Procedures & surgery prices at Mid Coast Medical Center-trinity

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

258 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) $931.50 $931.50 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,548 $2,548 0.7×
Anoscopy diagnostic (46600) $89.50 $89.50 0.7×
Application cast elbow finger short arm (29075) $368.50 $368.50 1.3×
Application cast shoulder hand long arm (29065) $728 $728 2.6×
Application finger splint static (29130) $152.50 $152.50 1.1×
Application long arm splint shoulder hand (29105) $207.50 $207.50 1.3×
Application long leg splint thigh ankle/toes (29505) $152 $152 0.9×
Application short arm splint forearm-hand static (29125) $327 $327 2.4×
Application short leg splint calf foot (29515) $269.50 $269.50 1.7×
Arterial puncture (36600) $220 $220 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $166 $166 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $333 $333 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $392.50 $392.50 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $333 $333 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $178.50 $178.50 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $313 $313 1.6×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $828.50 $828.50 0.5×
Bladder Irrigation Simple (51700) $110 $110 0.4×
Blood transfusion service (36430) $924 $924 2.1×
Bx/exc lymph node needle superficial (38505) $248 $248 0.1×
Catheter Aspiration Nasotracheal Spx (31720) $219 $219 1.0×
Change Cystostomy Tube Simple (51705) $600 $600 2.4×
Chemical Cautery Tissue (17250) $121.50 $121.50 0.6×
Chest tube placement (32551) $627.50 $627.50 0.4×
Chg Collect Blood From Catheter Venous Nos (36592) $221 $221 1.7×
Close Rx Fingr Articular Fx,Manip (26742) $336 $336 0.2×
Closed Rx Gr Tuberosity Hum Fx (23620) $464 $464 1.9×
Closed Rx Humer Epicondylr Fx,Manip (24565) $793.50 $793.50 0.5×
Closed Rx Humeral Supracondylar Fx (24530) $572.50 $572.50 2.3×
Closed Rx Med Malleolus Fx (27760) $512 $512 2.1×
Closed Rx Med Malleolus Fx,Manip (27762) $1,559.50 $1,559.50 1.0×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $996 $996 0.6×
Closed Rx Radial Shaft Fx (25500) $418 $418 1.7×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $834.50 $834.50 0.5×
Closed Rx Tibia Shaft Fx (27750) $782.50 $782.50 3.2×
Closed Rx Tibial Plateau Fx (27530) $621.50 $621.50 2.5×
Closed treat wrist dislocation (25660) $2,451.50 $2,451.50 9.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $712.50 $712.50 2.9×
Closed treatment of talus fracture; without manipulation (28430) $375.50 $375.50 1.5×
Closed Treatment Ulnar Styloid Fracture (25650) $543 $543 2.2×
Closed tx ankle dislocation w/o anesthesia (27840) $805 $805 3.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $749 $749 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $593.50 $593.50 2.4×
Closed tx calcaneal fracture w/o manipulation (28400) $406 $406 1.6×
Closed tx knee dislocation w/o anesthesia (27550) $837 $837 3.4×
Closed Tx Lunate Dislocation W/Manipulation (25690) $940 $940 0.6×
Closed tx metatarsal fracture w/o manipulation (28470) $487.50 $487.50 2.0×
Closed tx patellar dislocation w/o anesthesia (27560) $628 $628 2.5×
Closed tx patellar fracture w/o manipulation (27520) $493.50 $493.50 2.0×
Closed tx radial head/neck fx w/manipulation (24655) $834.50 $834.50 0.5×
Closed tx radial head/neck fx w/o manipulation (24650) $406 $406 1.6×
Closed tx septal&nose fx (21337) $7,150 $7,150 2.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $152 $152 0.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $256 $256 0.2×
Closed tx ulnar fracture prox end w/o manipulate (24670) $449 $449 1.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $400 $400 1.6×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $394.50 $394.50 1.7×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $680.50 $680.50 1.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $330 $330 1.3×
Clsd tx clavicular fracture w/manipulation (23505) $2,090 $2,090 1.3×
Clsd tx clavicular fracture w/o manipulation (23500) $406.50 $406.50 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,249.50 $1,249.50 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $522.50 $522.50 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $697 $697 2.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $485 $485 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $500.50 $500.50 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $144 $144 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $585 $585 2.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,071 $1,071 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $245.50 $245.50 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $527.50 $527.50 2.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $238.50 $238.50 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $603 $603 2.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $244 $244 1.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $726 $726 2.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $225.50 $225.50 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $457 $457 1.8×
Cltx metacarpal fx w/manipulation each bone (26605) $743 $743 3.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $573 $573 2.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $294 $294 0.2×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $548.50 $548.50 2.2×
