43 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $198.20 | $264.26 | 0.8× |
| Cltx post hip arthrp dislc req anes (27266) | $430.69 | $574.25 | 0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$55.22–$132.44 | $73.63–$176.58 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$111.02–$120.52 | $148.02–$160.70 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $103.26 | $137.68 | 0.7× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$19.42–$25.25 | $25.90–$33.67 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $471.02 | $628.02 | 0.2× |
| Cystoscopy implant stent (52282) | $61.36 | $81.81 | 0.0× |
| Declot vascular device (36593) | $233.56 | $311.41 | 0.7× |
| Destruction Lesions Vulva Simple (56501) | $19.50 | $26 | 0.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $31.20 | $41.60 | 0.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $926.25 | $1,235 | 0.4× |
| Diagnostic sigmoidoscopy (45330) | $398.10 | $530.80 | 0.4× |
| Drain/inj small joint/bursa w/us (20604) | $926.25 | $1,235 | 2.9× |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$169.52–$209.22 | $226.02–$278.96 | varies |
| Drainage of hematoma/fluid (10140) | $63.97 | $85.30 | 0.0× |
| Draw Blood Off Venous Device (36591) | $103.26 | $137.68 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$159.90–$196.80 | $213.20–$262.40 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$80.44–$120 | $107.25–$160 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $30.67 | $40.90 | 0.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $926.25 | $1,235 | 1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $809.16 | $1,078.88 | 0.4× |
| Egd place gastrostomy tube (43246) | $2,335.57 | $3,114.10 | 1.2× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$852.82–$853.25 | $1,137.10–$1,137.67 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$53.40–$92.40 | $71.20–$123.20 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $278.47 | $371.29 | 0.1× |
| Excision of vaginal septum (57130) | $29.82 | $39.76 | 0.0× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) likely a partial charge, not the full procedure |
$160.52 | $214.02 | 0.0× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) likely a partial charge, not the full procedure |
$78.70 | $104.94 | 0.0× |
| Explo/Drain Breast Abscess (19020) | $76.57 | $102.10 | 0.0× |
| External cephalic version (59412) | $174.08 | $232.11 | 0.1× |
| Fetal non-stress test (59025) | $216.05 | $288.07 | 1.0× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$154.14–$189.65 | $205.52–$252.87 | varies |
| Foreskin manipulation (54450) | $82.50 | $110 | 0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | $114.93 | $153.24 | 0.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $78.92 | $105.23 | 0.0× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$96.35–$136.84 | $128.47–$182.46 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$183.25–$219.19 | $244.33–$292.25 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $69.17 | $92.23 | 0.2× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$324.80–$495.38 | $433.06–$660.50 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $203.38 | $271.18 | 0.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $926.25 | $1,235 | 1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $926.25 | $1,235 | 1.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $926.25 | $1,235 | 1.2× |
| Injection anesthetic agent suprascapular nerve (64418) | $926.25 | $1,235 | 1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$52.91–$63.20 | $70.55–$84.26 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$58.28–$76.22 | $77.71–$101.62 | varies |
| Injection therapeutic carpal tunnel (20526) | $111.23 | $148.31 | 0.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $926.25 | $1,235 | 1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $926.25 | $1,235 | 1.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $926.25 | $1,235 | 1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$43.20–$51 | $57.60–$68 | varies |
| Insert Bladder Cath Complex (51703) range across 4 matching MRF lines |
$257.54–$269 | $343.39–$358.67 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$9.53–$42.20 | $12.71–$56.27 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,074.15 | $1,432.20 | 0.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $926.25 | $1,235 | 0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,074.15 | $1,432.20 | 0.6× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$187.18–$192.92 | $249.57–$257.22 | varies |
| Ligamentous Reconstruction Knee Extra-Articular (27427) likely a partial charge, not the full procedure |
$147.42 | $196.56 | 0.0× |
| Lsh w/t/o uterus above 250 g (58544) likely a partial charge, not the full procedure |
$240.17 | $320.22 | 0.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$273.83–$926.25 | $365.11–$1,235 | varies |
| N block inj intercost sng (64420) | $926.25 | $1,235 | 1.2× |
| N Block Inj Plantar Digit (64455) | $13.16 | $17.55 | 0.0× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 4 matching MRF lines |
