Procedures & surgery prices at Coon Memorial Hospital

Dalhart, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,757.93 $2,343.90 1.9×
Application cast elbow finger short arm (29075) $522.86 $697.15 1.9×
Application Cast Hand & Lower Forearm Gauntlet (29085) $126.10 $168.13 0.8×
Application finger splint static (29130) $153.91 $205.21 1.2×
Application short arm splint forearm-hand static (29125) $253.77 $338.36 1.9×
Apply short leg cast (29405) $316.60 $422.14 1.1×
Apply short leg cast (29425) $91.70 $122.27 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $324.75 $433 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $581.25 $775 1.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $312 $416 1.0×
Biopsy or excision of lymph node(s); open, superficial (38500) $3,973.26 $5,297.69 1.0×
Blood patch (62273) $787.40 $1,049.86 1.1×
Chemodenerv Musc Migraine (64615) $405.22 $540.30 1.3×
Chemodenerv Musc Neck Dyston (64616) $393.28 $524.37 1.3×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $783.02 $1,044.03 1.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $401.27 $535.02 1.3×
Circumcision (54150) $2,106.10 $2,808.14 1.0×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $3,080.29 $4,107.05 1.9×
Closed Rx Spontaneous Hip Disloc (27256) $472.27 $629.69 1.9×
Closed Rx Trauma Hip Disloc,Anesth (27252) $3,080.29 $4,107.05 1.9×
Closed treatment of talus fracture; without manipulation (28430) $428.01 $570.68 1.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,137.12 $2,849.50 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $3,080.29 $4,107.05 1.9×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $472.27 $629.69 1.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,000.77 $4,001.03 1.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $326.42 $435.22 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,080.29 $4,107.05 1.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,150.81 $4,201.08 2.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $449.78 $599.70 1.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,051.55 $4,068.73 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $449.92 $599.88 1.1×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,804.39 $2,405.85 1.1×
Destroy cerv/thor facet jnt (64633) $2,101.60 $2,802.12 1.1×
Destroy lumb/sac facet jnt (64635) $2,101.60 $2,802.12 1.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $988.70 $1,318.26 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $2,059.26 $2,745.67 1.0×
Dilat rct strix spx under anes oth/thn local (45910) $1,282.99 $1,710.65 1.1×
Division of fallopian tube (58600) $693.75 $925 0.2×
Drainage of eyelid abscess (67700) $401.68 $535.58 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $384.34 $512.45 1.9×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $2,074.30 $2,765.72 1.1×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $1,981.80 $2,642.39 1.0×
Egd guide wire insertion (43248) $1,700.39 $2,267.19 1.9×
Egd rem tumr/polyp forcep (43250) $3,734.70 $4,979.60 1.9×
Egd remove lesion snare (43251) $2,047.80 $2,730.40 1.1×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $221.25 $295 0.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $315 $420 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,168.90 $1,558.52 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,974.08 $3,965.44 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,718.79 $2,291.72 0.6×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,877.51 $2,503.34 1.2×
Excision hidradenitis inguinal smpl/intrm rpr (11462) $3,202.39 $4,269.85 1.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $253.54 $338.05 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $810.69 $1,080.92 1.1×
Excision of single external papilla or tag, anus (46220) $1,274.62 $1,699.50 1.1×
Excision olecranon bursa (24105) $3,369.70 $4,492.94 1.0×
Exploration of knee joint (27310) $3,887.14 $5,182.85 1.2×
Fetal non-stress test (59025) $373.50 $498 1.8×
Fine needle aspiration without imaging guidance (10021) $102.75 $137 0.3×
Fusion of foot bones (28730) $21,302.08 $28,402.78 1.7×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,298.70 $4,398.26 1.1×
Incision & removal foreign body subq tiss compl (10121) $1,766.59 $2,355.45 1.1×
Inj paravert f jnt c/t 1 lev (64490) $974.60 $1,299.46 1.1×
Inj tendon sheath/ligament (20550) $327.06 $436.08 1.1×
Inj,Anes Agent,Femoral Nerve,Single (64447) $741.18 $988.24 1.0×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $732.46 $976.62 1.0×
Inject Nerv Blck,Intercostal,One (64420) $736.50 $982 1.0×
Inject Nerv Blck,Paravert Sympath (64520) $955.42 $1,273.90 1.1×