Cltx metatarsophlngl jt dislc w/o anes (28630) $251 $251 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $770 $770 3.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $457.50 $457.50 1.8×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $4,452 $4,452 2.8×
Cltx post hip arthrp dislc w/o anes (27265) $928.50 $928.50 3.7×
Cltx prox fibula/shft fx w/o manj (27780) $463.50 $463.50 1.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $445.50 $445.50 1.8×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,650.50 $1,650.50 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $947.50 $947.50 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $200.50 $200.50 1.5×
Control Nasal Hemorrhage Anterior Simple (30901) $213 $213 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $277 $277 2.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $388 $388 1.6×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $1,237.50 $1,237.50 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $193.50 $193.50 0.5×
Declot vascular device (36593) $950 $950 2.9×
Delivery placenta separate procedure (59414) $886 $886 0.3×
Drain Ext Ear Absc/Blood,Complic (69005) $4,311 $4,311 2.6×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,891 $1,891 2.7×
Drain outer ear canal lesion (69020) $184.50 $184.50 0.3×
Drain/inj small joint/bursa w/us (20604) $333 $333 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $373.50 $373.50 0.5×
Drainage Finger Abscess Complicated (26011) $2,970 $2,970 1.8×
Drainage Finger Abscess Simple (26010) $289 $289 1.4×
Drainage of eyelid abscess (67700) $300.50 $300.50 0.9×
Drainage of gum lesion (41800) $330 $330 2.5×
Drainage of hematoma/fluid (10140) $1,293.50 $1,293.50 0.8×
Drainage of lymph node abscess or lymphadenitis; simple (38300) $3,108 $3,108 1.1×
Drainage of scrotal wall abscess (55100) $1,690.50 $1,690.50 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $297.50 $297.50 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $207 $207 1.0×
Dx gastr intub w/asp spec (43754) $281 $281 1.3×
Evacuation of subungual hematoma (11740) $117 $117 0.9×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,100 $1,100 2.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $573.50 $573.50 0.8×
Exc tr-ext b9+marg 0.5 cm or less (11400) $2,401 $2,401 3.4×
Excision of lesion other than skin tag </= 0.5 cm (11420) $414.50 $414.50 0.2×
Excision of nail fold toe (11765) $425 $425 1.0×
Exploration penetrating wound spx extremity (20103) $1,308.50 $1,308.50 0.8×
Eye surgery procedure (66999) $2,200 $2,200 0.9×
Fetal non-stress test (59025) $427 $427 2.1×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $2,658.50 $2,658.50 1.3×
Gastric Intubation/Aspiration, Therapeutic (43753) $365 $365 1.7×
Hemorrhoidectomy external complete (46250) $1,151.50 $1,151.50 0.4×
I&d abscess simple (10060) $391 $391 1.9×
I&d perianal abscess superficial (46050) $2,193 $2,193 2.3×
I&d pilonidal cyst simple (10080) $212 $212 0.3×
I&D Upper Arm/Elbow Bursa (23931) $2,910.50 $2,910.50 1.8×
Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) $3,472 $3,472 2.1×
Incision & drainage abscess complicated/multiple (10061) $500.50 $500.50 1.2×
Incision & drainage pilonidal cyst complicated (10081) $1,870 $1,870 2.6×
Incision & removal foreign body subq tiss simple (10120) $454.50 $454.50 1.1×
Incision and drainage of bartholin's gland abscess (56420) $344 $344 1.7×
Incision and drainage of vulva or perineal abscess (56405) $303 $303 1.0×
Incision of rectal abscess (46040) $1,478.50 $1,478.50 1.2×
Incision thrombosed hemorrhoid external (46083) $254.50 $254.50 1.0×
Initial tx 1st degree burn local tx (16000) $183 $183 0.9×
Inj tendon sheath/ligament (20550) $660 $660 2.1×
Injection aa&/strd trigeminal nerve each branch (64400) $762 $762 2.5×
Injection anes other peripheral nerve/branch (64450) $326.50 $326.50 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $696 $696 2.3×
Injection single/mlt trigger point 3/> muscles (20553) $667 $667 2.2×
Insert Bladder Cath Complex (51703) $213 $213 1.6×
Insert non-tunnel cv cath (36556) $2,461 $2,461 0.8×
Insert picc cath (36569) $2,257 $2,257 1.4×
Insert Temp Bladder Cath (51702) $167 $167 1.2×
Insert tunneled cv cath (36561) $164 $164 0.1×
Insert,Non-Indwelling Bladder Catheter (51701) $221 $221 1.7×
Insj tunneled ctr vad w/subq port under 5 yr (36560) $1,366 $1,366 0.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,868.50 $9,868.50 1.2×
Intubation endotracheal emergency procedure (31500) $455.50 $455.50 1.9×
Laryngoscopy Indirect Diagnostic Spx (31505) $118.50 $118.50 0.6×
Ligation or biopsy temporal artery (37609) $892 $892 0.5×
Lip Surgery Procedure (40799) $680 $680 2.9×
Nasal surgery procedure (30999) $689 $689 2.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $291.50 $291.50 0.6×
Perq dev breast 1st us imag (19285) $1,605 $1,605 2.3×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,364 $1,364 0.9×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $1,058 $1,058 0.5×
Perq replacement gtube not req revj gstrst trc (43762) $267.50 $267.50 1.1×
Placement of needle for intraosseous infusion (36680) $278.50 $278.50 0.6×
Puncture Aspiration (10160) $389 $389 1.0×
Reattachment of part of cutoff finger (20822) $2,081.50 $2,081.50 1.3×
Reduction of rectal prolapse (45900) $955 $955 1.0×
Removal fb intranasal (30300) $235 $235 1.8×
Removal foreign body foot subcutaneous (28190) $605.50 $605.50 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $605.50 $605.50 0.4×
