ASPIRERHS (RECOVERED) Hospital

Legal name: HILLS & DALES GENERAL HOSPITAL INC

CASS CITY, MI 487261008 (989) 872-2121 282NC0060X

Published Procedure Prices

Procedure	CPT	Cash Price	Insurance Range
WCPRO Incision & Drainage Abscess (Simple)	10060	$122	N/A
WCPRO Incision & Drainage Complicated/Multiple	10061	$222	N/A
I&D PILONIDAL CYST Charge	10080	$257	N/A
D I&D OF PILONIDAL CYST, COMPLICATED	10081	$327	N/A
WCPRO Incision & removal of Foreign Body Simple	10120	$126	N/A
REMOVE FB COMPLICATED Charge	10121	$607	N/A
D I & D HEMA	10140	$166	N/A
D PUNC ASP ABC,HEMA,CYST	10160	$179	N/A
WCPRO I&D Post op Infection	10180	$215	N/A
D DEBRIDEMENT SKIN, FX	11010	$850	N/A
WCPRO Debride, subq tissue - 1st 20 sq. cm	11042	$76	N/A
WCPRO Debride, muscle/fascia - 1st 20 sq. cm	11043	$190	N/A
WCPRO Debride, bone - 1st 20 sq. cm	11044	$280	N/A
WCPRO Debride, subq tissue - each add'l 20 sq. cm	11045	$32	N/A
WCPRO Debride, muscle/fascia - each add'l 20 sq. cm	11046	$68	N/A
WCPRO Debride, bone - each add'l 20 sq. cm	11047	$120	N/A
WCPRO Trim Skin Lesion	11055	$20	N/A
WCPRO Trim 2-4 Lesions	11056	$29	N/A
WCPRO Trim > 4 Lesions	11057	$38	N/A
WCPRO Tangential Biopsy of Skin, 1 lesion	11102	$49	N/A
WCPRO Tangential Biopsy of Skin, each additional lesion	11103	$28	N/A
WCPRO Punch Biopsy of Skin, 1 Lesion	11104	$62	N/A
WCPRO Punch Biospy of Skin, each additional lesion	11105	$34	N/A
WCPRO Incisional Biopsy of Skin, 1 lesion	11106	$75	N/A
WCPRO Incisional Biopsy of Skin, Each additional lesion	11107	$40	N/A
D Removal of Skin Tags	11200	$104	N/A
pH Body Fluid LC	11254	$508	N/A
WCPRO Triming of Nondystrophic Nails	11719	$10	N/A
D DEBRIDE NAIL,1-5	11720	$62	N/A
WCPRO Debride Nails >5	11721	$31	N/A

Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.