BMC Patient Charges 2019

The new CMS IPPS/LTCH PPS rule requires hospitals to make public a list of their standard changes online in a machine-readable format. Burnett Medical Center (BMC) supports the intent of these new regulations to educate patients on the cost of health care and patient financial responsibilities. Below is a listing of those charges. In the near future, Burnett Medical Center plans to implement a more comprehensive listing making it even more convenient for our patients to access valuable cost of services provided by our facility.

Item#/Charge# Description Cost
99211 EST VISIT - BRIEF $ 55.00
99212 EST VISIT - LIMITED $ 117.00
99213 EST VISIT LOW $ 150.00
99214 EST VISIT MODERATE $ 237.00
99215 EST VISIT HIGH $ 383.00
3805502 ER ABSCESS / SIMPLE I&D $ 345.00
3821759 ABSCESS / SIMPLE I&D $ 456.00
3805535 ER EXCISION / REMOVAL FOREIGN BODY SIMPLE $ 151.00
3821790 REMOVAL FOREIGN /BODY SIMPLE SUBCUT $ 490.00
3805655 ER REPAIR SIMPLE /2.5CM $ 610.00
3822000 REPAIR SIMPLE /2.5CM $ 205.00
3805679 ER REPAIR SIMPLE /FACIAL 2.5CM $ 243.00
3822600 REPAIR SIMPLE /FACIAL 2.5CM $ 258.00
3805695 ER REPAIR /INTERMEDIATE 2.5CM $ 299.00
382300 REPAIR /INTERMEDIATE 2.5CM $ 724.00
3805824 ER TRIGGER POINT /INJECTION $ 190.00
3825849 TRIGGER POINT /INJECTION $ 177.00
3805554 ER FX / CLAVICLE /WITH MANIPULATION $ 1,385.00
3821863 FRACTURE CLAVICLE /WITH MANIPULATION $ 1,561.00
3806061 ER APPLICATION /SPLINT SHORT ARM $ 176.00
3821782 SPLINT SHORT ARM $ 187.00
3806092 ER CARE I $ 398.00
3821000 ER PHYSICIAN I $ 159.00
3806093 ER CARE II $ 755.00
3821100 ER PHYSICIAN II $ 295.00
3806094 ER CARE III $ 1,275.00
3821200 ER PHYSICIAN III $ 395.00
3806095 ER CARE IV $ 1,690.00
3821300 ER PHYSICIAN IV $ 555.00
3806096 ER CARE V $ 2,090.00
3821400 ER PHYSICIAN V $ 730.00
3806097 ER CRITICAL CARE /1ST HR $ 2,700.00
3821500 CRITICAL CARE /PHYS 1ST HR $ 915.00
3806098 ER CRITICAL CARE /EA ADD 1/2 HR $ 627.00
3821510 CRITICAL CARE /PHYS EA ADD 1/2 HR $ 550.00
3207019 GANGLION CYST $ 2,869.00
3207058 TRIGGER FINGER /RELEASE $ 1,815.00
3207437 ARTHROPLASTY /TOTAL HIP $ 10,000.00
3208312 TOTAL KNEE /ARTHROPLASTY $ 9,880.00
3207778 HAMMERTOE $ 3,312.00
3207172 SUBMUCOUS /RESECTION TURBINATES $ 2,259.00
3207138 SEPTOPLASTY $ 4,722.00
3207054 TONSILLECTOMY /ASNOIDECTOMY $ 2,312.00
3208016 EGD $ 2,516.00
3207347 APPENDECTOMY $ 4,210.00
3208000 COLONOSCOPY $ 3,542.00
3207017 LAPARSCOPIC /CHOLECYSTECTOMY $ 4,962.00
3208051 CYSTOURETHROSCOPY $ 797.00
3207062 CATARACT PHACO $ 5,009.00