$187.02–$207.73 | $249.36–$276.97 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $35.58 | $47.44 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $53.37 | $71.16 | 1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$150–$225 | $200–$300 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$105.96–$139.98 | $141.28–$186.64 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $926.25 | $1,235 | 1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $853.25 | $1,137.67 | 1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $853.25 | $1,137.67 | 1.1× |
| Occipital Nerve Block (64405) | $926.25 | $1,235 | 2.9× |
| Open tx interphalangeal joint dislocation (26785) range across 2 matching MRF lines |
$119.20–$1,038.50 | $158.93–$1,384.66 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$612.08–$657.98 | $816.11–$877.31 | varies |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$170.44 | $227.25 | 0.0× |
| Part remv talus or calcaneus (28120) | $137.06 | $182.75 | 0.0× |
| Partial removal of tibia (27640) | $176.70 | $235.60 | 0.1× |
| Placement of needle for intraosseous infusion (36680) | $474.74 | $632.98 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$56.72–$91.66 | $75.62–$122.21 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $926.25 | $1,235 | 1.2× |
| Removal Foreign Body Foot Subcutaneous (28190) | $41.35 | $55.13 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $48.32 | $64.43 | 0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $10.32 | $13.76 | 0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $87.14 | $116.19 | 0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) | $656.13 | $874.84 | 2.2× |
| Remove/Insert Drug Implant (11983) | $38.57 | $51.43 | 0.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$348.75–$429.60 | $465–$572.80 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$437.29–$538.20 | $583.05–$717.60 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$521.92–$566.55 | $695.89–$755.40 | varies |
| Repair Finger/Hand Tendon (26350) range across 2 matching MRF lines |
$379.88–$489.82 | $506.50–$653.09 | varies |
| Repair humerus with graft (24435) likely a partial charge, not the full procedure |
$223.16 | $297.54 | 0.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $259.20 | $345.60 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$169.66–$202.39 | $226.21–$269.85 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $78.42 | $104.56 | 0.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $185.31 | $247.08 | 0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$73.01–$516.67 | $97.35–$688.90 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$252.24–$277.54 | $336.32–$370.05 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$134.50–$158.20 | $179.33–$210.93 | varies |
| Repair of shoulder (23420) likely a partial charge, not the full procedure |
$351.74 | $468.99 | 0.0× |
| Revision of knee joint (27442) likely a partial charge, not the full procedure |
$175.97 | $234.63 | 0.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $27.47 | $36.63 | 0.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$51.03–$87.75 | $68.04–$117 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$56.09–$88.20 | $74.79–$117.60 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$77.44–$150.64 | $103.25–$200.85 | varies |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $70.60 | $94.13 | 0.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $80.98 | $107.98 | 0.4× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $153.85 | $205.14 | 0.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $164.09 | $218.79 | 0.0× |
| Sclerotx Fluid Collection (49185) | $899.25 | $1,199 | 0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $93.37 | $124.49 | 0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$100.77–$137.98 | $134.36–$183.98 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $122.32 | $163.10 | 0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$210.50–$245.66 | $280.67–$327.54 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$94.36–$132.15 | $125.82–$176.20 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $322.02 | $429.36 | 1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$77.56–$115.14 | $103.42–$153.52 | varies |
| Skn sub grft f/n/hf/g child (15277) | $380.40 | $507.20 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$340.80–$371.83 | $454.40–$495.77 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$242.74–$300.10 | $323.65–$400.13 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$9.89–$39.67 | $13.19–$52.90 | varies |
| Treat Ankle Dislocation (27846) range across 2 matching MRF lines |
$664.20–$885.60 | $885.60–$1,180.80 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$118.56–$201.61 | $158.08–$268.81 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$85.82–$115.64 | $114.43–$154.19 | varies |
| Tx Gastro Intub W/Asp (43753) range across 4 matching MRF lines |
$121.54–$132.44 | $162.06–$176.58 | varies |
| Unlisted procedure nervous system (64999) | $926.25 | $1,235 | 2.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,190.38 | $2,920.50 | 1.0× |
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.