Removal foreign body pharynx (42809) $243.50 $243.50 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $146 $146 2.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $83.50 $83.50 1.4×
Removal of nail bed (11750) $725 $725 1.8×
Removal/bivalving gauntlet boot/body cast (29700) $106 $106 0.4×
Remove foreign body from eye (65210) $284 $284 0.6×
Remv Ext Canal Foreign Body (69200) $351.50 $351.50 2.6×
Remv F.B.,Eye,Superf Conjunc (65205) $265 $265 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,023 $1,023 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,923.50 $2,923.50 7.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $651.50 $651.50 1.6×
Repair extensor tendon finger w/o graft each (26418) $2,336.50 $2,336.50 1.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $578.50 $578.50 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $414.50 $414.50 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $652.50 $652.50 1.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $434 $434 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $468 $468 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $527.50 $527.50 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $350.50 $350.50 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $396 $396 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $659 $659 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,006 $1,006 2.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $335.50 $335.50 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $445.50 $445.50 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $750.50 $750.50 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $391.50 $391.50 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,100 $2,100 1.0×
Repair Of Foot Tendon (28208) $2,654.50 $2,654.50 0.8×
Repair of nail bed (11760) $1,042 $1,042 1.4×
Repair Tongue Laceration (41250) $327 $327 0.7×
Reposition gastrostomy tube (43761) $434 $434 1.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $435 $435 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $161.50 $161.50 0.4×
Rmvl fecal impaction/fb spx under anes (45915) $1,383.50 $1,383.50 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,090 $2,090 1.3×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $431 $431 1.8×
Rpr Lip Full Thickness Vermilion Only (40650) $786.50 $786.50 1.5×
Simple drainage of abscess of saliva gland (42300) $3,425 $3,425 2.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $545.50 $545.50 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $293 $293 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $313 $313 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $352.50 $352.50 1.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $480 $480 2.4×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $659.50 $659.50 3.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $361.50 $361.50 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $334 $334 1.7×
Skin Tissue Procedure (17999) $95 $95 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $379.50 $379.50 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $452.50 $452.50 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $423.50 $423.50 1.0×
Spinal puncture lumbar diagnostic (62270) $784 $784 1.1×
Spinal Puncture Therapeutic (62272) $833.50 $833.50 1.2×
Strapping ankle (29540) $46 $46 0.3×
Strapping elbow/wrist (29260) $189 $189 3.2×
Strapping hand/finger (29280) $219.50 $219.50 3.7×
Strapping knee (29530) $122.50 $122.50 0.9×
Strapping shoulder (29240) $146 $146 1.1×
Strapping thorax (29200) $80 $80 0.5×
Strapping toes (29550) $184 $184 3.1×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,364 $1,364 2.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $321 $321 0.5×
Throat Surgery Procedure (42999) $278 $278 1.2×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$1,073 $1,073 0.2×
Thrombolytic Therapy, Stroke (37195) $279.50 $279.50 0.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $780 $780 0.5×
Treat finger dislocation (26775) $726 $726 2.6×
Treat Fracture Radius & Ulna (25560) $418 $418 1.7×
Treat humerus fracture (24500) $669 $669 2.7×
Treat humerus fracture (23600) $533.50 $533.50 2.2×
Treat Thumb Fx/Disloc,Manip (26645) $706 $706 0.4×
Treat wrist bone fracture (25622) $461 $461 1.9×
Treat Wrist Bone Fracture (25630) $476.50 $476.50 1.9×
Treatment closed elbow dislocation req anes (24605) $1,500.50 $1,500.50 0.9×
Treatment closed elbow dislocation w/o anes (24600) $926 $926 3.7×
Treatment of ankle fracture (27792)
unusually low: confirm this is the full procedure
$2,414.50 $2,414.50 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,700 $7,700 2.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $491.50 $491.50 0.7×
Tx superficial wound dehiscence w/packing (12021) $328.50 $328.50 0.8×
Unlisted procedure anus (46999) $2,310 $2,310 2.5×
Unlisted Procedure Casting/Strapping (29799) $115.50 $115.50 0.7×
Unlisted Procedure Rectum (45999) $1,348 $1,348 1.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,313.50 $1,313.50 1.4×
Unlisted procedure, male genital system (55899) $142 $142 0.6×
Unlisted procedure, stomach (43999) $2,460 $2,460 2.7×
Unlisted px female genital system nonobstetrical (58999) $367 $367 1.8×
Vaginal delivery only (59409) $4,403 $4,403 1.4×
Venipuncture (36415) $10 $10 1.1×
Venipuncture, cutdown; age 1 or over (36425) $88.50 $88.50 0.2×
Wedging of cast (29740) $99 $99 0.4×