Procedures & surgery prices at Wright Memorial Hospital

Trenton, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,820.60 $4,701 3.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,005 $1,675 1.1×
Anoscopy diagnostic (46600) $141.60 $236 1.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $394.50 $657.50 2.4×
Application cast elbow finger short arm (29075) $210 $350 0.7×
Application cast shoulder hand long arm (29065) $252.60 $421 0.9×
Application finger splint static (29130) $138.60 $231 1.0×
Application long arm splint shoulder hand (29105) $156 $260 1.0×
Application long leg splint thigh ankle/toes (29505) $181.80 $303 1.1×
Application of long leg cast (29345) $286.80 $478 1.0×
Application Of Rigid Total Contact Leg Cast (29445) $809.40 $1,349 2.9×
Application short arm splint forearm-hand static (29125) $153 $255 1.1×
Application short leg splint calf foot (29515) $156 $260 1.0×
Application, cast; figure-of-eight (29049) $144 $240 0.5×
Apply short leg cast (29405) $259.20 $432 0.9×
Apply short leg cast (29425) $259.20 $432 0.9×
Arterial puncture (36600) $687 $1,145 5.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $181.20 $302 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $939.63 $1,566.05 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $223.23 $372.05 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $259.20 $432 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $175.20 $292 0.6×
Arthrodesis ankle open (27870) $29,205.06 $48,675.10 2.3×
Arthrodesis, great toe; metatarsophalangeal joint (28750) $10,854.06 $18,090.10 1.5×
Arthrodesis; subtalar (28725) $29,205.06 $48,675.10 2.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $241.20 $402 0.8×
Aspiration Bladder Insert Suprapubic Catheter (51102) $400.80 $668 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $76.20 $127 0.4×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $1,602 $2,670 1.3×
Biopsy bone trocar/needle deep (20225) $10,217.91 $17,029.85 6.2×
Biopsy Bone Trocar/Needle Superficial (20220) $776.40 $1,294 0.5×
Biopsy Breast Open Incisional (19101) $2,179.20 $3,632 0.6×
Biopsy external auditory canal (69105) $158.40 $264 0.1×
Biopsy of mouth lesion (40808) $563.40 $939 1.0×
Biopsy or excision of lymph node(s); open, superficial (38500) $1,720.20 $2,867 0.4×
Biopsy Oropharynx (42800) $559.20 $932 0.4×
Biopsy Salivary Gland Incisional (42405) $2,064 $3,440 1.3×
Biopsy Salivary Gland,Needle (42400) $559.20 $932 0.8×
Biopsy tongue posterior one-third (41105) $634.20 $1,057 0.2×
Bladder Irrigation Simple (51700) $259.20 $432 1.0×
Bladder Scan (51798) $300.60 $501 5.1×
Blood patch (62273) $598.20 $997 0.8×
Blood transfusion service (36430) $1,255.32 $2,092.20 2.8×
Bx/exc lymph node needle superficial (38505) $682.80 $1,138 0.4×
Capsulotomy; interphalangeal joint, each joint (28272) $1,378.20 $2,297 0.9×
Cataract surgery complex (66982) $6,016.14 $10,026.90 2.6×
Catheter Aspiration Nasotracheal Spx (31720) $243.60 $406 1.1×
Change Cystostomy Tube Simple (51705) $275.10 $458.50 1.1×
Chemical Cautery Tissue (17250) $444.60 $741 2.2×
Chemodenervation internal anal sphincter (46505) $1,299.60 $2,166 1.1×
Chest tube placement (32551) $1,020.30 $1,700.50 0.6×
Chg Collect Blood From Catheter Venous Nos (36592) $811.14 $1,351.90 6.1×
Closed tx metatarsal fracture w/o manipulation (28470) $252.60 $421 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $252.60 $421 1.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $222 $370 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $288 $480 1.2×
Colonoscopy flex w/rem forcep (45384) $6,113.13 $10,188.55 5.1×
Colonoscopy stoma w/snare (44394) $2,577.60 $4,296 2.2×
Colonoscopy thru stoma (44388) $2,101.80 $3,503 2.3×
Colonoscopy w/ablation (45388) $2,262 $3,770 1.9×
Colonoscopy w/band ligation (45398) $1,949.40 $3,249 1.6×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $1,414.80 $2,358 1.2×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $2,016 $3,360 1.7×
