Procedures & surgery prices at Memorial Hospital Los Banos

Los Banos, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $3,722 $3,722 3.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,905 $2,905 2.5×
Amniocentesis diagnostic (59000) $1,040 $1,040 0.9×
Application finger splint static (29130) $699 $699 4.1×
Application long arm splint shoulder hand (29105) $793 $793 3.8×
Application Long Leg Splint (29505) $872 $872 4.2×
Application short arm splint forearm-hand static (29125) $824 $824 4.8×
Application short leg splint calf foot (29515) $891 $891 4.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $668–$1,002 $668–$1,002 varies
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $1,071–$1,606 $1,071–$1,606 varies
Apply short leg cast (29425)
range across 3 matching MRF lines		 $862–$1,293 $862–$1,293 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $307–$340 $307–$340 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $1,808–$2,712 $1,808–$2,712 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $1,865–$2,798 $1,865–$2,798 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $1,751–$2,627 $1,751–$2,627 varies
Aspirate pleura w/ imaging (32555) $3,570 $3,570 4.4×
Aspirate Pleura W/O Imaging (32554) $3,042 $3,042 3.8×
Aspirate/Inj Ganglion Cyst (20612) $885 $885 2.2×
Avulsion nail plate partial/complete simple 1 (11730) $938 $938 3.6×
Biopsy nail unit (11755) $3,121 $3,121 3.4×
Biopsy of liver, needle; percutaneous (47000) $4,472 $4,472 2.1×
Biopsy Vaginal Mucosa Simple (57100) $5,719 $5,719 4.8×
Blood Transfusion Service (36430)
range across 4 matching MRF lines		 $807–$3,226 $807–$3,226 varies
Bx Cervix (57500) $5,379 $5,379 4.5×
Catheter aspiration nasotracheal spx (31720) $399 $399 1.4×
Circumcision w/clamp/oth dev w/block (54150) $553 $553 0.2×
Clear outer ear canal (69200) $618 $618 3.6×
Closed tx metatarsal fracture w/o manipulation (28470) $1,093 $1,093 3.4×
Clsd tx clavicular fracture w/o manipulation (23500) $779 $779 2.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,470 $1,470 4.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $743 $743 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,480 $1,480 4.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,342 $1,342 4.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $1,871 $1,871 5.9×
Cltx prox fibula/shft fx w/o manj (27780) $518 $518 1.6×
Collect Blood From Catheter Venous Nos (36592) $411 $411 2.4×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $6–$50 $6–$50 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $3,442 $3,442 8.8×
Colposcopy cervix upper/adjacent vagina (57452) $569 $569 2.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $941–$1,412 $941–$1,412 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $878–$1,317 $878–$1,317 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $4,765 $4,765 5.0×
Debride nail 1-5 (11720) $319 $319 4.2×
Debride nail 6 or more (11721) $397 $397 5.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $7,198 $7,198 3.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,640 $2,640 5.0×
Destruct B9 Lesion 1-14 (17110) $881 $881 3.4×
Destruction Benign Lesions 15/> (17111) $722 $722 2.8×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,975 $1,975 1.3×
Destruction premalignant lesion 1st (17000) $320 $320 1.2×
Draw Blood Off Venous Device (36591) $381 $381 2.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $827 $827 3.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $3,015 $3,015 3.3×
Epidural Blood Patch (62273) $3,344 $3,344 3.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $6,246 $6,246 6.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $7,535 $7,535 3.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $5,150 $5,150 5.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $5,223 $5,223 5.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $4,977 $4,977 2.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $6,338 $6,338 3.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $5,157 $5,157 5.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $7,756 $7,756 3.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $6,699 $6,699 7.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $8,888 $8,888 4.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $9,113 $9,113 2.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $8,290 $8,290 3.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $8,482 $8,482 4.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $5,110 $5,110 9.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $6,854 $6,854 7.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $7,474 $7,474 3.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $8,310 $8,310 3.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $6,506 $6,506 7.1×
Fetal non-stress test (59025) $993 $993 3.8×
I&d abscess simple (10060) $1,241 $1,241 4.8×
I&d perianal abscess superficial (46050) $3,125 $3,125 2.6×
Incision & drainage abscess complicated/multiple (10061) $1,585 $1,585 3.0×
Incision & removal foreign body subq tiss simple (10120) $1,656 $1,656 3.2×