Injection aa&/strd genicular nrv branches w/img (64454) $758.63 $1,011.50 1.1×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $758.34 $1,011.12 1.1×
Injection aa&/strd sciatic nerve w/img gdn (64445) $749.08 $998.76 1.1×
Injection anes other peripheral nerve/branch (64450) $77.20 $102.93 0.1×
Injection for identification of sentinel node (38792) $56.57 $75.43 0.1×
Injection single/mlt trigger point 1/2 muscles (20552) $581.15 $774.87 1.9×
Injection single/mlt trigger point 3/> muscles (20553) $329.18 $438.90 1.1×
Injection therapeutic carpal tunnel (20526) $343.62 $458.16 1.1×
Injection, anesthetic agent; greater occipital nerve (64405) $340 $453.32 1.1×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $374.63 $499.51 1.2×
Insert Temp Bladder Cath (51702) $48 $64 0.4×
Insert tunneled cv cath (36561) $5,867.25 $7,823 1.8×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) $6,290.61 $8,387.48 1.0×
Njx anes stellate ganglion crv sympathetic (64510) $947.38 $1,263.18 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $970.88 $1,294.50 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,363.50 $1,818 1.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,363.50 $1,818 1.9×
Open treatment metatarsal fracture each (28485) $4,523.06 $6,030.74 0.6×
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) $7,683.12 $10,244.15 1.1×
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) $7,263.63 $9,684.84 1.0×
Open Treatment Radial Shaft Fracture (25515) $7,303.70 $9,738.26 1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,742.32 $4,989.76 1.1×
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) $7,693.89 $10,258.52 1.1×
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) $7,438.38 $9,917.84 1.0×
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) $13,900.09 $18,533.45 1.9×
Pin finger fracture each (26756) $3,598.52 $4,798.02 1.1×
Pin hand dislocation (26676) $3,680.81 $4,907.74 1.1×
Prq skel fixj sprcndylr/transcndylr humeral fx (24538) $7,775.49 $10,367.32 1.1×
Puncture Aspiration (10160) $483.58 $644.78 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,105.61 $2,807.48 1.1×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure
$1,382.70 $1,843.60 0.2×
Removal Implant Deep (20680) $3,212.56 $4,283.41 1.1×
Removal Implant Superficial Separate Procedure (20670) $1,730.96 $2,307.94 1.0×
Removal of arm foreign body (24200) $1,730.07 $2,306.76 1.0×
Removal of finger lesion (26210) $1,630.90 $2,174.54 1.0×
Removal of tonsils (42825) $4,624.88 $6,166.50 0.8×
Removal of tonsils (42826) $2,476.12 $3,301.50 0.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $1,861.81 $2,482.41 0.9×
Removal/bivalving full arm/full leg cast (29705) $68.77 $91.69 0.2×
Removal/bivalving gauntlet boot/body cast (29700) $292.48 $389.97 1.0×
Remove Peritoneal Foreign Body (49402) $6,858.66 $9,144.88 1.9×
Remove wrist joint cartilage (25107) $3,603.83 $4,805.10 1.1×
Remv/revisn shldr/hip spica cast (29710) $140.10 $186.80 0.5×
Repair arm tendon/muscle (24341) $7,741.95 $10,322.60 1.1×
Repair hand tendon (26410) $3,000.77 $4,001.03 1.9×
Repair kneecap tendon (27380) $7,255.10 $9,673.46 1.0×
Repair nonunion radius/ulna w autogrft (25405) $5,222.67 $6,963.56 0.7×
Repair of humerus (24430) $13,660.31 $18,213.74 1.1×
Repair of nail bed (11760) $1,147.75 $1,530.33 1.5×
Repair of thigh musc (27385) $7,241.08 $9,654.78 1.0×
Repr elbow lat ligmnt w/tiss (24343) $3,689.24 $4,918.99 1.1×
Rerepair ing hernia reduce (49520) $3,854.62 $5,139.50 1.1×
Revise ulnar nerve at elbow (64718) $2,375.37 $3,167.16 1.2×
Revise ulnar nerve at wrist (64719) $2,198.92 $2,931.89 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $785.61 $1,047.48 1.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $253.77 $338.36 1.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,681.88 $2,242.50 1.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $10,261.50 $13,682 1.7×
Rpr aa hernia 1st 3-10 cm reducible (49593) $4,009.88 $5,346.50 0.6×
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) $9,263.86 $12,351.80 1.4×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $6,277.80 $8,370.40 1.0×
Skin sub graft face/nk/hf/g (15275) $1,888.04 $2,517.39 2.5×
Spinal puncture lumbar diagnostic (62270) $120 $160 0.2×
Strapping hand/finger (29280) $117 $156 2.0×
Strapping knee (29530) $253.77 $338.36 1.9×
Thoracentesis needle/cath pleura w/o imaging (32554) $690.35 $920.46 1.1×
Treat fracture radius/ulna (25575) $7,887.48 $10,516.63 1.1×
Treat humerus fracture (23616) $19,261.67 $25,682.22 1.1×
Treat knee fracture (27532) $3,599.27 $4,799.02 1.1×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,400.60 $3,200.80 1.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $779.25 $1,039 1.0×
Unlisted Procedure Nervous System (64999) $581.15 $774.87 1.9×