Colsc flx with directed submucosal njx any sbst (45381) $7,244.04 $12,073.40 6.0×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $246 $410 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $239.40 $399 1.8×
Control Nasal Hemorrhage Anterior Simple (30901) $123.90 $206.50 0.9×
Control nose/throat bleeding (42972) $1,376.40 $2,294 0.4×
Correction hammertoe (28285) $31,393.95 $52,323.25 9.6×
Correction of bunion (28299) $9,202.11 $15,336.85 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $191.40 $319 1.4×
Cysto W/Simple Removal Stone & Stent (52310) $459 $765 0.2×
Cystoscopy,Dil Urethral Stricture (52281) $1,164 $1,940 0.6×
Cystourethroscopy (52000) $228 $380 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $275.40 $459 0.7×
Debride nail 1-5 (11720) $130.80 $218 2.2×
Debride nail 6 or more (11721) $76.20 $127 1.3×
Debridement Mastoidectomy Cavity Simple (69220) $130.20 $217 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $430.20 $717 1.1×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $220.20 $367 0.3×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $415.80 $693 0.3×
Declot vascular device (36593) $1,311.12 $2,185.20 4.0×
Destruc Benign/Premal,15+ Lesions (17004) $164.40 $274 0.4×
Destruction benign lesions 15 or more (17111) $267 $445 1.3×
Destruction Benign Lesions Up To 14 (17110) $267 $445 1.3×
Destruction premalignant lesion 1st (17000) $132.60 $221 0.7×
Diagnostic sigmoidoscopy (45330) $3,104.91 $5,174.85 3.3×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $1,416.30 $2,360.50 1.6×
Drain Ext Ear Absc/Blood,Complic (69005) $312 $520 0.2×
Drain outer ear canal lesion (69020) $420 $700 0.6×
Drainage of hematoma/fluid (10140) $591 $985 0.4×
Draw blood off venous device (36591) $929.73 $1,549.55 7.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $447.60 $746 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $367.80 $613 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $280.50 $467.50 1.4×
Dry Needling 3+ Muscles (20561) $36 $60 1.2×
Egd balloon dilation esophagus <30 mm diam (43249) $1,812.60 $3,021 0.9×
Egd flexible foreign body removal (43247) $1,686 $2,810 1.9×
Egd guide wire insertion (43248) $2,114.40 $3,524 2.3×
Egd place gastrostomy tube (43246) $1,896.60 $3,161 1.0×
Egd rem tumr/polyp forcep (43250) $2,058.60 $3,431 1.1×
Egd remove lesion snare (43251) $1,879.80 $3,133 1.0×
Egd Transoral Control Bleeding Any Method - Egd (43255) $2,114.40 $3,524 1.1×
Egd tube/cath insertion (43241) $1,896.60 $3,161 1.0×
Esophagoscopy flex biopsy (43202) $2,047.80 $3,413 1.1×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $2,276.40 $3,794 1.2×
Exc arm/elbow les sc < 3 cm (24075) $358.80 $598 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $772.20 $1,287 0.5×
Exc back les sc < 3 cm (21930) $358.80 $598 0.2×
Exc frenum labial/buccal (40819) $634.20 $1,057 0.4×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $1,376.40 $2,294 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $358.80 $598 0.5×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $456 $760 1.1×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $804 $1,340 1.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $804 $1,340 1.1×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $772.20 $1,287 0.5×
Exc Skin Benig >4 Cm Face,Facial (11446) $1,005.60 $1,676 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,005.60 $1,676 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $300 $500 0.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $933 $1,555 0.6×
Excise cutaneous neurofibroma (64788) $1,171.80 $1,953 0.6×
Excise/repair mouth lesion (40812) $153 $255 0.1×
Excision Lingual Frenum Frenectomy (41115) $150 $250 0.1×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $214.20 $357 0.3×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $358.80 $598 0.5×
Excision of lesion of tongue without closure (41110) $150 $250 0.0×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $358.80 $598 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $358.80 $598 0.2×
Excision of nail fold toe (11765) $223.80 $373 0.5×
Excision/destruction intranasal lesion int appr (30117) $645 $1,075 0.2×
