Procedures & surgery prices at Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $818.40 $2,046 0.9×
Application finger splint static (29130) $92.40 $231 0.7×
Application short leg splint calf foot (29515) $139.60 $349 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $324.80 $812 1.1×
Blood transfusion service (36430) $404.80 $1,012 0.9×
Bx breast 1st lesion strtctc (19081) $1,429.60 $3,574 0.9×
Bx breast 1st lesion us imag (19083) $1,429.20 $3,573 0.9×
Change Cystostomy Tube Simple (51705) $244.80 $612 1.0×
Chest tube placement (32551) $1,698.40 $4,246 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $224.80 $562 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $180.40 $451 0.7×
Debride nail 1-5 (11720) $38.40 $96 0.6×
Debride nail 6 or more (11721) $25.60 $64 0.4×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $262.80 $657 0.3×
Drainage Finger Abscess Simple (26010) $182.80 $457 0.9×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $118.80 $297 0.2×
Exploration penetrating wound spx extremity (20103) $242.60 $606.50 0.1×
Fetal non-stress test (59025) $168.40 $421 0.8×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $636 $1,590 0.9×
I&d abscess simple (10060) $182.80 $457 0.9×
Incision & drainage abscess complicated/multiple (10061) $164.80 $412 0.4×
Incision thrombosed hemorrhoid external (46083) $200 $500 0.8×
Insert non-tunnel cv cath (36556) $1,698.40 $4,246 0.5×
Insert Temp Bladder Cath (51702) $114 $285 0.9×
Intubation endotracheal emergency procedure (31500) $225.20 $563 0.9×
Perq dev breast 1st strtctc (19283) $556.80 $1,392 0.8×
Perq replacement gtube not req revj gstrst trc (43762) $244.80 $612 1.0×
Puncture Aspiration (10160) $333.60 $834 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $518 $1,295 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $182.80 $457 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $182.80 $457 0.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $182.80 $457 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $182.80 $457 0.9×
Thyroid biopsy (60100) $635.80 $1,589.50 0.9×
Treatment closed elbow dislocation req anes (24605) $1,411.60 $3,529 0.9×
Venipuncture (36415) $6.80 $17 0.7×