Incision and drainage of bartholin's gland abscess (56420) $900 $900 3.5×
Incisional biopsy skin single lesion (11106) $2,704 $2,704 2.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $4,609–$6,914 $4,609–$6,914 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $1,600–$2,400 $1,600–$2,400 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $3,069 $3,069 2.7×
Injection single tendon origin/insertion (20551) $1,370 $1,370 3.5×
Injection single/mlt trigger point 1/2 muscles (20552) $1,466 $1,466 3.7×
Injection single/mlt trigger point 3/> muscles (20553) $1,451 $1,451 3.7×
Injection, anesthetic agent; femoral nerve, single (64447) $6,050 $6,050 6.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $2,116–$3,174 $2,116–$3,174 varies
Insert non-tunnel cv cath (36556) $4,245 $4,245 1.0×
Insert Temp Bladder Cath (51702) $723 $723 4.2×
Insert,Non-Indwelling Bladder Catheter (51701) $642 $642 3.8×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $4,585–$4,703 $4,585–$4,703 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $4,085–$4,192 $4,085–$4,192 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $11,392 $11,392 2.8×
Int hrhc by ligation single hroid w/o img gdn (46945) $14,809 $14,809 4.1×
Intubation endotracheal emergency procedure (31500) $1,528 $1,528 5.0×
Ligation of hemorrhoids (46946) $13,149 $13,149 3.7×
Lrt iad 18bct/8vir&7arg RNA (0528U) $1,758 $1,758 2.8×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $883–$1,324 $883–$1,324 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $4,178–$6,267 $4,178–$6,267 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,668 $1,668 4.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $4,713–$7,070 $4,713–$7,070 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $5,199 $5,199 4.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $4,678 $4,678 5.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $2,661 $2,661 2.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,115 $2,115 1.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $7,262 $7,262 6.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $5,134 $5,134 5.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $4,252 $4,252 3.7×
Occipital Nerve Block (64405) $1,548 $1,548 3.9×
Punch biopsy skin single lesion (11104) $1,019 $1,019 1.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,407 $1,407 2.7×
Removal Foreign Body Foot Subcutaneous (28190) $4,118 $4,118 4.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $395 $395 5.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $449 $449 5.9×
Removal of nail bed (11750) $2,368 $2,368 4.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $1,598 $1,598 6.2×
Remove Intrauterine Device (58301) $2,533 $2,533 6.5×
Remove Nasal Foreign Body (30300) $771 $771 4.5×
Renal Biopsy Perq (50200) $4,720 $4,720 2.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,742 $1,742 3.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $2,055 $2,055 3.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $2,238 $2,238 4.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $2,258 $2,258 4.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $908 $908 5.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $4,439 $4,439 5.5×
Rplc Gtube No Revj Trc (43762) $1,706 $1,706 5.3×
Rplc gtube revj gstrst trc (43763) $1,680 $1,680 5.2×
Shave skin lesion 0.5 cm/< (11300) $253 $253 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $532 $532 2.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $231 $231 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $249 $249 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $326 $326 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $392 $392 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $213 $213 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $405 $405 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $195 $195 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $816 $816 3.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $204 $204 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $492 $492 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $1,094 $1,094 4.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,205 $1,205 4.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $1,125 $1,125 4.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $1,170 $1,170 4.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $1,110 $1,110 4.3×
Spinal puncture lumbar diagnostic (62270) $2,877 $2,877 3.2×
Strapping ankle (29540)
range across 3 matching MRF lines		 $687–$1,030 $687–$1,030 varies
Strapping toes (29550)
range across 3 matching MRF lines		 $339–$508 $339–$508 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $694–$1,041 $694–$1,041 varies
Tangential biopsy skin single lesion (11102) $888 $888 1.7×
Treat Thumb Fracture (26645) $761 $761 0.4×
Trim skin lesion (11055) $491 $491 1.9×
Trim skin lesions 2 to 4 (11056) $412 $412 1.6×
Trim skin lesions over 4 (11057) $447 $447 1.7×
Trimming Nondystrophic Nails Any Number (11719) $301 $301 4.0×

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.