Procedures & surgery prices at Dr Dan C Trigg Memorial Hospital

Tucumcari, NM · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $886.90 $1,267 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $360.50 $515 0.4×
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $490–$7,798 $700–$11,140 varies
Application finger splint static (29130) $51.80 $74 0.4×
Application long arm splint shoulder hand (29105) $107.80 $154 0.7×
Application Long Leg Splint (29505) $417.90 $597 2.6×
Application of long leg cast (29345) $789.60 $1,128 2.9×
Application short arm splint forearm-hand static (29125) $109.20 $156 0.8×
Application short leg splint calf foot (29515) $259.70 $371 1.6×
Apply Multlay Comprs Lwr Leg (29581) $445.90 $637 2.8×
Arterial puncture (36600) $63.70 $91 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $210.70 $301 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $47.60 $68 0.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $217.70 $311 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $75.60–$1,151.50 $108–$1,645 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $997.50 $1,425 3.3×
Aspirate pleura w/ imaging (32555) $968.80 $1,384 1.6×
Aspirate Pleura W/O Imaging (32554) $2,126.60 $3,038 3.4×
Avulsion nail plate partial/complete simple 1 (11730) $105 $150 0.5×
Bladder Scan (51798) $277.20 $396 4.7×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $418.60–$1,451.10 $598–$2,073 varies
Change Cystostomy Tube Simple (51705) $742.70 $1,061 3.0×
Chest tube placement (32551) $404.60 $578 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $965.30 $1,379 0.6×
Clear outer ear canal (69200) $102.90 $147 0.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $514.50 $735 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $336 $480 1.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,711.50 $2,445 1.1×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $701.40–$707 $1,002–$1,010 varies
Closed Tx Knee Dislocation W/Anesthesia (27552) $553.70 $791 0.3×
Closed tx knee dislocation w/o anesthesia (27550) $408.80 $584 1.7×
Closed tx metatarsal fracture w/o manipulation (28470) $609.70 $871 2.5×
Closed Tx Patellar Fracture W/O Manipulation (27520) $609.70 $871 2.5×
Closed tx radial head/neck fx w/o manipulation (24650) $391.30 $559 1.6×
Closed tx radial shaft fracture w/manipulation (25505) $1,870.40 $2,672 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,762.60 $2,518 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $116.90 $167 0.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $359.80 $514 0.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $646.80 $924 2.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $285.60 $408 0.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,051.40 $1,502 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $609 $870 2.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $609.70 $871 2.5×
Cltx dstl fibular fx lat malls w/manj (27788) $609.70 $871 2.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $609.70 $871 2.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $641.90 $917 0.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $646.80 $924 2.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $609.70 $871 2.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $7,175.70 $10,251 4.5×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $662.90–$5,622.40 $947–$8,032 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $701.40 $1,002 2.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $507.50–$646.80 $725–$924 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $854 $1,220 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $152.60 $218 0.6×
Cltx Medial Ankle Fx (27760) $522.20 $746 2.1×
Cltx metacarpal fx w/manipulation each bone (26605) $609.70 $871 2.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $609.70 $871 2.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,281 $1,830 5.2×
Cltx post hip arthrp dislc w/o anes (27265) $701.40 $1,002 2.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $6,763.40 $9,662 4.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $556.50 $795 2.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $442.40 $632 0.3×
Cltx tibial fx proximal w/o manipulation (27530) $646.80 $924 2.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $106.40 $152 0.1×
Cltx trimalleolar ankle fx w/o manipulation (27816) $646.80 $924 2.6×
Collect Blood From Catheter Venous Nos (36592) $175.70 $251 1.3×
Collection of venous blood by venipuncture (36415) $19.60 $28 2.1×
Control Nasal Hemorrhage Anterior Complex (30903) $284.90 $407 2.2×
Control Nasal Hemorrhage Anterior Simple (30901) $247.10 $353 1.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $77 $110 0.6×
Curette/treat cornea (65435) $60.20 $86 0.1×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $128.10–$942.20 $183–$1,346 varies
Declot vascular device (36593) $1,013.60 $1,448 3.1×
Drain/inj small joint/bursa w/us (20604) $1,151.50 $1,645 3.8×
Drainage external auditory canal abscess (69020) $535.50 $765 0.8×
Drainage Mouth Roof Lesion (42000) $1,449 $2,070 6.2×
Drainage of finger abscess simple (26010) $146.30 $209 0.7×
Drainage of gum lesion (41800) $520.10 $743 3.9×
Drainage of hematoma/fluid (10140) $779.10 $1,113 0.5×
Draw Blood Off Venous Device (36591) $239.40 $342 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $131.60 $188 0.7×
Evacuation of subungual hematoma (11740) $63.70 $91 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $245.70 $351 0.2×
Excision Lingual Frenum Frenectomy (41115) $169.40 $242 0.1×
Exploration penetrating wound spx extremity (20103) $779.10 $1,113 0.5×
Fetal non-stress test (59025) $562.10 $803 2.8×
Fine needle aspiration without imaging guidance (10021) $255.50 $365 0.6×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $135.80–$3,353 $194–$4,790 varies
I&d abscess peritonsillar (42700) $394.80 $564 1.7×
I&d abscess simple (10060) $140 $200 0.7×
I&d perianal abscess superficial (46050) $916.30 $1,309 1.0×
I&d pilonidal cyst simple (10080) $535.50 $765 0.8×
Incision & drainage abscess complicated/multiple (10061) $461.30 $659 1.1×
Incision & removal foreign body subq tiss simple (10120) $254.10 $363 0.6×
Incision and drainage of bartholin's gland abscess (56420) $200.20 $286 1.0×
Incision and drainage of vulva or perineal abscess (56405) $514.50 $735 1.7×
Incision of rectal abscess (46040) $4,921 $7,030 4.2×