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) $5,568 $9,280 1.0×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,185.78 $1,976.30 1.7×
Fluoro exam of g/colon tube (49465) $145.80 $243 0.6×
Gastric Intubation/Aspiration, Therapeutic (43753) $255.90 $426.50 1.2×
Gastrocnemius Recession (27687) $9,269.10 $15,448.50 2.8×
I&d abscess simple (10060) $238.80 $398 1.2×
I&d perianal abscess superficial (46050) $663 $1,105 0.7×
I&d pilonidal cyst simple (10080) $844.20 $1,407 1.2×
Incision & drainage abscess complicated/multiple (10061) $312 $520 0.8×
Incision & removal foreign body subq tiss compl (10121) $298.20 $497 0.2×
Incision & removal foreign body subq tiss simple (10120) $480 $800 1.2×
Incision and drainage of vulva or perineal abscess (56405) $246 $410 0.8×
Incision labial frenum frenotomy (40806) $217.20 $362 0.4×
Incision of eardrum (69420) $499.20 $832 2.1×
Incision of lingual frenum (41010) $317.40 $529 0.2×
Incision of metatarsal (28308) $10,783.14 $17,971.90 3.3×
Incision of rectal abscess (46040) $1,191 $1,985 1.0×
Incision thrombosed hemorrhoid external (46083) $180.60 $301 0.7×
Incisional biopsy skin single lesion (11106) $150 $250 0.2×
Initial tx 1st degree burn local tx (16000) $114 $190 0.6×
Inj tendon sheath/ligament (20550) $489.81 $816.35 1.6×
Inj,Anes Agent,Brachial Plexus,Single (64415) $726 $1,210 0.8×
Inj,Anes Agent,Femoral Nerve,Single (64447) $13,159.62 $21,932.70 18.6×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $97.80 $163 0.3×
Inject Tendon Origin/Insert (20551) $222 $370 0.7×
Injection aa&/strd sciatic nerve w/img gdn (64445) $9,837.64 $16,396.08 13.9×
Injection aa&/strd trigeminal nerve each branch (64400) $289.20 $482 0.9×
Injection anes other peripheral nerve/branch (64450) $16,449.32 $27,415.54 23.3×
Injection single/mlt trigger point 1/2 muscles (20552) $216.57 $360.95 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $229.80 $383 0.7×
Injection therapeutic carpal tunnel (20526) $423 $705 1.4×
Injection, anesthetic agent; greater occipital nerve (64405) $196.20 $327 0.6×
Injection, intralesional; up to and including 7 lesions (11900) $67.80 $113 0.3×
Insert Bladder Cath Complex (51703) $158.70 $264.50 1.2×
Insert Drug Implant Device (11981) $2,127.36 $3,545.60 16.0×
Insert non-tunnel cv cath (36556) $1,956.60 $3,261 0.6×
Insert picc cath (36569) $1,086.60 $1,811 0.7×
Insert Temp Bladder Cath (51702) $140.40 $234 1.1×
Insert tun ip cath perc (49418) $5,518.68 $9,197.80 1.5×
Insert tunneled cv cath (36561) $6,259.50 $10,432.50 2.0×
Insert,Non-Indwelling Bladder Catheter (51701) $204 $340 1.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,001 $3,335 1.3×
Insrt/redo spine n generator (63685) $17,614.80 $29,358 0.6×
Intubation endotracheal emergency procedure (31500) $327.60 $546 1.4×
Laryngoscopy Flexible Diagnostic (31575) $175.20 $292 0.9×
Laryngoscopy Indirect Diagnostic Spx (31505) $50.40 $84 0.3×
Late closure of wound (13160) $675 $1,125 0.2×
Ligation of hemorrhoid(s) (46221) $972.60 $1,621 1.0×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $184.80 $308 0.9×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $397.20 $662 0.2×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $489 $815 0.3×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $232.20 $387 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $31.50 $52.50 1.1×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $331.80 $553 0.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $358.80 $598 0.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,946.40 $3,244 0.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $417.60 $696 0.5×
Open Treatment Bimalleolar Ankle Fracture (27814) $18,728.15 $31,213.58 2.6×
Partial excision bone talus/calcaneus (28120) $8,776.59 $14,627.65 2.7×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $5,361.36 $8,935.60 1.6×
Partial Removal Foot Fascia (28060) $4,807.47 $8,012.45 1.5×
Partical Excision Bone Phalanx Toe (28124) $9,185.01 $15,308.35 2.8×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $780.60 $1,301 0.5×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $542.40 $904 0.3×