Initial Tx 1st Degree Burn Local Tx (16000) $191.80 $274 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $106.40–$1,368.50 $152–$1,955 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $33.60–$106.40 $48–$152 varies
Injection single/mlt trigger point 3/> muscles (20553) $940.10 $1,343 3.1×
Injection, anesthetic agent; femoral nerve, single (64447) $5,020.40 $7,172 7.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $514.50 $735 0.7×
Insert Bladder Cath Complex (51703) $463.40 $662 3.6×
Insert cath pleura w/ image (32557) $2,126.60 $3,038 1.4×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $289.10–$758.80 $413–$1,084 varies
Insert Temp Bladder Cath (51702) $78.40 $112 0.6×
Insert tunneled cv cath (36561) $11,191.60 $15,988 3.6×
Insert,Non-Indwelling Bladder Catheter (51701) $73.50 $105 0.6×
Intraoral i&d tongue/floor lingual (41000) $581.70 $831 1.1×
Intubation endotracheal emergency procedure (31500) $707.70 $1,011 3.0×
Nasal/Orogastric W/Tube Plmt (43752) $445.90 $637 1.0×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $99.40 $142 0.6×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $99.40 $142 0.6×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $396.90 $567 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $429.80 $614 1.4×
Occipital Nerve Block (64405) $1,452.50 $2,075 4.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $1,415.40–$16,716.70 $2,022–$23,881 varies
Placement of needle for intraosseous infusion (36680) $134.40 $192 0.3×
Punch biopsy skin single lesion (11104) $1,107.40 $1,582 2.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $117.60 $168 0.3×
Removal Embedded Foreign Body Eyelid (67938) $1,871.10 $2,673 6.0×
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $643.30–$8,598.80 $919–$12,284 varies
Removal Foreign Body Foot Subcutaneous (28190) $743.40 $1,062 1.1×
Removal Foreign Body Scrotum (55120)
range across 2 matching MRF lines		 $600.60–$9,081.80 $858–$12,974 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $177.80 $254 3.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $177.80 $254 3.0×
Removal of nail bed (11750) $287 $410 0.7×
Remove foreign body from eye (65205) $267.40 $382 2.0×
Remove Intrauterine Device (58301) $181.30 $259 0.6×
Remove Nasal Foreign Body (30300) $658 $940 5.0×
Remove spine eltrd plate (63662) $5,814.20 $8,306 1.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,460.90 $2,087 2.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,680.70 $2,401 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $579.60 $828 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $633.50 $905 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $490 $700 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $466.90 $667 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $546.70 $781 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $629.30 $899 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $723.80 $1,034 1.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $723.80 $1,034 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $498.40 $712 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $546.70 $781 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $629.30 $899 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $258.30 $369 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $211.40 $302 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $233.10 $333 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $245.70 $351 0.6×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,061.20 $1,516 0.5×
Repair of nail bed (11760) $204.40 $292 0.3×
Repair tongue laceration (41250) $379.40 $542 0.9×
Respir iadna 18 viral&2 bact (0115U) $513.10 $733 1.9×
Revise Spine Eltrd Plate (63664) $8,591.10 $12,273 0.8×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $6,685.70 $9,551 1.1×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $8,372.70 $11,961 2.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $290.50 $415 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $583.80 $834 4.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $614.60 $878 1.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $8,598.80 $12,284 3.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,845.20 $2,636 1.1×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $5,056.10 $7,223 2.6×
Rplc Gtube No Revj Trc (43762) $1,339.10 $1,913 5.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $658 $940 3.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $121.10–$343 $173–$490 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $757.40 $1,082 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $377.30 $539 1.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $434 $620 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $499.10 $713 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $354.90 $507 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $487.90 $697 2.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $406 $580 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $572.60 $818 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $807.10 $1,153 2.0×
Spinal puncture lumbar diagnostic (62270) $333.90 $477 0.5×
Strapping hand/finger (29280) $303.10 $433 5.2×
Thrombolytic Therapy Stroke (37195) $182.70 $261 0.6×
Tracheostomy planned (31600) $360.50 $515 0.1×
Treat Dental Ridge Fracture (21440)
range across 2 matching MRF lines		 $849.10–$9,178.40 $1,213–$13,112 varies
Treat humerus fracture (23600) $646.80 $924 2.6×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $199.50–$526.40 $285–$752 varies
Treat Thumb Dislocation (26641) $557.90 $797 2.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,051.40 $1,502 0.7×
Treatment closed elbow dislocation w/o anes (24600) $371 $530 1.5×
Treatment of penis lesion (54115)
range across 2 matching MRF lines		 $676.90–$7,569.80 $967–$10,814 varies
Trnsplj Don-Drv Cll-Fr Dna (0118U) $3,771.60 $5,388 1.4×
Tx Gastro Intub W/Asp (43753) $96.60 $138 0.5×
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $626.50–$7,370.30 $895–$10,529 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,376.90 $1,967 1.9×
Unlisted Procedure Rectum (45999) $762.30 $1,089 0.8×
Vaginal delivery only (59409) $6,217.40 $8,882 1.9×
Wedge excision skin nail fold (11765) $361.20 $516 0.9×
Xtroral I&D Floor Masticator Space (41018)
range across 2 matching MRF lines		 $633.50–$2,720.20 $905–$3,886 varies

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.