Perq replacement gtube not req revj gstrst trc (43762) $223.80 $373 0.9×
Placement of needle for intraosseous infusion (36680) $208.80 $348 0.5×
Punch biopsy skin single lesion (11104) $105 $175 0.3×
Puncture Aspiration (10160) $214.80 $358 0.5×
Removal fb intranasal (30300) $148.80 $248 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $79.50 $132.50 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $155.10 $258.50 2.6×
Removal Implant Superficial Separate Procedure (20670) $172.80 $288 0.1×
Removal of intrauterine device (iud) (58301) $183 $305 0.6×
Removal of nail bed (11750) $394.80 $658 1.0×
Removal of salivary stone (42330) $634.20 $1,057 0.2×
Removal of sesamoid bone (28315) $6,090.51 $10,150.85 1.9×
Removal/bivalving full arm/full leg cast (29705) $461.40 $769 1.6×
Remove drug implant device (11982) $240.30 $400.50 0.5×
Remv Ext Canal Foreign Body (69200) $119.40 $199 0.9×
Repair collat ankle ligmnt,secondary (27698) $11,389.47 $18,982.45 1.6×
Repair hallux rigidus (28289) $9,245.61 $15,409.35 2.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $169.80 $283 0.4×
Repair of ankle ligament (27695) $10,182.33 $16,970.55 1.4×
Repair of leg tendon each (27658) $14,170.50 $23,617.50 4.3×
Repair of nail bed (11760) $237.60 $396 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,025.87 $3,376.45 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $662.40 $1,104 1.1×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $2,173.56 $3,622.60 4.9×
Rpr flexor tendon leg secondary w/o graft each (27659) $6,499.65 $10,832.75 0.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $839.40 $1,399 1.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,602 $2,670 1.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,262 $3,770 1.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $456 $760 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $105 $175 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $135 $225 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $229.20 $382 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $180 $300 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $456 $760 1.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $180 $300 0.9×
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $1,551.60 $2,586 1.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $1,602 $2,670 1.7×
Sigmoidoscopy w/fb removal (45332) $1,602 $2,670 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $108.60 $181 0.5×
Skin sub graft face/nk/hf/g (15275) $5,547 $9,245 7.5×
Skin sub graft trnk/arm/leg (15271) $2,529 $4,215 3.4×
Spinal puncture lumbar diagnostic (62270) $417.60 $696 0.6×
Spinal Puncture Therapeutic (62272) $438.60 $731 0.6×
Strapping unna boot (29580) $533.40 $889 3.3×
Tangential biopsy skin single lesion (11102) $60 $100 0.1×
Tenotomy Percutaneous Toe Single Tendon (28010) $647.10 $1,078.50 0.4×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $276 $460 0.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,378.20 $2,297 0.9×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $952.20 $1,587 1.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $376.80 $628 0.6×
Thyroid biopsy (60100) $930 $1,550 1.3×
Trach Tube Change (31502) $137.40 $229 0.6×
Tracheostomy emergency cricothyroid membrane (31605) $279 $465 1.2×
Trim skin lesion (11055) $306 $510 1.5×
Trim skin lesions 2 to 4 (11056) $369.60 $616 1.8×
Trim skin lesions over 4 (11057) $395.70 $659.50 2.0×
Trimming Of Nondystrophic Nails, Any Number (11719) $56.10 $93.50 0.9×
Tx superficial wound dehiscence w/packing (12021) $409.20 $682 1.0×
Tympanostomy (69433) $730.20 $1,217 1.4×
Unlisted Procedure External Ear (69399) $120.60 $201 0.5×
Unlisted procedure foot or toes (28899) $295.20 $492 1.2×
Unlisted procedure larynx (31599) $325.80 $543 1.4×
Unlisted Procedure Nervous System (64999) $430.20 $717 1.4×
Vaginal delivery only (59409) $1,048.20 $1,747 0.3×
Vasectomy (55250) $1,238.40 $2,064 0.6×
Venipuncture (36415) $342 $570 36.6×